EMS Learning
Surprise medical bills, often resulting from out-of-network care, are a nationwide concern. Since 2022, the No Surprises Act (NSA) has protected patients from unexpected medical costs incurred at hospitals, by healthcare providers, and by air ambulances. Though ground ambulance providers were largely exempt from the initial federal protections, the Act introduced new considerations for the […]
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The Centers for Medicare & Medicaid Services Fee Schedule for ambulance services determines the rates and structure CMS reimburses EMS agencies. Since Medicare and Medicaid are substantial payers for agencies within Texas , the Medicare Fee Schedule immensely impacts EMS billing and financial planning. Medicare reimburses ambulance services based on the lower of two amounts: […]
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For EMS providers, maintaining compliance with the Centers for Medicare & Medicaid Services (CMS) is crucial to ensure continued reimbursement. One key component of this process is revalidation. Periodically, CMS revalidation requires EMS providers to reconfirm their credentials to remain eligible for Medicare and Medicaid payments. Revalidation helps preserve the integrity of the healthcare system, […]
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Emergency Medical Dispatch Codes (EMD Codes) are part of the Medical Priority Dispatch System (MPDS). These codes follow a number-letter-number format to describe the nature of an incident, helping to categorize the severity of a patient’s condition and prioritize calls for emergency services. EMD Codes, designed to enhance the efficiency of emergency response, provide a […]
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Advance Beneficiary Notice (ABN) is a notice that providers issue when a service or supply doesn’t meet Medicare’s standards for reimbursement. The ABN shifts potential financial responsibility to the Medicare beneficiary. The notice allows patients to decide whether to proceed with the service and assume financial liability if payment is denied. EMS providers are required to […]
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Outsourcing EMS billing has been proven efficient, effortless, & profitable for many providers. Read the top five benefits of outsourcing vs in-house billing.
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Children require special consideration in every industry, including emergency medical services (EMS). Pediatric prehospital care is critical to ensure young patients receive the specialized attention they need before reaching a hospital. When dispatched to an emergency involving a child, the actions taken by EMS providers can significantly impact the outcome. The care provided to children […]
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In nearly two decades of working with EMS, Lieutenant Kenneth Pippin has seen many meaningful changes in the industry. However, prehospital whole blood transfusions stand out as the most significant of all. “Low-titer O Whole Blood (LTOWB) transfusions are the greatest life-saving change I have witnessed in EMS. Its efficacy in treating patients with hemorrhagic shock is […]
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Learn about the increasing use of Narcan by EMS personnel in Texas and how a Texas Narcan EMS program is helping control the cost of this life-saving drug.
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Learn how to write a patient care report that meets industry standards. Craft an effective PCR narrative with this helpful checklist and examples.
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