RSNAT Prior Authorizations and the PCS by Rebecca Illig, QMC Compliance Manager In 2014… In 2014 CMS initiated a Repetitive Scheduled Non-Emergency Ambulance Transportation (RSNAT) prior authorization demonstration program for certain states. These included South Carolina, New Jersey, and Pennsylvania. The program was expanded in December of 2015 by CMS to include Delaware, the District […]
Emergency! – Digging Deeper to Define Bloggers Note- this week our billing office had a discussion with a client to help provide direction on the question of what constitutes an emergency and the documenting of the use of “lights and sirens”. The discussion is common. Just about two years ago, we added a blog post […]
Cost Data Collection on the Horizon for EMS Reality Time When the Philadelphia Eagles won their very first Super Bowl two weeks ago, the City of Brotherly Love went giddy wild. There were light poles to climb, banners to wave and confetti to throw. Then…it was reality time. All that confetti had to be cleaned-up, […]
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 […]
Congressional Committee Moves Revised Ambulance Relief Bill On 9/11… In a bit of displaced irony, on the very day we remember one of the greatest mass casualty incidents to ever strike the United States, September 11, the House Ways and Means Committee voted out an amendment to alter legislation that brought hope to many of […]
Resources Where They’re Needed A Mini Rant Lately a lot of people are ranting about something. So we hope you’ll indulge us today as we offer up a bit of a mini rant. Those of us who live in the money game of ambulance reimbursement, be it EMS administrator, billing office or provider, have become […]
New Stuff From Medicare Two Updates Two recent Medicare updates carrying a potential impact on your EMS agency’s cash flow, complete with compliance implications popped up on our radar screen recently. Today’s blog will focus on those two updates. MUEs The Centers for Medicare and Medicaid Services recently updated the list of what they call […]
Emergency! – Digging Deeper to Define Lights and Sirens Myth This billing office is often questioned about what constitutes an emergency for the purposes of billing and collecting payment. There’s a myth in EMS that any ambulance incident that necessitates the use of “lights and sirens” is an emergency. It’s not the case. We look […]
Insurance Coverage Doesn’t Mean Insurance Payment This year, for the first time in 8 years, we’ll elect a new President in the United States of America. Healthcare issues have been on the radar screen for many years. President Obama brought us the Affordable Care Act or “Obamacare”. Much has been written about the effects of […]
Dissecting “The Misunderstoods”- Part II- Billing for SCT “The Misunderstoods” There are two level of service categories that we lump into a bucket called “The Misunderstoods” of ambulance billing. Two weeks ago we blogged about the Advanced Life Support, Level 2 (ALS2) level. Today, in Part II, we focus on the Specialty Care Transport or […]
