Tag Archive: Finance
Fiscal things that can go bump in the night
By Anthony W. Minge, EdD “From ghoulies and ghosties and long-leggedy beasties and things that go bump in the night, Good Lord, deliver us!” — Scottish saying Have you ever heard that noise in the middle of the night? You know, the one just when you are dozing off and there it is … thump! And…
What does CMS’s support of home health monitoring mean for EMS?
Last week, the U.S. Centers for Medicare and Medicaid Services (CMS) announced proposed changes to how it reimburses home health agencies. Specifically, CMS will now allow home health providers to report the costs of remote monitoring. Like many initiatives happening at the local, state and national levels, this move by CMS appears to recognize and support…
Getting the Most Out of Your EMS Billing: An Interview with Anthony Minge, EdD, Fitch & Associates
City and county officials, EMS agency directors and fire chiefs who struggle to balance budgets may want to analyze the efficacy of their EMS billing operations to recover additional revenue.
2017 EMS Trend Report: The Forces Shaping the Future of EMS
In its second year, the EMS Trend Report describes revealing changes in clinical care, finance and the use of technology in EMS
EMS Budget Planning Primer for New Paramedic Chiefs
Climbing the ranks of EMS often fails to prepare new chiefs to discuss financial issues with local elected and appointed officials By Dianne Wright Local government budget processes may seem daunting at first, especially for new leaders whose focus has just recently shifted from EMS operations and patient care. Whether you recently took over as…
Give EMS Compliance Training the Respect it Deserves
It’s time for EMS leaders and educators to take compliance training as seriously as clinical training – caregivers’ careers and patients’ lives depend on it By Anthony Minge It seems like you can’t go a day lately without seeing a report or article related to compliance issues in health care. The statutes, guidelines, regulations and…
How hospitals can steer clear of fraudulent transport billing
Rarely does a week go by without another news report about an ambulance service or hospital under investigation by the federal government for fraud or abuse related to billing for transport services. Whether willful or unintentional, negligence that results in the billing of transport services at inappropriate levels is leaving many hospital-operated ambulance services at risk. And the scrutiny is only increasing.
Learning to Dance with an Elephant: 10 Harmful Realities of Modern EMS
We asked the members of the National EMS Management Association (NEMSMA) what they thought were the most critical issues plaguing EMS. Though members acknowledged significant concerns, including patient safety, fiscal sustainability and caregiver well-being, there were still some unrecognized elephants in the room that no one wants to see, hear or talk about. Here are those 10 harmful realities of modern EMS and proposed strategies to overcome them.
Scrutiny of Ambulance Operations Highlights Need for Compliance
Increased attention on ambulance use demonstrates the need for compliance plans to include emergency and non-emergency ambulance operations. The HHS OIG has published voluntary compliance program guidance for ambulance suppliers. Ambulance billing should reflect the care provided by the EMS personnel, not the hospital diagnosis of the patient. Training for billing personnel and EMS providers on documentation and billing for ambulance services is often inadequate. Ambulance suppliers should conduct regular claims reviews to ensure problems are identified and corrected prior to an audit.
Building Organizational Agility in Fire & EMS Agencies
This report is part of a continuing leadership series developed for Best Practices in Emergency Services. It shows leaders of emergency medical services (EMS) and fire departments how the concept of organizational agility can be applied in their agencies. Organizational agility originated in the context of flexible manufacturing and later emerged as a business model in service industries and healthcare. Researchers from diverse disciplines approach organizational agility from a variety of perspectives. Most agree that when organizations are not agile, they become less effective and “fragile,” or susceptible to factors that can impair their ability to survive.