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Ambulance Billing advice
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Re: Ambulance Billing advice
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Steve Verno
Re: Ambulance Billing advice
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Feb 25 05 11:11 AM
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1) You do not need a Physician Certification Statement when transporting an emergent medical condition.
2) You do need one when picking up a patient from the ED and returning the patient back to the facility where the patient was picked up. This is something that I have issues with, with all of the ambulance companies here in Miami. The ambulance crews never get this signed when they pick the patient up. Instead the ambulance company bills Medicare, then they get the denial and then they tell the patient that the mean doctor won't sign the form to get the claim denied. This is because we get the form 6-10 months after the patient was transported. Federal Law demands this form be signed within 48 hours of transport. So when we get the form 6-10 months later, we inform the ambulance company there is a $25 fee for signing this. This is because we have to send someone to the hospital, have the chart pulled so that the doctor can go back over the chart and then legally sign the document. But, the ambulance company refuses to pay, so we don't sign. I will not have my doctors sign something they don't remember from 10 months ago and go to jail if something is wrong on the forum.
I wrote to the ambulance company and told them that I watched their crews and they spend more time trying to make dates with the nurses than working on getting the paperwork done prior to leaving the hospital. I suggested that they take the form with them and get it signed before they leave the hospital, but NO, this is too easy to do.
So, this is one of your biggest headaches. I had the last laugh. I returned over 200 forms back to the ambulance company, with a letter to the CMS office, informing the ambulance company that the doctor has left the practice and moved out of state, so no one can sign their forms and it is their own fault for not having it signed when the doctor was there.
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Association News
Medical Billing & Coding Education from the MAB
Continuing Education
Management Advice and Training
Questions Asked More Than Once
Help Wanted - Billing and Coding
Non Billing Talk
The Venting Area (Clean posts please)
Medical Coding and Billing News
Fraud and Abuse
Health Insurance - Provider Contracting
ERISA
Tricare
Workers' Compensation
General Medical Billing Questions
Appeals
Accounts Receivables (A/R)
Refunds
Auto Accident Issues
Medisoft Technical Support
Medical Software Technical Support Questions Other than Medisoft. No Investigation Questions!
General Medical Coding Forum
CPT Coding Questions
HCPCS Coding Questions
ICD-9-CM Coding Questions
Evaluation & Management Coding Questions
Acupuncture Billing and Coding
Ambulance Coding and Billing
Cardiology Coding and Billing
Chiropractic Coding and Billing
Dental Billing and Coding
DME Coding and Billing
Emergency Department Coding and Billing
Family Practice Coding and Billing
Hospital Inpatient and Outpatient Coding
Hospital Billing, Appeals and Collections
Internal Medicine Coding and Billing
Laboratory Coding and Billing
Ophthalmology Coding and Billing
OB-GYN Coding and Billing
Pain Management Coding and Billing
Pediatric Coding and Billing
Podiatry Coding and Billing
Physical Therapy Coding and Billing
Psychiatry Coding and Billing
Radiology Coding and Billing
Surgery Coding and Billing
Neurology Coding and Billing
Urgent Care Coding and Billing
Provider Compliance
Billing Center Compliance
HIPAA
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Ambulance Billing advice
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