CMS Releases ICD-10 Assessment and Maintenance Toolkit

The ICD-10 Next Steps Toolkit gives providers the tools and information to assess ICD-10 progress using key performance indicators. With the Toolkit, providers can identify and address opportunities for improvement and maintain progress on ICD-10. The Toolkit is also available as an infographic with an accompanying Key Performance Indicators fact sheet. CMS Issues an ICD-10 Resource to Assist Providers in Finding Answers to their ICD-10 Questions Recognizing that health care providers may need help with...

‘Growing EMS Leaders’ Keynote Opens 2016 Pinnacle Conference

Teamwork. Training. Trust. These were the key leadership attributes highlighted in the opening keynote of the 2016 Pinnacleconference. The speaker, Mark Hertling, is a retired lieutenant general with the U.S. Army and current senior vice president of Florida Hospital. He joked that he joined healthcare because he "didn't see enough combat in the military." Though the trope of infighting and political struggle in the healthcare industry is certainly an easy target, Hertling chose instead to...

Medicare trust fund running out of money fast

Medicare’s main trust fund will run dry by 2028, two years earlier than previous estimates, according to a review released Wednesday by the Obama administration. The Social Security trust fund will run dry by 2034, the same as expected last year. Both programs, which made up about 40 percent of federal spending in 2015, face major solvency concerns in the next two decades, officials warned Wednesday. "Medicare faces a substantial, long-term shortfall that needs to...

6 steps for purchasing EMS software

By Robert Avsec The economic downturn that began in 2008 only exacerbated the disturbing trend of declining funding from state governments to local governments and forced many EMS agencies to make difficult budget-cutting decisions. Volunteer EMS agencies that depend on individual and corporate giving to sustain their operations have seen those contributions decline as well. At the same time, EMS agencies have been promised cost savings and operational efficiencies by using software programs for patient…

Large-Scale Study Examines Continuous vs. Interrupted CPR

By Paul Misasi, MS, NRP , John Gallagher, MD , David Page, MS, NRP COMPRESSION QUESTION This month we look at the most recent cardiac arrest paper from the Resuscitation Outcomes Consortium (ROC). This impressive group has been making great strides in collecting data across many U.S. agencies, and their dedication to prehospital scientific research is undoubtedly the largest, longest running, and best coordinated EMS research effort to date. Background: In this study, ROC set up…

ICD-10-CMS

The International Statistical Classification of Disease and Related Health Problems, ICD- 10, is a medical classification system for coding of: Diseases Injuries Symptoms Procedures and more This is the first major change in U.S. coding in more than 30 years. Some call it healthcare’s version of Y2K. ICD-10 expands diagnosis code selections to 68,000+, compared to 14,000 ICD-9-CM selections. For more information please look at the following link: http://the-aaa.org/wp-content/uploads/2015/10/Chapter-1.pdf

In-Depth Summary of 2015 AHA Guidelines Updates for EMS Providers

The 2015 AHA Guidelines Update isn’t a significant revision to the 2010 Guidelines. Rather, it uses advances in resuscitation research and the latest scientific evidence to further define, refine, clarify or otherwise alter the 2010 Guidelines. In some areas, the lack of definitive research resulted in not recommending a certain procedure or leaving a guideline unchanged. This doesn’t mean that systems currently using a process, procedure or resuscitation device must stop using them if their…

MEDICAID WAIVERS TO END COVERAGE OF NON-EMERGENCY TRANSPORTATION

  By David M. Werfel, Esq | AAA Medicare Consultant Updated February 16, 2016 Federal law requires that state Medicaid programs cover necessary transportation to and from health care providers in order to ensure access to care. However, as a result of Medicaid expansion under the Affordable Care Act and cost increases, recently, a few states have asked CMS to waive the requirement for non-emergency transportation so they can end coverage of non-emergency transportation. CMS…

Medicare Learning Network

Ambulance Inflation Factor for CY 2016 and Productivity Adjustment Provider Types Affected This MLN Matters® Article is intended for physicians, other providers, and suppliers submitting claims to Medicare Administrative Contractors (MACs) for ambulance services provided to Medicare beneficiaries. Provider Action Needed CR 9412 furnishes the CY 2016 ambulance inflation factor (AIF) for determining the payment limit for ambulance services. Make sure that your billing staffs are aware of the change. Background CR 9412 furnishes the…

Non-Emergent Ambulance Transportation Prior Authorization Demonstration Workshop

Palmetto GBA will hold Repetitive Scheduled Non-Emergent Ambulance Transportation Prior Authorization Demonstration face-to-face workshops in North Carolina for ambulance providers providing repetitive scheduled non-emergent transports to familiarize them with The Centers for Medicare & Medicaid Services (CMS) demonstration currently going on in South Carolina. These workshops are designed to familiarize providers, whose ambulances are garaged in potential demonstration expansion states, with demonstration requirements including the process of submitting a prior authorization request, billing for repetitive…