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,...
Balance Billing and Air Medical Transport Part Two Welcome to Part Two of our blog series Balance Billing and Air Medical Transport. Last week, we looked at the historical aspect and defined the issue at hand. This week, we peer into the public perception, regulatory consequences, and make some suggestions...
Balance Billing and Air Medical Transport Bloggers note- Welcome to Week One of a Two-Part blog series focusing on Balance Billing and Air Medical Transport. This week we’ll look at the issue at hand complete with a brief history lesson on how we arrived at today and where things stand...
Medicare Prior Authorization- Part II- Impact! Welcome! Thanks for stopping by for Part II of our blog recap of the findings from the recently published interim evaluation report on Medicare Prior Authorization. Last week, we capsulized the findings as published by government contractor Mathematica Policy Research. This week, we will...
Medicare Prior Authorization- Results 3 Years Later History In December 2014, the Centers for Medicare and Medicaid Services (CMS) implemented a Medicare Prior Authorization program on a three-year trial for RSNAT- repetitive, Scheduled, non-emergency ambulance transports. The program targeted three States that statistically showed a sharp increase in these types...
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...
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...
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...
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...
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...
