RSNAT Prior Authorizations and the PCS

RSNAT Prior Authorizations and the PCS

RSNAT Prior Authorizations and the PCS by Rebecca Illig, QMC Compliance Manager In 2014… In 2014 CMS initiated a Repetitive Scheduled Non-Emergency Ambulance Transportation (RSNAT) prior authorization demonstration program for certain states. These included South Carolina, New Jersey, and Pennsylvania. The program was expanded in December of 2015 by CMS...

Managing Critical Conversations In A Tense Social Climate

Managing Critical Conversations in a Tense Social Climate

Managing Critical Conversations in a Tense Social Climate By Chuck Humphrey, B.A., EMT-B, CAC, CACO, CADS* Tense! Does it seem like everyone is tense today? Tense- A feeling, showing, or causing mental strain; anxious. Sound familiar? It’s the world we live in today. There are a host of tense people....

Medicare Prior Authorization Expansion 02 04 2022

Medicare Prior Authorization Expansion- What Does It Mean for You?

Medicare Prior Authorization Expansion- What Does It Mean for You? By Chuck Humphrey, B.A., CAC, CACO, CADS, EMT-B* The Time Has Come Unless you are Rip Van Winkle and you’ve been snoozing for a long, long winter’s nap, I’m hoping by now that you are aware that the Centers for...

Dance With Who Brought Ya'

Dance with Who Brought Ya’

Dance with Who Brought Ya’ By Gary Harvat CMTE, EMT-P (ret)* Over the course of one’s professional career, there are individuals that move in and out of our life. Some for the positive and some, not so much. From those that influence us in a positive light, we learn, we...

No Surprises Act Medical Transport Playbook: Part 2

No Surprises Act-Medical Transport Playbook: Part 2

No Surprises Act Medical Transport Playbook: Part 2 By Edward R. Marasco, MPM, CMTE, EMT-P (ret.)* As we approach the Holiday Season, we are excited about the Pitt Panthers earning an ACC Football Championship and a Peach Bowl berth. It has been a wild ride. The Panthers, along with all...

Wonder Why My Back Hurts?

Wonder Why My Back Hurts?

Wonder Why My Back Hurts? By Gary Harvat CMTE, EMT-P (ret)* I guess things happen unbeknownst to me anymore. The other day, I arose at my normal time of 5:12 AM (don’t ask me why it’s 5:12 but it’s been that way for years). As I placed my feet on...

Happy Thanksgiving From A Non-Blogger

Happy Thanksgiving from a non-blogger

Happy Thanksgiving from a non-blogger By Scott Powell CEO of Quick Med Claims First, let me manage expectations - and this will become clear as you read this – I am NOT a blogger. I don’t play one on TV, and I did not stay at a Holiday Inn last...

No Surprises Act Medical Transport Playbook: Part 1

No Surprises Act-Medical Transport Playbook: Part 1

No Surprises Act Medical Transport Playbook: Part 1 By Edward R. Marasco, MPM, CMTE, EMT-P (ret.)* As we approach the end of the year, I find myself looking forward to the college football bowl season with great anticipation. Our Pitt Panthers have emerged from decades of mediocrity to be relevant...

AIF Announced For Calendar Year 2022

AIF Announced for the Calendar Year 2022

AIF Announced for the Calendar Year 2022 By Chuck Humphrey, B.A., EMT-B, CAC, CADS* Second Largest Increase Ever! The Centers for Medicare and Medicaid Services announced that the Ambulance Inflation Factor (AIF) for 2022 is 5.1%. The increase will be applied to the national Medicare Ambulance Fee Schedule with payments...

Excluded Persons = Big Dollars!

Excluded Persons = Big Dollars!

Excluded Persons = Big Dollars! By Chuck Humphrey, B.A., EMT-B, CAC, CADS* One Person, $371K! The healthcare compliance landscape is littered with all kinds of seemingly small incidents that turn into embarrassing big paybacks and public relations nightmares. Such was recently the case when a large hospital system in California...