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What is Contractual Allowance and contractual allowance adjustment?

EMS Finance Explained: Gross Charge vs. Contractual Allowance 

October 16, 2023

Unravel the complexities of contractual allowance in ambulance billing. Understand the costs and processes involved in this unique aspect of the healthcare industry.

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Medical Billing Write Off Policy - EMS Finance Explained

EMS Finance Explained: Write-off Policies

October 9, 2023

In EMS finance, write-offs are a common and necessary part of the EMS billing and reimbursement cycle. As an accounting practice, they adjust the accounts receivable balance for a multitude of reasons. This blog will define several of the most common medical billing write-off policies in the EMS revenue cycle. Contractual Allowance A contractual allowance […]

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What Constitutes a Medical Necessity for Ambulance Transport?

Medical Necessity for Ambulance Transport

October 2, 2023

As with most aspects of the EMS industry, Medicare sets the standards for what constitutes medical necessity for ambulance transport. According to the Centers for Medicare & Medicaid Services (CMS), medical necessity occurs when a patient has a medical condition for which other means of transportation are contraindicated. For ground ambulance services, Medicare assesses the medical necessity of emergency and non-emergency […]

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Emergency Ambulance Services Vs Non Emergency Ambulance Services

Understanding Ambulance Services: Emergency & Non-Emergency

September 25, 2023

Like BLS, ALS, and SCT, Emergency and Non-Emergency Transportation are categories of the Levels of Service provided by ambulances. The main difference between them is the need for immediate treatment, which determines the required equipment and personnel.  According to the Texas Department of Insurance (TDI), most ground ambulance providers in Texas furnish both types of transportation.  Emergency Ambulance Services – […]

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Specialty Care Transport - SCT Transportation

Understanding Ambulance Services: Specialty Care Transport

September 18, 2023

Like BLS and ALS, Specialty Care Transport (SCT) is a category of the Levels of Service provided by ground ambulances. SCT-level transports are typically the interfacility transportation of a critically injured or ill patient.  When is SCT needed? The most common reason a patient needs SCT is for transportation from one hospital to another medical facility. […]

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ALS Vs BLS - Advanced Life Support vs Basic Life Support

ALS Vs BLS – Understanding Ambulance Services

September 11, 2023

ALS Vs BLS – Advanced Life Support (ALS) and Basic Life Support (BLS) are categories of the Levels of Service provided by ground ambulances. ALS Vs BLS communicate the medical necessity for ambulance services when an EMS agency responds to a 911 call.  The Level of Service determines the reimbursement rate EMS agencies receive for […]

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Texas Senate Bill 2476 - How-To Guide for EMS Agencies

Texas Senate Bill 2476 – What does it mean?

September 4, 2023

Updated December 20, 2023 Single final submission deadline: February 2, 2024 What is happening: The TDI recently finalized the rules that implement Texas Senate Bill 2476. These rules replace the proposed quarterly fee schedule reporting/submission timeline with a single, final reporting/submission due date of February 2, 2024. What you need to do: If you have […]

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What is EMS Agenda 2050 and what does it mean for the future?

What is the EMS Agenda 2050?

August 28, 2023

In 2014, the National EMS Advisory Council (NEMSAC) recommended an update to the landmark EMS Agenda for the Future. The 1996 document guided the development of valuable EMS systems such as Mobile Integrated Healthcare and Community Health Paramedicine. Throughout 2017 and 2018, the EMS community and society members shared ideas, which resulted in the EMS Agenda 2050 (Download the PDF Version). Published […]

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