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 […]

Read More

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 […]

Read More

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 […]

Read More

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 […]

Read More

Medicare-vs-Medicaid-Blog-01-12-2018.png

Medicare vs Medicaid- What’s the Difference?

Medicare vs Medicaid- What’s the Difference? Interchangeable? It seems that often EMS people like to interchange the words Medicare and Medicaid. While similar in scope, the reality is these programs are two uniquely different government offerings. We thought it would be helpful to define the two programs and call attention to their similarities and differences. […]

Read More

Winter-Flu-Season-How-to-Document-Blog-01-05-2017.png

Winter Flu Season- How to Document?

Winter Flu Season- How to Document? Holidays Behind Us…Enter Flu Season We trust that you had a wonderful holiday season filled with many WARM memories (and we emphasize WARM!) We’re back to our normal routine so let’s dig into a direct documentation topic…. How to document transports that are initiated either directly or indirectly due […]

Read More