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No, actually. We are a small private company and this sort of transport is very new to us. Origin/Destination modifiers are a CMS standard set of codes for ambulance billing across the country. The codes are exactly the same regardless of service area or billing software. No assumptions were...

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I am a biller and struggling hard to find answers! When billing for a transport originating out of a local prison, would you use the E modifier for the origin? Please Help!

We do a routine transfer of a patient who requires diastat to go with for precaution, and because of that we have to send an ALS unit. We have yet to have to administer any medication and our crew members are arguing that they should chart the run BLS. Our argument is that regardless of how we...

Our company still mainly uses paper and we also use the free version of ImageTrend to report to the state. What does your company use or what is the best software you have used to date? Please lead me in the right direction on making the best choice! I want pros and cons and anything else you...

I would say it's not quite an audit. I have my basic but I also have my CAC and am the billing and AR manager. When I went to the billing class this past summer it was explained by PWW that this would become a very common thing for most agencies and is more of a learning/teaching process that...

It's a new review process that has been put into place by Medicare o_O. A Targeted Probe & Educate process that is extremely less invasive than an audit but is similar. It is a 3-tier review process examining 30-40 claims for medical necessity and requiring all documentation on the claim and...

Anyone else going through the TPE process? If so what all information did you guys send in On top of the required information?

There are 2 of us in the office that are certified ambulance coders which is some 5 day long conference held by PWW but it was more stressed on how to code and get it out the door correctly and only dabbled in documentation requirements we are marking things down when appropriate but with...

What info goes where? What info should be repeated if any? please lay this out for me

the only hard part there is that our owner/manager is a private owner with no ems back ground. for the most part since i recently received my CAC I have kind of taken charge and am trying to get these things in order. you do not learn much about charting for payment in emt class which is now...

NEGATIVE :(

Im an EMT-B and now work in the back end billing side of our company. Im trying to balance what I know about the pts personally from transporting them and figure out on the back end if we are actually meeting medical necessity repeatedly for each PCR. What does your company actually require in...