Billing and Administration
Access our comprehensive directory of articles on Billing and Administration for EMS professionals. This collection covers essential topics such as billing practices, reimbursement procedures, and effective administration strategies to streamline operations. Understanding the complexities of EMS billing and administration is crucial for maintaining financial health and ensuring compliance with regulations. For more related content, explore our resources on Regulatory Compliance. Stay informed and improve your administrative skills to support the success of your EMS organization.
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Is your department properly identifying reporting and returning overpayments from the Centers for Medicare and Medicaid Services?
The bill amounted to $18,000 more than the bills from the ER doctor, hospital and ground ambulance combined
The long-awaited rule mandates that all health care providers receiving Medicare reimbursement return identified overpayments within 60-days or face Federal False Claims Act liability
The expansion would reduce sluggish response times, lower expensive overtime costs and refer fewer calls to private ambulance companies
The paychecks started disappearing along with the company, which employees said shut down overnight
States that try to set rules are met with lawsuits that argue air ambulances fall under the Airline Deregulation Act, which prevents states from interfering with fares, routes and services
RFPs and contracts for local ambulance services will require organizations to measure and report more than simply response time
The deal will allow rural ambulance companies to carry what they need without making hard decisions due to budget constraints
Poor pay from hospitals and private health insurers and a sharp rise in Medicaid patients have contributed to the financial woes
The department became licensed as an ALS-level service in 2014; they have three years to meet the requirements or will lose their license
Expect more oversight of EMS billing through post-payment audits and increased investigations, prosecution
Not billing for EMS patient transport leaves money in the pockets of insurance companies and government programs created to pay for ambulance transport
The mayor wants to move the existing EMS team to the other side of town; council members said it will leave parts of the town “unacceptably underserved”
The EMS director said eliminating three paramedic and four EMT positions will not impact service
The company said Medical Mutual was “systematically and unilaterally” underpaying for air transport services
To move out of crisis mode and on from dire consultant studies, volunteer EMS needs less analysis and more action
Only 3 percent of patients paid their bills, according to city documents
The mayor said the claim was a “routine” matter but that supervisors should have been alerted to whom it involved
The city requested the money as the 12-year-old boy’s last dying expense in a creditor’s claim
Some officials in other jurisdictions weren’t happy to see the contract extension appear on the agenda
The lawsuit argues that the company, which mostly provides transport for dialysis patients, fraudulently billed Medicare for these rides as ambulance rides
We are regularly reminded that the communities we serve know little about EMS costs, challenges and services provided
Most companies can’t bill for one out of four calls
There are clinical, customer satisfaction and political reasons for delivering rapid and efficient response to all call types
Every ambulance provider should review and update their billing and claims policies and procedures
Volunteer EMS agencies can be the best option for 911 services in many areas, but response must be guaranteed
The 47 employees remaining at the billing center will be laid off at the end of February
Two employees of the company pleaded guilty to conspiracy to commit health care fraud
Although Medicare and Medicaid rules are lengthy and confusing, EMS leaders and field providers must ensure compliance
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