New York State Braces for Loss of Reimbursement

New York State Braces for Loss of Reimbursement

New York State Braces for Loss of Reimbursement April 1st When New York Governor Andrew Cuomo presents his administration’s 2019 budget on April 1st, ambulance providers in the Empire State stand to experience a significant loss in reimbursement dollars at a time when making ends meet is as difficult as ever. Cuomo is recommending that […]

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Documenting Cardiac Arrests For Billing

Documenting Cardiac Arrests for Billing

Documenting Cardiac Arrests for Billing Challenging Scenarios We’re sure that you’ll agree with us that patient cardiac arrests present the most challenging of scenarios EMS providers encounter in the field. Documenting arrest scenarios also presents challenges following the run. Once we have had time to step back and think about the event, that’s when we […]

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CMS Debuts What’s Covered App

CMS Debuts “What’s Covered” App

CMS Debuts “What’s Covered” App eMedicare Goes Mobile This week Medicare released its latest eMedicare tool and it’s one any person can use on their mobile device. The “What’s Covered” app was launched on January 28th. In a press release posted to CMS.gov and introduced via e-mail to CMS listserv recipients, the app was introduced […]

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Take-Compliance-Seriously-Blog-07-13-2018

Take Compliance Seriously- Or…It Will Cost You!

Take Compliance Seriously- Or…It Will Cost You! In the News Recently, some scary EMS articles have been published. Here are some headlines… Fla. Ambulance company to pay 1.2M in federal whistle-blower lawsuit <Company name redacted> settles Medicare fraud suite for 12.7M Ambulance company owner sentenced to prison for fraud Feds crack down on Medicare ambulance […]

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Ambulance-Industry-Legislation-Update-Blog-06-29-2018

Ambulance Industry Legislation Update

Ambulance Industry Legislation Update In this space… Over a few month we reported in this space about legislation in several States that had the potential to impact the ambulance industry in a big way. Since those posts, there have been some positive developments on a few fronts. Pennsylvania Legislation Passes The new State budget passed […]

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Medicare-Prior-Authorization-Results-3-Years-Later-Blog-04-13-2018

Medicare Prior Authorization- Part II- Impact!

Medicare Prior Authorization- Part II- Impact! Welcome! Thanks for stopping by for Part II of our blog recap of the findings from the recently published interim evaluation report on Medicare Prior Authorization. Last week, we capsulized the findings as published by government contractor Mathematica Policy Research. This week, we will briefly take a look at […]

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Other-Methods-of-Transportation-are-Contraindicated-Blog-03-23-2018

Other Methods of Transportation are Contraindicated

Other Methods of Transportation are Contraindicated Medical Necessity Defined We talk a lot about Medical Necessity in the ambulance billing office. Medical necessity and Reasonableness are key in determining whether or not an insurance payer is obligated to pay for ambulance transport, especially for Medicare and Medicaid patients. Title XVIII of the Social Security Act […]

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