Inevitably, senior ambulance billers will (and should) influence EMS billing software decisions. EMS billers are constantly under fire when it comes to compliance, rejection/denial rates, and efficiency.

It’s not easy for EMS billers to manage all the demands of ambulance billing while still maintaining quality. In order to meet the high demands of ambulance billing, EMS billers need a software that works for them and not against them.

This post addresses what EMS billers need in an EMS billing software in order to make ambulance claims processing as efficient as possible.

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Anyone who knows anything about EMS billing knows billers have enough on their plate.

EMS billers work hard daily to prepare claims, ensure compliance, address denials, and much more. They do a great job, but often focus so much on taming that mountain of day-to-day tasks that they inadvertently neglect EMS accounts receivable management.

EMS accounts receivable management attempts to resolve debtor balances, but also tracks how much revenue comes in and how long it takes to receive it. When EMS billers don’t consistently perform these tasks, the entire agency suffers the consequences.

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Sometimes, EMS billing staff ask field providers to help find a copy of a patient care record. This might work out alright… until the field providers get busy with other things. Sure, the PCR ends up where it needs to be, but all the lost time adds up-and it’s expensive.

If you want to bypass the delay, ePCR is your answer. Electronic patient care records combine with today’s advancements in data security to give the EMS billing department, the ambulance managers, and all of those involved in the QA/QI process access to patient care records at any time, on almost any type of electronic device.

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EMS billing staff require complete, accurate data to submit claims to payers. If crews can’t document and collect all necessary patient care data and forms during a transport, EMS billers will have to play catch-up. These delays will disrupt the entire EMS billing process and later revenue collection.

Expect to see declines in productivity while EMS billers research documentation errors and chase missing paperwork, like physician certification statements. Some insurance companies take up to three months to change or update patient information. Meanwhile, the patient(s) will have already transitioned from the facility and the sending-facility patient care staff will have moved on to new patients. EMS billers will struggle to retroactively obtain patient care data, even for a patient transport from only two days ago.

Improving EMS billing denials and rejections starts with improving patient care data quality and error detection. Electronic patient care data collection and a digital EMS workflow will save EMS billers time and effort. Use them in conjunction with quality validation processes for best results and minimized denials.

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Steward Now Accepting Nominations for Exceptional EMS Providers in the Mahoning Valley, Mercer County and surrounding communities

In celebration of National Emergency Medical Service (EMS) week, Steward Health Care System will host its First National “EMS Stewards of the Community” Awards Ceremony on May 24 at The Squaw Creek Country Club. 

Steward, which operates four local hospitals, including Sharon Regional Medical Center, Trumbull Regional Medical Center, Northside Regional Medical Center and Hillside Rehabilitation Hospital, will recognize several Emergency Medical Services (EMS) providers for going “above and beyond” in their interactions with patients at each of Steward’s community hospitals. To nominate an EMS provider in your community for an “EMS Stewards of the Community” award, visit http://info.steward.org/emsaward2018-OHPA.html Nominations must be received by Friday, April 27, 2018. [Read more…]