Blog
January 11, 2022
How the crew documentation drives medical necessity?
In this post, we will define medical necessity and how the determination of medical necessity is driven by the crew documentation. CMS (Centers for Medicare & Medicaid Services) defines medical…
Read moreDecember 19, 2021
Good practices that ambulance service providers can adopt to help ensure EMS billing is effective and successful
There are several good practices that ambulance service providers can adopt to help ensure EMS billing is effective and successful. Effective EMS billing is defined as billing that produces timely…
Read more
December 13, 2021
Hospital to Hospital transports from an RCM perspective
Revenue Cycle Management(RCM) in the ambulance industry has a lot of moving parts to monitor to ensure the bottom line is met. Lower DSO, maintain a steady cash flow, keep…
Read more
December 05, 2021
Factors that contribute towards patient centric billing approach
As recent as ten years ago, healthcare expense was straightforward from the patient perspective. You paid your employer a premium, then paid the physician $25 for an office visit, the…
Read more
November 20, 2021
Compliance from a health care perspective – Are you covered?
Are you aware that payer enrollment is the Gatekeeper of your revenue cycle? Enrollment, along with credentialing, prevents fraud by validating all your company information. The CMS program utilizes the…
Read more
October 04, 2021
5 things you need to know to survive a Medicare audit
Important facts to help prepare and successfully navigate the auditing process. It is not uncommon that ambulance providers are faced with Medicare audits. There are several types of audits performed…
Read more
January 29, 2020
Authorizations, the problem child in healthcare
Prior authorizations, or Pre-Certifications are a formal permission that allows the provider to see and verify the following; member is active and eligible for services, guarantees to the insurance that…
Read more