EMS (Emergency Medical Services)
As healthcare evolves toward value-based care, EMS agencies face the challenge of adapting their billing practices to align with models prioritizing patient outcomes. At EMERGICON, we are dedicated to supporting our partners through this shift by providing innovative, patient-centered billing solutions powered by expertise and advanced technology. Understanding Value-Based Care in EMS Value-based care shifts […]
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Consistent cash flow is the lifeline of EMS agencies, ensuring operational readiness and uninterrupted service delivery. Timely reimbursements are essential to maintaining financial stability and sustaining community care. At EMERGICON, we understand the challenges of navigating the complexities of EMS billing to achieve timely reimbursements. Review these best practices to streamline the reimbursement process, reduce […]
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In an era where precision and efficiency are paramount, EMS agencies are turning to data analytics to enhance their services and elevate financial health. “As the demand for emergency services rises and resources remain limited, it’s essential to use data to make informed decisions and optimize service delivery,” explains Seth Coussens, Chief Information Officer at […]
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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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Technological resources have become indispensable tools in the EMS billing industry. At EMERGICON, we rely on technology to develop new solutions and provide better service company-wide for internal and external audiences. Leading this assignment is the EMS Technology Department. Each Technology team member embodies EMERGICON’s Texan Touch®, providing personalized and meticulous service. They embrace our mission of […]
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In the EMS billing industry, provider credentialing is a critical step in ensuring proper enrollment for reimbursement. The Credentialing department at EMERGICON plays a vital role in helping EMS providers remain compliant and meet the stringent requirements set by Medicare, Medicaid, and other payers. Each Credentialing Specialist embodies EMERGICON’s Texan Touch®, providing personalized and meticulous service. […]
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