Helping Your EMS Billing Program Achieve Success in 2017 Happy New Year! The Holidays are over and it’s back to work. Happy New Year to everyone in EMS land. Before we get too far into the new year, let’s pause for a moment and highlight some relatively easy ways you can help your EMS Billing […]
The Power of the “Pre-Auth”! Necessary Evil! The American healthcare picture has increasingly become more complex. The advent of the Affordable Care Act and other changes have ushered in literally thousands of new healthcare insurance coverage options. These options change all the time and each year new plans with new rules and requirements spring up. […]
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 […]
It’s All in the Timing Part VI Our “Documentation Review as a Habit” series rolls into Part VI with a discussion about capturing timing in the Patient Care Report’s (PCR’s) documentation. Not only is there an importance placed on documenting the correct date and time of the incident, chronologically, but there is even more importance […]
Documenting Causation for Illnesses V. Our “Documentation as a Habit” series moves on to Part V this week. In it, we’ll discuss causation or the synonym we use a lot in healthcare terminology, etiology. Last week we talked about mechanism of injury which is basically the trauma part of any causation discussion. This week, we […]
Mechanism- External Cause of Injuries Next Thanks for returning for Part IV of the “Documentation as a Habit” series. This is the fourth week of this series where we have paused to take a look at the need for EMS agencies to be intentional about Patient Care Report documentation reviews. In this series, we lasered in on how […]
How Severe is Severe? Part III Welcome to Part III of our “Documentation as a Habit” series! Two weeks ago we embarked on this series noting the necessity for EMS agencies to be intentional about Patient Care Report documentation review. The series focused on explaining the coding considerations that every EMS provider must consider when […]
Documentation Review as a Habit Put it on the calendar! Because more than ever before, detailed clear clinical documentation in the Patient Care Report (PCR) is critical to the mission, it’s time for every EMS agency to pick a date and time to regularly meet and discuss run sheet documentation. Of course, this blog space is […]
5 Costly EMS Documentation Mistakes Here are the five EMS documentation mistakes that deny patients coverage they deserve and EMS agencies fair compensation for their services By Steve Johnson One of the most frustrating scenarios for EMS agencies is the denial of coverage for ambulance transport for far too many patients. In the vast majority […]
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 […]
