Be Prepared! Here’s 4 Tips to Handle Changes to Medicare Cards in 2018

Be Prepared! Here’s 4 Tips to Handle Changes to Medicare Cards in 2018

Changes are coming to Medicare on April 2018. As we mentioned in our previous article, CMS will be issuing new Medicare cards to patients that replace social security numbers with a new Medicare Beneficiary Identifier (MBI) number.

medicare

Courtesy of medicare.gov

This change is going to affect all providers, including EMS providers. It’s always better to be proactive than reactive, so follow these 4 tips to help your service be better prepared for the changes.

#1. Talk to the patient

Never underestimate information you can get from a patient first-hand. Don’t only rely on the hospital face sheet to get you the required information. Ask your patient when they are in the back of the ambulance or the nursing facility if they have received the new Medicare card. If they haven’t, this is a chance to educate the patient in case they were not aware of the change. If possible, get a copy of the Medicare card.

#2. Educate the staff

It’s important that this information be equally circulated throughout your service. Your staff are in the optimal position to get this information directly from the patient. If they are all equally informed about the Medicare card change, they can ensure that the Medicare information is gathered on the first attempt. If the patient is unaware of the change, your staff are also in an optimal position to educate the patient and get them prepared for the change.

#3. Get a copy of the patient’s ID

If possible, get a copy of the patient’s driver’s license or State ID. This will serve as a good supplemental patient information source, especially if the patient does not have their new Medicare card.

#4. Hand out information with HIPAA

When handing out your HIPAA policy to patients, you can add a small leaflet informing the patient to keep an eye out for the new Medicare cards that will be coming by mail.

 

Grant Helferich is employed as the Director of Client Performance and Training with Omni EMS Billing in Wichita, Kansas. He is a former member of the KEMSA Board and has also served as the treasurer and president of the KEMSA Administrator’s Society. He was certified as an EMT, EMT-I, M.I.C.T. , and T.O. II. Grant has worked EMS for over 35 years in roles such as an EMT, EMT-I, M.I.C.T., Field Supervisor, Flight Paramedic, Cardiovascular Specialist, Assistant Director, and Director of EMS.
5 Patient Demographics that Need to be Included in PCRs

5 Patient Demographics that Need to be Included in PCRs

Having good patient demographics in patient care reports is the core to being able to bill claims accurately and efficiently. Watch the video to learn about the 5 most important patient demographics you need to provide in PCRs.

Note: In 2018, Medicare will no longer use social security numbers on Medicare cards and will be issuing brand new identifier numbers. Be prepared to switch out from using the old numbers to the new ones in your systems.

(more…)

Q&A session with Grant Helferich: HIPAA Awareness

Q&A session with Grant Helferich: HIPAA Awareness

 HIPAA

 

HIPAA has been the elephant in the room that no one really wants to talk about. When HIPAA was first enacted, audits and fines were rare. However, with the government outsourcing audits, HIPAA violations have undergone much more scrutiny with ever-increasing fines for violators.

 

Grant Helferich, Omni’s Director of Client Performance and Training, recently attended a seminar on continued HIPAA compliance. As you can see in his picture above, he takes HIPAA very seriously! He provides a few simple tips to staying HIPAA compliant in the following Q & A session:

(more…)

Billing a transport as ALS even though ALS services weren’t provided

Billing a transport as ALS even though ALS services weren’t provided

Did you know? In limited circumstances, Medicare allows services to bill a transport as an ALS transport even though ALS services were not provided, as long as proper documentation is included in the PCR, including:

  • Dispatch protocols
  • Reason for dispatch
  • an ALS assessment

Watch the video to learn more about billing a transport as an ALS transport under these circumstances.

*If video quality is low, you can improve it by clicking on the gear icon at the lower right side of the YouTube screen and choosing a higher quality*

 

Grant Helferich is employed as the Director of Client Performance and Training with Omni EMS Billing in Wichita, Kansas. He is a former member of the KEMSA Board and has also served as the treasurer and president of the KEMSA Administrator’s Society. He was certified as an EMT, EMT-I, M.I.C.T. , and T.O. II. Grant has worked EMS for over 35 years in roles such as an EMT, EMT-I, M.I.C.T., Field Supervisor, Flight Paramedic, Cardiovascular Specialist, Assistant Director, and Director of EMS.
How to Write Good Patient Care Reports (PCRs) – Part 5 of 5

How to Write Good Patient Care Reports (PCRs) – Part 5 of 5

Improving Legibility

PCRs

Last month, we shared the fourth part of a 5-part series on writing good patient care reports (PCRs), which focused on providing  (See Full Article: How to Write Good Patient Care Reports Part 4: Providing a Detailed Narrative).
In the last part of this series we will be focusing on improving legibility in your PCRs and all attached forms.

Encourage your staff or colleagues to use these criteria as guidelines to writing complete and accurate PCRs that reduce the chance of insurance denials.

(more…)