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 […]
Understanding Ground Ambulance Charges-Part III Ambulance Billing is Different Ambulance billing is different. Really medical billing as a whole is different than any other type of billing or business practice, but ambulance differs at yet another level than even other medical billing disciplines. In any other business line, one makes a product or delivers a […]
Understanding Ground Ambulance Charges- Part II Last week… Welcome back to Part II of our series “Understanding Ground Ambulance Charges! Last week we covered the basics. We defined the term charges and what it means and how it applies to the ground ambulance billing world. This week we focus on how charges are determined and […]
Understanding Ground Ambulance Charges Often Questioned Here at the billing office, we are often questioned about the gross charge fee schedule used by our clients when billing. This is a line item list of charges that are included on the bill and combine to create a total dollar amount bill for the services offered by […]
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, […]
Clear. Clinical. Documentation. Bloggers note- we posted this blog almost a year ago to the day. It’s one of those topics that never gets old and the information remains as important as it was the first day we posted it. All of us must keep this important concept in mind when documenting our EMS transports. […]
Congressional Victory- Medicare Add-Ons Receive New Life! Minutes Ago… We’re writing this piece on the morning of Friday, February 9, 2018. Remember this day, as just minutes ago the United States Congress passed a bill to keep the government’s doors open for another month and with it they passed important provisions affecting the ambulance industry. […]
The “Face” of Your EMS “Face?” Whether you realize it or not, the EMS agency you serve has a face and it’s you! It’s the impression that is left behind in the eyes of the patient, his/her family and/or the people that surround him including, by extension, facility staff and those in the overall care […]
The Power of a Beginner’s Mindset This week… This week several of us in the billing office had the pleasure of taking a day to re-evaluate our leadership skills. Business coach Jim Riviello of Leadership X University, author and business motivator, spent a memorable day with us as we examined our impact on the EMS […]
Medicare vs. Medicaid- What’s the Difference? (Part II) Medicaid Welcome to Part II of our two-week series pointing out the differences between the Medicare and Medicaid programs in the United States and the affect each program has on EMS and how that effect differs. This week we are focusing on Medicaid or in some areas […]
