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Inherent Problems of Time Saving Set-ups

Inherent Problems of Time Saving Set-ups

This week ABS Inc. are going to continue the overview of procedural and coding issues faced by Fire Chiefs and EMS services in general, all of which typically lead to investigations, prosecutions and hefty fines.

While many good software programs exist there are others that are not up to the job and cannot assure full compliance to the requirements of Medicare or Insurance companies. The problem comes about when trying to establish settings or default codes in to fields or table tables in the program you are using. They can be time-savers for certain but unless done correctly, will inevitably lead to future issues and cautions needs to be exercised in the billing for the transport provided by ambulance services.

Regulations set out by Medicare show a requirement for answers to a set of questions for each transport, known as an ACR (Ambulance Certification Record). The topics cover are transport type, usage of restraints and condition of the patient when transported, were they in shock or unconscious at the time?

The majority of questions require a simple yes or no answer so departments typically set the defaults to one of these two responses. On the surface that appears to be a reasonable action, so what is the problem here?

If “no” is the default setting it is a good method to avoid fraudulent submission but it can lead to loss of payments for ambulance claims that are valid if the field is not correctly “checked”. Conversely, if “yes” is the default answer, and again the field is incorrectly checked, a fraudulent claim is almost inevitable as you are highly likely to be submitting false claims if the answers do not tally to the patient’s condition.

If you are experiencing any issues with your set up, codes, procedures or ambulance billing contact ABS Inc, we have the answers and solution.

Next week, ABS Inc will conclude this series regarding codes and procedures in the EMS environment, until then have a very merry Christmas.

What ABS Inc is all about

What ABS Inc is all about?  ABS Inc – The company

We concentrate our professional billing efforts to maximize your collections. We allow for electronic run form submission via scanner or field data capture device. We submit runs daily (rather than weekly) to all payors so you will receive checks more frequently. We electronically image and index all client-submitted documentation to expedite document retrieval and appeals processing. ABS allows clients to run reports and query data online with data as current as the prior business day’s transactions.

ABS staff is current on upcoming ambulance program regulation changes as a member of the American Ambulance Association (AAA), many State Ambulance Associations and many other organizations listed on our Links portion of this web site.

Software used

We use the industry’s leading ambulance billing software, Sweetsoft® Amazon program, on a secure Oracle SQL 2000 Server in conjunction with SentryFile™ file/image processing software. Every program electronically tracks document access for Health Information Portability and Accountability Act (HIPAA) Privacy Standards compliance. HIPAA compliant code sets for all electronic file transmissions. Our software servers utilize RAID-5 software and hardware ensuring data is maintained on redundant drives, in conjunction with a rigorous file back-up and recovery system. ABS conducts Electronic Archival of all customer data onto Digital Video discs daily, and onto tape weekly.

Proven process

We are an air, ground, and water ambulance billing service provider. We have an active compliance program in place to uphold the most continual patient security, confidentiality and accurate billing practices. Professionally staffed with ambulance billing and appeals specialists, EMTs, and medical professionals, to assist ambulance services just like yours, for, in some cases, much less cost than you are currently paying to do the job in-house. All based on a percentage of net collected revenue. In other words, if you don’t get paid, we don’t get paid: Period.

We are credited with “saving” companies on the verge of bankruptcy through sound billing practices, attention to detail and persistence. View our client testimonials on the client tab of this web site. We will endeavor to collect on every dollar that is owed to your service, based on your collection protocol.

Contact us and see how we can help you.