Any info on Medreach?

[Alex562]

Hi guys guys does anyone know if Medreach is a good place to work at?? Thanks

 

[Chimpie]

Moved to the EMS Employment section.

 

[gonefishing]

They do ALOT of Dialysis. If you are looking at a good place to work where your check will not bounce and no Dialysis here is a list:
AMR
(Union representation starting pay $12.48)
Bowers
(now an amr company but no dialysis starting pay $10 an hour)
CARE
(Primarily 911 $10.50 an hour)
Mc Cormick
(Primarily 911 $10.50 an hour)
Schaefer
(Primarily 911, union representation I beleive $11.50 an hour)
PRN
($14 an hour)

 

[toyskater86]

I used to see medreach around ALOT, not so much anymore. Depending on where you live you can find some good companies just outside of LA county.

 

[looker]

They do ALOT of Dialysis. If you are looking at a good place to work where your check will not bounce and no Dialysis here is a list:
AMR
(Union representation starting pay $12.48)
Bowers
(now an amr company but no dialysis starting pay $10 an hour)
CARE
(Primarily 911 $10.50 an hour)
Mc Cormick
(Primarily 911 $10.50 an hour)
Schaefer
(Primarily 911, union representation I beleive $11.50 an hour)
PRN
($14 an hour)

PRN does dialysis. I don't see schaefer that much and they lots of units sitting in their Beverly station. Dialysis is slowly going away and soon will not be the main income for most companies.

 

[NomadicMedic]

How is dialysis "slowly going away"? Last time I talked to a dialysis center manager she told me that the number of bed confined dialysis patients is increasing every month and there are not enough beds to meet the demand. (And bed confined dialysis patients have to travel by ambulance)

 

[Alex562]

Sorry for my ignorance are dialisys patients that bad?? If so why

 

[chaz90]

Sorry for my ignorance are dialisys patients that bad?? If so why

Dialysis transfers get repetitive. It's not that the patients are "bad", but there's nothing we as EMS providers provide as far as medical care during routine dialysis transfers. It's basic, non-emergency transport work, but that's 80% of 911 EMS anyway.

 

[Qulevrius]

Sorry for my ignorance are dialisys patients that bad?? If so why

100% of the dialysis pts are frequent flyers. Typical dialysis call: come pick up pt, take pt to a dialysis facility, weigh pt, turn pt over to the facility staff, clear call, run another, get call to the dialysis facility to pick up the pt and take pt home. Vital signs taken prior to & monitored en route, and that's as far as your medical care goes.

 

[gonefishing]

Typical dialysis call: come pick up pt, take pt to a dialysis facility, weigh pt, turn pt over to the facility staff, clear call, run another, get call to the dialysis facility to pick up the pt and take pt home. Vital signs taken prior & monitored en route, and that's as far as your medical care goes.

Or they walk on and off the gurney [emoji1]

 

[looker]

How is dialysis "slowly going away"? Last time I talked to a dialysis center manager she told me that the number of bed confined dialysis patients is increasing every month and there are not enough beds to meet the demand. (And bed confined dialysis patients have to travel by ambulance)

Sorry should have been much more clear in my reply. Medicare is not wiling to pay for ambulance for dialysis patients. They see it as fraud. Majority of dialysis patient go by bls and no monitoring is needed during transport of any kind. This same patients are likely able to sit in wheelchair as such it should not be done by ambulance transport. If they are bed confined and need no monitoring during transport then it should be done by gurney van. On east coast, medicare now requiring prior authorization before ambulance can take patient to dialysis etc. For now on west coast, medicare are basically bankrupting company by doing investigation and not paying during it. Those ambulance companies that understand what is going on and want to stay in business are actively looking for source other then medicare.

 

[Qulevrius]

For now on west coast, medicare are basically bankrupting company by doing investigation and not paying during it. Those ambulance companies that understand what is going on and want to stay in business are actively looking for source other then medicare.

That is actually spot on. My company has very few dialysis regulars these days, and ea and every one of them was interviewed extensively prior to getting signed up and their eligibility for Code 2 BLS transport thoroughly checked due to complications with Medi/Medi. Long story short, those who passed the interviews have a co-morbiditiy that requires ambulance transportation (ex: quadriplegic + DM or something in the same vein).

 

[gonefishing]

That is actually spot on. My company has very few dialysis regulars these days, and ea and every one of them was interviewed extensively prior to getting signed up and their eligibility for Code 2 BLS transport thoroughly checked due to complications with Medi/Medi. Long story short, those who passed the interviews have a co-morbiditiy that requires ambulance transportation (ex: quadriplegic + DM or something in the same vein).

Well here is where it gets fun, in LA county emts can't check sugars. So try sending that ALS and you have instant failure.lol. Where the future money will be, will be offering community medicine, providing 911 services and promoting for larger scopes and better community aid programs.

 

[Qulevrius]

Well here is where it gets fun, in LA county emts can't check sugars. So try sending that ALS and you have instant failure.lol

Oh, this is a subject to an entirely different discussion that should be named 'How to Trick Medi/Medi and Get Away With It 101'

 

[looker]

That is actually spot on. My company has very few dialysis regulars these days, and ea and every one of them was interviewed extensively prior to getting signed up and their eligibility for Code 2 BLS transport thoroughly checked due to complications with Medi/Medi. Long story short, those who passed the interviews have a co-morbiditiy that requires ambulance transportation (ex: quadriplegic + DM or something in the same vein).

It's spot on because I own bls company in la county . The issue is that private insurance companies tend to follow medicare policy on deny of coverage. Basically it's like you will get authorization to dialysis (a leg) but get deny from dialysis(b leg) because it will be ruled they are not eligible. Medicare is looking to get out of approving ambulance trips except for als/cct and 911. For BLS they are looking to send to gurney van which they do not cover. Also the authorization requirement that is currently going on in eat coast will likely spread as medicare denying about 90% of all request for authorization the last time i talked to friend that run ambulance companies on east coast. I am betting that most ambulance companies(including mine) will be out of business in the next 5 years . Some here might say good, most of this companies are doing fraud(what ever the reason they use) but what this member forget that if we have less ambulance companies, we need less emt's in the industry and the pay will be minimum wage with no benefits at all as there will extremely high surplus of qualified emt's.