Reconciling- Are They All Billed? Keeping track… We’re always surprised to learn of EMS agencies that do not reconcile the number of transports to billing claims, for a given period. Stop right now and ask this question. Are all of the EMS transport incidents billed for (insert time period)? We...
Changes? Include Your Billing Office! What’s New? What’s new in EMS? There are plenty of new things happening in EMS. The very nature of EMS is change. We are learning and learning fast about the outcomes from what we do in the field so there is a lot happening in...
Headlines Teach HIPAA Lesson News or Violation? Last week the sports world was shocked when a rising National Football League star suffered a tragic accident. While celebrating the 4th of July holiday, New York Giants phenom Jason Pierre-Paul lost a finger in an accident involving fireworks. It was a tragic event that now...
Closest Appropriate? Explaining Destinations in the PCR Closest Appropriate Facility In the ambulance billing world, this 3-word phrase is discussed more than you’d realize- Closest Appropriate Facility. There are rules that differ in many cases between insurance payers, most notably between Medicare and Medicaid and even some commercial insurance payers...
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...
ICD-10- How Will It Change EMS Documentation? Part II Welcome to Part II of our two-part series! Last week we talked about the overall changes that ICD-10 will usher in come October 1st and we focused on the detail and specifics needed in Patient Care Reports in order to provide...
ICD-10- How will it change EMS Documentation? 117 Days and Counting! Change is coming. Today is exactly 117 days away from the October 1st implementation of the ICD-10 diagnosis codes. ICD stands for the International Classification of Diseases. Today, our industry uses Version 9 of the code set to report conditions...
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...
Will the Real Superhero Please Stand Up? It Starts Monday! Next week is EMS week! Starting on Monday, we take time in the U.S.A. to recognize all of you who do so much to bring healing, comfort and care to your community. Monday kicks off not only EMS week but...
CMS Releases Further Clarification and Guidance about Prior Authorizations Here to Stay The Centers for Medicare and Medicaid Services (CMS) Prior Authorization Demonstration Project is here to stay. Put in place by CMS as a pilot project in the States of New Jersey, Pennsylvania and South Carolina in December, 2014;...
