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The patient signatures that I have referred to is the signatures that give the authorization to bill. With that being said, the allowance for special circumstances is that the receiving facility and crew, or the patient's POA can sign. If the patient is unable to sign, (examples: unstable...

After doing some research I've given you a "Top Five" list, and I have found that the majority of denials received on ambulance claims are: 5-Issues with ICD-10 codes 4-Non-Covered Benefits 3-No Patient Signatures 2-Medical Necessity Not Properly Completed or Illegible 1-Improper Documentation...

Yes, this is how things are usually handled, and you are right on your reasoning too :-)

Yes, those would definitely be billed ALS & I'm sure you right that they're billing those as ALS calls.

Yes, I could do that, I'll work on it and post it this week :-)

Since they have contracted you, then is there a fee they pay your for running calls with them? Since you guys aren't billing the ALS calls now, I'm guessing there's not a agreement set up for you to do that now. Maybe something that would be a possibility to add to the contract when it's renewal...

Yes, that would make a difference. Does the fire department bill for anything? If they do then they'd bill for their services & your squad would bill for theirs. Is the fire department and squad that responded from the same organization?

Just because a Medic is on the call, that doesn't make it an ALS call & it can't be billed as such. But if according to your protocols, if the dispatch reason falls into those ALS protocols, then yes it can be billed as an ALS. Just like the chest pain & toe pain example I gave, because the...

Right, you can't refuse to take them. You have to document those clearly, and they may not be billable to the insurance companies like that, but they are definitely billable to the patient.

Absolutely! The "Why" is very important. If the "why" isn't there, you'd probably end up seeing a QA flag asking that question. From the billing side, there's no diagnosis code for a transfer via draw sheet method. So it would need to be specified as to why patient needed that draw sheet lift...

Primary impression should be what you're dispatched for correct? And then secondary impression should be what you observe once you arrive to the patient correct? That being said, yes they are very important. A call can be billed by the way a call is dispatched For example you get a call and are...

Thank You!! :) Yes that information is VERY helpful. It's more documentation to prove the patient had to go by stretcher. The more documentation you put on the run to support the patient's means of transport needed to be by ambulance the BETTER!! Of course it has it downsides too though, for...

Good! I'm sure the billing people appreciate it VERY much :-)

Anyone have any questions? Hope everyone is surviving Storm Jonas. I'm sure it has kept you all very busy :-)

You're very welcome :-)

It depends on how Medicare process a claim. If they pay it, then there's always a portion that's billable to the patient or their secondary insurance. If they deny it,, there's a possibility they could deny it with a code that doesn't allow you to bill the patient. But MediCal, or any state...

That's a good idea! :-) And you're welcome!

It can be something hard to explain to a patient, especially if the patient is elderly. But it's one of those things that have to be done. The patient should always be the one signing unless they are physically incapable of doing so. And yes a receiving facility & crew signature would allow you...

Unfortunately I can not :-)

The patient signatures are very important to the billing side of things. Then receiving facility should only be signing if the patient is unable to sign, and they should be putting something more specific in there than "patient condition." Examples of something they should be putting is...