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 […]
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 […]
Compliance Isn’t Easy Being Deliberate If your EMS agency is going to strive to be 100% compliant with all of the rules and regulations that we all have to navigate in the EMS billing arena, then it means that your organizational culture must be deliberate. Compliance isn’t easy. The problem with what we have just […]
Repetitive Transport Documentation- Consistency is Important The Same Patient Repeat patients often suffer from chronic illnesses that persist during a period of their life span. Some patients never escape from their condition and others, thankfully improve to the point that they no longer require ambulance transportation. Because we interact with these patients, day in and […]
3 Reasons the Billing Office Can’t Bill Your EMS Incident Blogger’s Note… From time to time we pick out some of our most informative and memorable blog posts from the past and breathe new life into them. This is one of those posts. The information comes from a poll we conducted in our billing office […]
Sharpening Documentation Skills Using Hands-On Training How will they learn? The Apostle Paul wrote a letter to the early church in Rome to encourage the early first-century believers to actively share their faith with others. He used a series of questions to make his point. “But how can they call on him to save them […]
What Service is Not Available? Inter-Facility Transfers This week’s blog will focus on inter-facility transports. For the most part we’ll discuss hospital-to-hospital transfers where the patient has been treated at one hospital but must move to a different hospital in most cases for care that is not provided at the facility where they currently are […]
Clear. Clinical. Documentation. CMS Three words with impactful meaning anchor our discussion today. The Center for Medicare and Medicaid Services (CMS) sets the definition of medical necessity of an ambulance patient that all of us in the ambulance billing industry strictly adhere to. The definition centers on the clinical requirement “where the use of other methods […]
Sign-In Please! “Will the next mystery guest sign-in please?” Back in the sixties there was this popular TV show that began with this question. The viewer got to see who the celebrity was based on the person’s signature and the contestants had to guess who the person was by asking questions about the person. Signatures in […]
To Bill or Not to Bill? Shakespearian EMS? We can only wonder what the documentation would look like if the great bard Shakespeare would have been a member of the EMS community. “Dispatheth via troubadour to yonder hamlet for a person swooning with the vapors.” Okay…enough of that. But we borrow a take on the […]
