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Dissecting “The Misunderstoods”- Part II- Billing for SCT

Dissecting “The Misunderstoods”- Part II- Billing for SCT Bloggers note- early last year we posted a popular 2-part series talking about a subject we affectionately called “The Misunderstoods.” Because we periodically field questions about these two levels of service and the complexity of documenting properly to obtain maximum reimbursement, we’re offering up the series again […]

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Dissecting “The Misunderstoods”- Part I- Billing for ALS 2

Dissecting “The Misunderstoods”- Part I- Billing for ALS 2 Bloggers note- early last year we posted a popular 2-part series talking about a subject we affectionately called “The Misunderstoods.” Because we periodically field questions about these two levels of service and the complexity of documenting properly to obtain maximum reimbursement, we’re offering up the series […]

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Transporting-SNF-Residents-Choosing-the-Proper-Payer-Blog-10-13-2017.png

Transporting SNF Residents: Choosing the Proper Payer

Transporting SNF Residents: Choosing the Proper Payer This week the industry experts at Page, Wolfberg and Wirth (www.pwwemslaw.com) posted an excellent article in the EMS Legal Update on EMS1.com regarding how to choose the proper insurance payer when transporting Skilled Nursing Facility residents by ambulance. The information is so important that we decided to share with […]

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Medicare-Add-On-Time-is-Running-Out!-Blog-09-15-2017

Medicare Add-On Payments- Time is Running Out!

Medicare Add-On Payments- Time is Running Out! Five Months! Five Months have passed since Senators Stabenow, Roberts, Leahy, Collins and Schumer introduced S. 967 entitled the “Medicare Ambulance Access, Fraud Prevention and Reform Act of 2017” and yet the legislation has not passed. Companion bill H.R. 3236 also remains in limbo. What’s worse- the ambulance […]

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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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Railroad-Medicare-Cites-Denial-Rate-Blog-08-11-2017

Railroad Medicare Cites 32.6% Denial Rate in Widespread Review

Railroad Medicare Cites 32.6% Denial Rate in Widespread Review Here we go again… The Railroad Medicare program, administered by government contractor Palmetto Government Benefits Administrators (Palmetto GBA) has published the results of their latest “widespread review” of BLS Non-Emergency Transports. Here we go again… Continually, our industry is turning in dismal audit results with this […]

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Medicare-ABN-Part-I-Blog-07-01-2016

UPDATE-Properly Executing the Medicare ABN-Part I

UPDATE-Properly Executing the Medicare ABN-Part I Misunderstood The Centers for Medicare and Medicaid Services (CMS) has just announced the release of the revised Advance Beneficiary Notice of Noncoverage (ABN). It is important that those of us in the ambulance world who use this form on a regular basis begin to use this version immediately. Just […]

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