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Pretty much! I do billing for a federal prison & that’s how it’s done. But if u are killing people or robbing someone or some place….the likely hood of u paying the bill is slim. And 90% of the time…the offender has state Medicaid. So that’s who picks up the bill. If u don’t want to be in this...

I would suggest on things like this, there be a contract in place with the life flight company. Where they pay you guys money for their transport back, because there no one else to bill for that.

The jail (or other similar facility) should only get the bill if the patient has been through booking. The patient isn’t “technically” their responsibility until that point. Anything outside of that, prior to the actual booking, the bill should go to the patient. There may be some circumstances...

Anyone got any billing questions?! It’s been a spell since I’ve been in this forum but I still get emails from here. I actually got one this evening & responded. Let me know if you have anything I can help with!

This was a very good question & your right…this is exactly the place to ask it. Keep asking questions you may have & just disregard those who don’t reply with helpful information!

Thank you! Yes I got the email & responded!

Yes, E modifier is what you should use.

Yes, they should be required to follow CMS guidelines. I'm not sure what it would be that would allow them NOT to follow those guidelines.

Yes I agree!

I'm not 100% sure on the protocols in CA, but I'm pretty certain that BP & BS check would not qualify as an ALS transport.

Sorry for my absence on this thread! Anyone got any questions that I could help with?

I'm not 100% sure on the protocols in California, but blood pressure check and finger glucose check should not qualify for an ALS transport. There needs to be ALS procedures done in order for it to be considered an ALS Transport.

Without medical personnel, it could not be billed to the insurance company. You may check with your county ordinance and see if the police department could bill the patient for something like that. But it would be something only the patient can be billed for.

No there is no way to retro-actively get the medical necessity now. Depending on the type of insurance they have they may be able to file an appeal with their insurance company, but it will take a lot of work from them to appeal it. They will need copies of their medical records, showing medical...

Yes it would still be an ALS call. If it's dispatched that way and an assessment is done by the medic, then it's billed as an ALS transport. So the other part of your post, please review my answer to DesertMedic66's post.

We have not had to do that in WV or VA. There are carriers that make you do funny stuff. For example if your area's Medicare carrier is Novitas, then it's possible. We do have our crews obtain the physicians name if it's a repetitive transport patient, because in our area we have to get prior...

When you transport 2 patients in the same truck, you bill both of them a loading fee and u split the mileage. So, for example, you pick 2 patients and the hospital is 50 miles away. You would be each patient a loading & each 25 miles.

In my neck of the world, the rates charged are not determined by the government. The ambulance companies can choose what they charge, but payers have the ability to only allow them to bill a certain amount for them to consider. For example, Medicare allows $300.00 for a BLS Emergency. If I...

You're welcome! And I've been around for awhile. and this thread always seem to do very good. It generates lots of questions and lots of interest. It's my pleasure to help! And I'm not afraid to say I'm not sure on something I'm really not sure on. I don't mind talking all about the things I do...

BLS v/s ALS 1 is basically if there's a medic on board providing any ALS Services. If there's a medic it's ALS, if there's not then it's a BLS. ALS 1 v/s ALS 2 to determine if it's an ALS 2 there have to be at least 3 separate administrations of one or more medication via IV or by continuous...