EMS | Board & Collar
The EMS Board and Collar Podcast Series for EMS Professionals sponsored by Quick Med Claims, a national leader in revenue cycle management. This uniquely developed pod-platform provides specialized programs for our listeners with thought-provoking presentations including EMS Keynote, 10Q30 EMS Leadership interviews and revival of the acclaimed EMS pod-magazine, Excuse My Medic with opinionated discussions, light-hearted moments and some great EMS “war” stories along the way.
We continue out series of podcasts focused on “Peeling Back the Layers of the Cost Data Collection Instrument” by taking a look at Section 7, the Jobs and Compensation Section. How is your team compensated and do they have shared responsibilities? There is much to consider and report here and it is imperative that you have this section computed well. Lots of questions and hopefully, we will provide the answers. We explain in detail in this edition of the QMC EMS|Board & Collar.
Written by: C. Humphrey
Presented by: C. Humphrey
For the first time, an emergency medical service was fined for a HIPAA Breach. A breach can be a financially-devastating occurrence. In this Keynote Presentation of the QMC EMS|Board & Collar, we explore HIPAA a bit further and ask the question, "Are You Gambling with Your Organization's Financial Well-Being?" This informative and enlightening presentation is presented by Mary Craig, QMC's Chief Compliance Officer. Mary has a deep and storied background in Compliance and regulatory affairs. Her presentation is a must-listen given these recent occurrences in our EMS industry.
Written by: Mary Craig
Presented by: Mary Craig
Moderator: Gary Harvat
Welcome to the February 2020 edition of Excuse My Medic. On today's show we get an updated look at Surprise Ambulance Billing and the surrounding legislative issues currently under consideration in Washington. Be sure to listen in on some great Positive EMS News, a couple zany EMS stories and laughs from the offbeat and the EMS Word of the Day. Don't miss out on this very interesting and informative episode with Chuck, Ed and Gary.
Your Hosts: Chuck Humphrey, Ed Marasco and Gary Harvat
We continue out series of podcasts focused on “Peeling Back the Layers of the Cost Data Collection” by taking a look at the Cost Data Collection Instrument. This is the key document that will be used for collecting your data and enabling you to submit your information to CMS when the time comes. We cover much ground in little time so be sure to tune in to this edition of the QMC EMS|Board & Collar for a great instrumental performance.
Written by: C. Humphrey
Presented by: C. Humphrey and Gary Harvat
We continue out series of podcasts focused on “Peeling Back the Layers of the Cost Data Collection Instrument” by taking a look at Section 6, the Service Mix Section. What percentage of your ground ambulance responses are emergency versus non-emergency? What is an ALS Level 2 versus an ALS Level 1? Does your service ever transport critically ill or injured patients from one facility to another with additional higher-trained personnel onboard the ambulance? These questions and more will be critical to determining the answers for this section. We explain in detail in this edition of the QMC EMS|Board & Collar.
Written by: C. Humphrey
Presented by: C. Humphrey
Welcome to QMC's 10Q30 EMS Leadership profile. This month, we are featuring the The Trinidad Ambulance District from Trinidad, Colorado. Tune in to hear how leadership from this great organization serving rural Colorado responds to our ten questions in thirty minutes. You will find their responses to each of our questions interesting and in many cases, thought-provoking. This is a great 10Q so take a moment to join in and hear from one of the Centennial State's great emergency medical service providers.
Your Host: Gary Harvat
When reporting Service Volume in the Ground Ambulance Cost Data Collection instrument, how will you report stand-by incidents and intercepts? How do your responses into primary and secondary response areas that you reported in Section 3, tie together into the data your report in Section 5. And…what if your primary area’s zip code is exactly the same as your secondary response area’s zip code? How are you going to handle that one? We have some guidance for you as we complete our discussion about this section in this edition of the QMC EMS|Board & Collar.
Written by: C. Humphrey
Presented by: C. Humphrey
Welcome to the December 2019 edition of Excuse My Medic. On today's show we get an updated look at the Cost Data Collection process and also take a moment as Gary gets on his soapbox about how compassion has become somewhat of a forgotten art in the emergency medical industry. Some great Positive EMS News, a couple zany EMS stories and laughs with the EMS Word of the Day. Don't miss out on this episode with Chuck, Ed and Gary.
Your Hosts: Chuck Humphrey, Ed Marasco and Gary Harvat
As promised, the Board and Collar communicators have prepared yet another episode dedicated to the Ground Ambulance Cost Data Collection mandate. We chose certain sections of the online reporting tool instrument that, in our opinions, will cause the most stress for respondents. As ground ambulance providers and suppliers compile and collect the necessary data that will be used to complete the online reporting tool, we walk beside you providing insight into the more complex sections. In this edition we’ll begin a 2-part focus on Section 5: Service Volume where we’ll look, first, at the 4 subsections that will require answers and help you anticipate how to break out the numbers and even provide our thoughts regarding why we think this section is one of the more important ones for this project.
Written by: C. Humphrey
Presented by: C. Humphrey
We’re learning more every day about the Cost Data Collection Instrument. Beginning with this podcast, we’re going to peel the layers off the cost reporting “onion” and focus on the sections we think may be the most challenging for our listeners to complete when reporting. Our first installment covers Part 4- Reporting Emergency Response Times. We’ll explain what CMS is looking for when reporting in this section. We’ll also provide you with the preferred calculation method to determine the Emergency Response Time and review how you will determine the Average Response Time and also the 90th Percentile Response Time. Now it’s TIME to listen in!
Written by: C. Humphrey
Presented by: C. Humphrey
We all love the PCS Form (cough, cough) and we know what a joy it is to complete and get all the required boxes and signatures (cough again) for each non-emergent patient we transport. Did you know there are changes forthcoming in January of 2020? Yep, in the words of the late rocker, David Bowie, Ch..Ch..Ch..Changes are needed to make your PCS Form compliant and acceptable.
Tune in to this short edition of the QMC EMS|Board & Collar to get a quick synopsis of these changes. Take a listen and if your organization does non-emergency transports this will be 4 minutes and 32 seconds well spent - about 1 minute longer than David Bowie's recording. You can't sing along to this version but it's much more informative.
Written by: G. Harvat
Presented by: G. Harvat
Welcome to this Special Edition of Excuse My Medic. If you haven't familiarized yourself with the CMS Cost Data Collection program then this episode should be a "must listen" for you. All ambulance services will be directly or indirectly affected by this program and already over 2,500 ambulance providers across the country have been notified of their required participation. Whether your organization is part of the initial group or one that has yet to take their turn in the Cost Data line, you need to understand and pay close attention to the process unfolding right now.
The Excuse My Medic Team looks at Cost Data Collection and all the requirements and stipulations forthcoming. Tune in and don't tune out on this very important subject matter affecting our industry.
Your Hosts: Ed Marasco, Chuck Humphrey and Gary Harvat
Welcome to QMC's 10Q30 EMS Leadership profile. This month, we are featuring the The Town of Derry New Hampshire. Tune in to hear Chuck Hemeon, Director of Town of Derry EMS as he responds to our ten questions in thirty minutes. You will find Chuck's responses to each of our questions interesting and in many cases, thought-provoking. This is a great 10Q so take a moment to join in and hear from one of New England's best.
Your Host: Gary Harvat
Have Medicare Part B payments for ambulance transports increased or decreased in the last year? Who saw more Medicare ambulance dollars and who saw fewer dollars? What were the Medicare Part B spending trends for ambulance transports in 2018 compared to the previous year? We answer these questions and more in this edition of the QMC EMS|Board &Collar Podcast.
Written by: C. Humphrey
Presented by: C. Humphrey
Economics affects every business and every person. Understanding and preparing for the economic impact on your EMS organization is important and your ticket to keeping the lights on year round. Do you have a budget and do you conform to it each year or do you just spend when there's a couple of extra dollars in the bank account? On this edition of the QMC EMS|Board & Collar we look at defining your operation and working with EMS economics to keep you afloat through the year. Guessing, is no longer a viable option for survival. Research, plan and implement with a sound road map for managing everything from capital purchases to personnel staffing to the number of 4x4 dressings. It's a day in the life of EMS economics.
Speaker's Note: Special thanks goes to Bob Holdsworth, President of The Holdsworth Group for today's podcast. Bob is a well-respected veteran paramedic, entrepreneur and founder of The Holdsworth Group, an international consulting firm that has been providing marketing, strategic planning and executive coaching services to clients in the EMS, healthcare and government arenas since 1988. Thanks to Bob and feel free to contact him at: bob@holdsworth.com
Presented by: B. Holdsworth
Written by: Bob Holdsworth of The Holdsworth Group
You're probably reading this write-up after seeing the title and thinking you'll pass on this presentation. Here's a tip - DON'T. Understanding the Medicare Fee Schedule and how it affects your EMS organization is not only important, it's something you need to pay attention to at least, annually. Yes, we admit, this episode of the QMC EMS|Board & Collar does not contain a Pulitzer prize-winning subject matter but as Einstein (or some other cool dude) once said a couple of years back, Knowledge is Power. Know this, understand this and be vigilant enough to learn how this affects your operations each day. Be an Einstein.
Written by: C. Humphrey
Presented by: C. Humphrey
Chances are your EMS agency’s HIPAA NPP is one of those necessary evils that no one thinks about. Sometime two decades ago we all were keyed in to this requirement. But, since then, maybe not so much. How long has it been since you read over your NPP? Does it contain all the latest language to incorporate the HITECH Act provisions? Is it posted to your website and displayed somewhere in your station? In this edition of the QMC EMS Board and Collar we offer some practical tips to help you re-energize your HIPAA NPP strategy!
Written by: C. Humphrey
Presented by: C. Humphrey
In a rut? Don't like change? What's the problem? The problem may be living in your bathroom mirror. Take a look, examine yourself and ask, are you open to risk and reasonable change? Today, in this edition of the QMC EMS|Board & Collar we'll discuss the crazy idea of embracing change.
Speaker's Note: Special thanks goes to Bob Holdsworth, President of The Holdsworth Group for today's podcast script. Bob is a well-respected veteran paramedic, entrepreneur and founder of The Holdsworth Group, an international consulting firm that has been providing marketing, strategic planning and executive coaching services to clients in the EMS, healthcare and government arenas since 1988. Thanks to Bob and feel free to contact him at: bob@holdsworth.com
Presented by: G. Harvat
Written by: Bob Holdsworth of The Holdsworth Group
There are many key issues affecting EMS operations each day but one of the largest issues affecting the industry across the nation is employee recruitment and retention.
Join Gary and Tim Myers, Regional Human Resource Manager from Quick Med Claims as we explore best practices and tips for employee recruitment and retention in this edition of the QMC EMS|Board & Collar.
Presented by: Tim Myers
Facilitator: Gary Harvat
Welcome to the October 2019 edition of Excuse My Medic. On today's show we get an updated look at Surprise Ambulance Billing and the legislative process underway from our colleague and co-host, Ed Marasco. Also, some great Positive EMS News and some laughs and entertainment with the EMS Word of the Day. Don't miss out downloading this episode; it will make sitting in traffic on your way to or from work a lot more enjoyable. Put on the lap belt and hold onto the wheel, your drive just got better!
Your Hosts: Chuck Humphrey, Ed Marasco and Gary Harvat
What does R4407CP, CPI-U, MFP and AIF have to do with the ambulance industry? Let’s talk increase in the National Medicare Ambulance Fee Schedule where more money based on inflation is a good thing. But there’s a catch. If we’re more efficient in our processes in EMS, how does that affect the final approval amounts for payment from Medicare? When there seems to be more questions than answers about Medicare, that’s where the QMC EMS Board and Collar Podcast steps in to sort it all out. We’re glad you joined us as we unravel the complexity of adjustments coming in 2020!
Written by: C. Humphrey
Presented by: C. Humphrey
Who decided long ago that work has to be all work? Surely, most of us in the working world do NEED to work but does it have to be all work and no fun? I think not. Today, in this Keynote episode of the QMC EMS|Board & Collar we explore having fun at work. Yes, having fun. Fun needs to be an essential element of every workplace but probably none more importantly than the public safety sector and for the sake of this podcast, EMS Professionals. Our profession dictates stressful decisions be made quickly and in many cases, the scenario is life or death. That's a lot to carry on our shoulders so when we return to the base after that bad call, there needs to be respite for the weary and that can come in many forms but one of the keys is simply, fun. Have FUN listening to this episode.
Presented by: G. Harvat
Written by: G. Harvat
So, what's your plan Stan? Great employee, chronic back pain and he/she comes to work with the Medical Marijuana card. What is your approach, how is your policy written and gosh, what do you say in response when confronted with this new organizational challenge headed your way? A few tips along the way for you to consider. Not legal advice but surely some sound recommendations that you should pay attention in order not to be caught off guard. Today, we explore this medicinal weed and the workplace...YOUR workplace. All here in today's edition of the QMC EMS|Board & Collar.
Speaker's Note: Special thanks goes to Bob Holdsworth, President of The Holdsworth Group for today's podcast script. Bob is a well-respected veteran paramedic, entrepreneur and founder of The Holdsworth Group, an international consulting firm that has been providing marketing, strategic planning and executive coaching services to clients in the EMS, healthcare and government arenas since 1988. Thanks to Bob and feel free to contact him at: bob@holdsworth.com
Presented by: G. Harvat
Written by: Bob Holdsworth of The Holdsworth Group
Have you taken the time to gaze outside your own EMS backyard or do you live in the world that there is only one way to get things done and that's your current way? This is an ever-changing industry and one that requires us to be open-minded and vigilant to that change. Today, we take a look at what happens when you choose to wear blinders and how far it can place you behind the power curve as well as ways to combat this rut that many of us find ourselves in more often than we'd like to admit. All this and more in this edition of the QMC EMS|Board & Collar.
Speaker's Note: Special thanks goes to Bob Holdsworth, President of The Holdsworth Group for today's podcast script. Bob is a well-respected veteran paramedic, entrepreneur and founder of The Holdsworth Group, an international consulting firm that has been providing marketing, strategic planning and executive coaching services to clients in the EMS, healthcare and government arenas since 1988. Thanks to Bob and feel free to contact him at: bob@holdsworth.com
Presented by: G. Harvat
Written by: Bob Holdsworth of The Holdsworth Group
This edition of the QMC EMS | Board & Collar continues to examine new information put forth from CMS regarding Cost Data Collection. Folks, don't bury your heads on this one, it's happening and it has the force of a locomotive behind it.
Pay attention to your organization's USPS mail and be prepared to respond on time if your organization's name is drawn. This all begins in December so, for those of you who do get the notification, your holiday shouldn't be ruined but please pay attention to the strict timelines for CDC submission. You don't have to stand by the mailbox but you need to start preparing now should your organization be chosen.
Hopefully, this podcast will prepare you for what is coming to over 2,500 ambulance providers in December's mail. Merry Christmas.
Written by: C. Humphrey
Presented by: C. Humphrey
So, who wins the confidence prize here with your patient...The guy who shows up with the "I Love Beer" belt buckle accompanied with Burger King Whopper stains or the medic with the neatly pressed uniform, groomed hair and nails? This episode of the QMC EMS | Board & Collar we take a look at the importance of non-verbal communication and how it can work to your benefit in providing care and gaining the trust of your patient.
Speaker's Note: Special thanks goes to Bob Holdsworth, President of The Holdsworth Group for today's podcast script. Bob is a well-respected veteran paramedic, entrepreneur and founder of The Holdsworth Group, an international consulting firm that has been providing marketing, strategic planning and executive coaching services to clients in the EMS, healthcare and government arenas since 1988. Thanks to Bob and feel free to contact him at: bob@holdsworth.com
Presented by: G. Harvat
Written by: Bob Holdsworth of The Holdsworth Group
Does your EMS organization have the low-price mentality purchasing low-priced equipment and goods? This episode of the QMC EMS | Board & Collar takes a look at pitfalls that may come into play when you consider the cheapest means options as the best way to move your organization forward.
Speaker's Note: Special thanks goes to Bob Holdsworth, President of The Holdsworth Group for today's podcast script. Bob is a well-respected veteran paramedic, entrepreneur and founder of The Holdsworth Group, an international consulting firm that has been providing marketing, strategic planning and executive coaching services to clients in the EMS, healthcare and government arenas since 1988. Thanks to Bob and feel free to contact him at: bob@holdsworth.com
Presented by: G. Harvat
Written by: Bob Holdsworth of The Holdsworth Group
Some people shy away from the beginners at the ambulance base. Too many questions, too green, not one of the gang yet and a plethora of other reasons. However, their is a silver lining with beginners that we all need to keep alive within - that is, the power of the beginner's mindset. On this edition of the EMS | Board & Collar we will take a look at why even the seasoned veteran should retain this unique trait of all beginners.
Written by: C. Humphrey
Presented by: G. Harvat
Welcome to QMC's 10Q30 EMS Leadership profile. This month, we are featuring the leadership team from Carilion Clinic Patient Transportation (CCPT) in Roanoke, VA. Tune in to hear their take on how CCPT Leadership is addressing many issues in their service area which are also affecting EMS across the US.
Join Krista Henderson, Senior Director and Dr. Haley Inman from CCPT as they discuss their organization and showcase their overall operation including their large ground operation as well as their air medical program and state-of-the-art dispatch center. This is a 10Q you don't want to miss so take a listen and enjoy hearing from the 2018 Association of Air Medical Services (AAMS) Program of the Year. You won't be disappointed in their innovative approach to addressing many of today's key issues.
Your Host: Gary Harvat
If I had to place my finger on one or two items that delay reimbursement to your EMS organization, I would immediately state lack of signatures or insurance information on a patient care report (PCR). Every business survives on cash flow and part of the solution in ensuring a positive cash flow starts with crews in the field obtaining not only solid patient information but also the patient's insurance coverage and signatures.
This edition of the QMC Board & Collar looks closely at the importance behind getting the key insurance and signature elements the first time - all the time. Without this, there is no key to this reimbursement city.
Written by: C. Humphrey
Presented by: G. Harvat
Some folks hear the acronym CDC and immediately think Centers for Disease Control. However, in the EMS industry, the acronym brings about a new meaning hitting our backyard very soon - Cost Data Collection.
In this second Board & Collar podcast, Chuck makes this sometimes confusing topic, a bit easier to understand and the implications it brings. Folks, pay attention to this topic as "our" CDC affects everyone who has any leadership responsibilities in any ambulance service across our great nation. This thing has teeth so pay attention and don't get bit.
Written by: C. Humphrey
Presented by: C. Humphrey
Welcome to this Special Edition of Excuse My Medic. Today, we explore how ambulance services across the country are accepting credit card payments in much greater volume than once was used previously. Joining us today is the Chief Executive Officer of eServices Technology, Jesse Siefert. Jesse provides a unique overview of the credit card industry and how it now integrates with patient payments given the rising deductibles and increased co-pays associated with today's health insurance plans.
If your organization is not accepting credit card payments you may be missing out on valuable dollars. Take a listen and learn the plusses and the pitfalls of accepting "plastic" at your EMS organization.
Your Hosts: Chuck Humphrey and Gary Harvat
Did you enjoy that week's vacation over Labor Day? I hope so but for some of our colleagues and friends, vacation was cut short due to this lady named Dorian who devastated the Bahamas and cities along our mainland. Dorian's wrath did injured many and sadly, a number of people lost their lives. EMS was there once again to assist and work through the terror that Dorian evoked.
While we were saddened by the loss of life, we were heartened that ambulance services from across the country went south into the storm to help where they could. Not many people run into danger but EMS, police and fire step forward and come to help those affected in every case like this.
Once the storm passes and the assisting teams return home, there is still much to consider. This episode of the EMS Board & Collar pays homage to those who are always there in disaster situations. Chuck also passes along a few tips to ensure that your organization can obtain some limited form of remuneration for the time you have committed to going, caring and lending a helping hand. Kudos to all who have made the choice to be Riders on the Storm.
Written by: C. Humphrey
Presented by: C. Humphrey
Last week, the United States Congress passed the American Rescue Plan legislation. This $1.9 trillion package has some potential game-changing implications for the ambulance industry. Check out what this legislation entails (or doesn't entail) and how it may affect your organization during the remaining days of the pandemic.
Presenter: Chuck Humphrey and Gary Harvat
What is an 1135 Waiver? This COVID-19 Pandemic has dropped some interesting questions into our billing company lap. In this episode, we talk about the philosophy behind one of the blanket waivers and provide some practical application steps that every billing office should take before moving forward. Take a breath, pump the breaks and give a listen to this timely subject matter. We're glad you're here.
Presenter: Chuck Humphrey
Do you remember applying for and receiving the Medicare Accelerated Payment triggered by the COVID-19 pandemic? Well, for most of you it’s been almost 1 year from the day that you received the advance. Now, the government wants their money back! In this edition of the QMC EMS Board and Collar podcast we take a quick look at what the repayment process looks like and what you, as an ambulance administrator, can expect to happen next. PLUS! There’s some late breaking potentially good news for the ambulance industry within the walls of the U.S. Senate Chambers. You’ll want to be sure to listen to the end of our broadcast when we share what we know today. We pack a lot of STUFF into this roughly 9-minute episode…so download it now. Don’t miss it!!
Presenter: Chuck Humphrey
EMS is a relatively young profession and some of the challenges faced by our community today are “old world problems” for many of our peers around the healthcare and public safety sectors. As the early leaders in our profession approach their golden years, the question of future leadership looms large as we face substantial clinical, operational, and financial challenges. As a community, we pride ourselves on preparation and planning, along with the flexibility to adapt to changing circumstances. It is the nature of our work.
Presenter: Ed Marasco
Welcome to the February 2021 edition of Excuse My Medic (EM2). We have a great show for this month's segment and to boot, a guest presenter joining our team this time around to discuss new legislation in the State of Georgia that may affect our industry as it relates to surprise ambulance billing. Yes, it's in Georgia for the moment but pay close attention as the matter is being closely scrutinized across the country. Our thanks to Adam Patterson for detailing this for us.
Also, along the way tune in for News of the EMS Offbeat as we have a couple of stories along with our EMS Word of the Day that will have you shaking your head and laughing at the banter. All in all, a great segment and we're glad you chose to join the three old EMS guys for this round of Excuse My Medic.
Your Hosts: Chuck Humphrey, Ed Marasco and Gary Harvat
Welcome to QMC's 10Q30 EMS Leadership profile. This month, we are featuring the leadership team from Bellmore-Merrick EMS based in Long Island, NY. Tune in to hear their take on how Bellmore-Merrick leadership is addressing many issues in their service area which are also affecting EMS nationwide.
Bellmore-Merrick is New York State's Ambulance Service of the year and getting there was not an easy task for them over the years. Hear about their challenges and innovations that have taken place within this organization that has led them to be the standout agency they are today. Ten Questions in 30 Minutes...you won't be disappointed. Download this great episode today!
Your Host: Gary Harvat
Two of the biggest studies to impact EMS have been interrupted due to the COVID-19 pandemic. In this episode we’ll talk about how the pandemic put a pause on ET3 and Cost Data Collection, dig into what’s good and bad about the interruptions, plus complain about bad decisions in Washington.
Presenter: Chuck Humphrey
Join Paul Furiga, President and Chief Storyteller from WordWrite (www.wordwritepr.com), based in Pittsburgh, PA., as he discusses the important elements you should consider in promoting your EMS organization. Paul shares a wealth of information from his deeply-detailed background in public relations and provides great food for thought. This informative episode should prove quite useful given the challenges that EMS constantly faces in justifying and promoting their organization to the communities they serve. Don't miss out on this great Board & Collar offering folks.
Presenter: Chuck Humphrey
Welcome to the December 2020 edition of Excuse My Medic (EM2). Lots happening in our EMS world at present including a vaccine that will hopefully, save millions of lives and make our life in the street a bit easier. Additionally, we will explore new information on a proposed compromise legislation for surprise ambulance billing currently under Congressional review. Stick around for the fun-filled EMS Word of the Day as well as several offbeat EMS stories for some grins along the way. Lots of holiday laughs and great information. Stick around and tune in.
Your Hosts: Chuck Humphrey, Ed Marasco and Gary Harvat
Well, it's here and let's hope there's a shining light at the end of the tunnel. The first COVID-19 immunization has been approved, shipped and now being administered to the front line. Are you making this mandatory with people from your organization? Are you considering serving as a mass immunizer in your community. Lots of things to consider here so tune in and here the latest from the guys at QMC who keep their ears close to the pulse of this well needed, shot in the arm.
Presenter: Chuck Humphrey
Welcome to the November 2020 edition of Excuse My Medic (EM2). We've got a program that you will be telling your grandkids and neighbors about for years to come, trust me. Joining us for this episode is our good friend Steve Wirth from the National EMS Law Firm of Page, Wolfberg & Wirth, LLC. Steve joins us to discuss something near and dear to every EMS professional...documentation. Steve reviews the Top Ten (a la Late Night with David Letterman) documentation errors that he has seen over his years. Don't miss Steve's talk along with some backseat banter from the EM2 regulars. You're gonna like this, guaranteed.
We also have Positive EMS as well as the EMS Word of the Day and Offbeat EMS Stories. So, tune in for some great information and fun along the way. We have to keep laughing folks and EM2 is your prescription.
Your Hosts: Chuck Humphrey, Ed Marasco and Gary HarvatSpecial Guest: Steve Wirth, Esq.
It’s not a new bicycle, video game or even a Barbie doll…but to the ambulance industry the announcement of the Ambulance Inflation Factor (AIF) is typically an early Christmas gift for us! If you’re an ambulance billing geek, it’s time to unwrap this present as we roll out the 2021 Medicare Fee Schedule adjustment to you in this edition of the QMC EMS Board & Collar Podcast!
Presenter: Chuck Humphrey
There is good news for the EMS industry on the pandemic front. Repayment of the Accelerated/Advance Medicare payments has been delayed. Wait, something that actually benefits EMS? Goodness, how did this happen? Who cares, but we will take it. Download this episode to find out the details!
Presenter: Chuck Humphrey
There a number of perfect storms colliding in the EMS industry right now and you need to be in the loop for the betterment of your organization. These include updates on: ET3, CARES Stimulus Reporting, Medicare Accelerated and Advance Payment Program, Prior Authorization for Repetitive Patients and more. Come along as we jam 10 pounds into a 5 pound bag.
Moderator: Gary Harvat | Presenter: Chuck Humphrey
Do you know your ambulance claims and ice cream share descriptions? Do your claims need a bath when they are dirty to make them clean? Download this episode to learn more about rejections and denials! We're glad you're here
Written and Presented by: Chuck Humphrey
Now more than ever, managing your organization's Accounts Receivables has never been more important. It takes a constant and watchful eye and is so incredibly important in this COVID world we live today. Many EMS organizations across the country are suffering terribly from declining call-volume, low funding and even more challenging reimbursement patterns. Join Brigit Battaglia, Director of QMC's Process Design and Optimization as she provides some helpful facts and tips about this important subject matter. It's like herding cats in the dark but you can do it.
Written and Presented by: Brigit Battaglia
Welcome to the August 2020 edition of Excuse My Medic (EM2). Well, this is an episode you shouldn't miss. The EM2 Team takes a closer look at new HHS funding opportunities available under Phase 2 of the CARES Act as well as other key information
Along with some great information on funding, we also have a great time with Positive EMS stories as well as the EMS Word of the Day and offbeat news from the world of emergency medical services. Join us for great information and some belly laughs as well. We have to keep laughing folks and EM2 is your prescription. Have at it and thanks for joining us on this episode.
Your Hosts: Chuck Humphrey, Ed Marasco and Gary Harvat
We explore HHS COVID-19 Funding Phase 2. While the components and regulations are a bit complex, we sort through it all and provide a sound understanding to help you determine if your organization is eligible to apply for the next level of COVID-19 funding. While I think they like to keep us guessing and in the dark, we have it figured out in this Board & Collar episode.
Presented by: Chuck Humphrey and Gary Harvat
We continue to explore the issue of surprise medical billing affecting the nation's EMS industry. Lots of news, lots of discussion, coupled with confusion and some frustration along the way. Join QMC's Vice President of Business Development, Ed Marasco as he sorts through the clutter and explains this complicated subject matter.
Written by: Ed Marasco
Presented by: Ed Marasco
Welcome to QMC's 10Q30 EMS Profile. This month, we are featuring the Spaulding Rehabilitation Network Ambulance Service from Boston, Massachusetts. Sean Kukauskus, Ambulance Director for Spaulding joins us to answer 10 critical questions affecting EMS organizations nationally. Hear Sean's well-thought responses and how he is leading his great team. Among items discussed are how Sean and his team are working through the COVID-19 world and keeping his everyone safe and highly functional. Tune into this very informative 10Q as we know you will find the information and Sean's answers to our questions quite informative and thought-provoking.
Your Host: Gary Harvat
In this episode we continue our discussion pertaining to Section 7 of the CMS Cost Data Reporting Instrument with a discussion about Section 7.1 and the reporting of costs associated with Paid Staff within your organization. It’s a dollars and cents discussion of hourly wages, salaries and benefits, including the number of hours worked by individuals for the annual reporting period and with a few cautions to add along the way. We go deeper into the Section 7 jungle and we’re glad that you’re joining on this Cost Data Collection safari!
Written by: C. Humphrey
Presented by: C. Humphrey
Welcome to the June 2020 edition of Excuse My Medic (EM2). Today's EM2 provides an insightful recap of where we we are as we hopefully, head out of this pandemic (God Willing). What kind of destruction is now in our rear view mirror which we are forced to recover from for months, if not years to come. The EM2 Team takes a closer look.
It's also a time to laugh. It's a pretty serious world out there right now and we've taken a few moments that will provide a bit of a respite and bring a brighter spot to your day. These guys got each other going pretty good during this episode so be sure to take part and enjoy. Laugh along with us as we verbally loft a few jabs at each other with the EMS Word of the Day and some outright zany/bizarre EMS stories from around the country.
So, come along with the ole guys and enjoy this edition of EM2. Hey, stay safe out there!
Your Hosts: Chuck Humphrey, Ed Marasco and Gary Harvat
Join QMC's Panel of Experts as we look at the different funding sources currently available to EMS organizations in light of the COVID-19 Pandemic. It's confusing and at times, frustrating but if you know the ropes, the funding can benefit and assist your organization during these challenging times.
Presented by: Chuck Humphrey, Ed Marasco, Celeste Plunkett and Gary Harvat
Join us as we answer your plaguing (sorry, shouldn't use plaguing) questions about funding and more. It's ninety minutes of every COVID-19 funding question you ever wondered about but never had the chance to ask. We assembled a great panel of EMS professionals and hopefully, we can give you answers that will both satisfy your palate and sooth your nerves. Join the guys from Excuse My Medic along with Compliance and Billing experts as we answer your questions. Inquiring minds want to know and this show brings answers to those inquiries.
Presented by: Ed Marasco
Written by: Ed Marasco
Moderated by: Gary Harvat
Featuring: Mary Craig and Monica DePaul
Welcome to the April 2020 edition of Excuse My Medic (EM2). On today's show, amidst the COVID-19 pandemic, we examine all things that are keeping us up at night including how will funding help keep the EMS industry alive and how things have changed for emergency medical services within the past 30 days. New funding, less signatures, more risk. Almost like lions, tigers and bears from an old movie script.
We also have some lighter moments in our show including uplifting stories, the EMS Word of the Day and news from the EMS offbeat. Join Chuck, Ed and Gary as they help you navigate the COVID-19 waters and also provide you with a laugh or two before it's all done. So, come along with the ole guys and enjoy this edition of EM2. Stay safe out there!
Your Hosts: Chuck Humphrey, Ed Marasco and Gary Harvat
So, are you on information overload with all the new regulations and requirements? We are. CMS has new information almost coming out daily. Trying to both understand the plethora of information while trying to remain safe, keep your teams safe and ensure the future financial viability of your organization is a daunting task.
This EMS|Board & Collar presentation helps to simplify the recent changes invoked by CMS relating to the FAA Re-Authorization Act as well as CMS and COVID-19. The Board & Collar Team clarify many key issues that we are confronted with currently. Be sure to join QMC's Ed Marasco and Chuck Humphrey as they examine these changes and answer questions which you are probably having right now. Take a listen and and as always, be safe out there.
Presented by: Ed Marasco
Written by: Ed Marasco
Moderated by: Gary Harvat
It’s required three Podcasts to dig into Section 7 of the CMS Cost Data Collection Tool covering Staffing and Labor Costs. In this episode, we dig into Sections 7.2 and 7.3. Our discussion of Section 7.2 will walk through how to report direct-paid Medical Director labor costs together with reporting your paid Administration and Facilities people. Afterward, we’ll round out this talk by discussion how to report Volunteer labor costs when we cover Section 7.3.
Written by: C. Humphrey
Presented by: C. Humphrey
We live in a new world today. COVID-19 is changing our way of life today and it will tomorrow as well. Many of those both on the front lines and those who are at home protecting themselves and their families are living differently today than they were just a few weeks ago.
Please join QMC's Ed Marasco as he looks at COVID-19 and its impact as well as ways you work to avoid being one of those afflicted regardless of the role you are performing today. On this edition of the QMC EMS | Board & Collar, we take a serious look beyond the response. Stay safe everyone.
Presented by: Ed Marasco
Written by: Ed Marasco
EMS Leadership is challenged with many issues these days. Reimbursement, succession planning, COVID-19 and infectious diseases and of course, the big one...managing employees. Many EMS organizations are small in number and it is not uncommon for strong bonds of friendship to form between those in charge and those who work as a line medic. So, how do you handle when it comes time to correct a past partner of 7 years and correct a work pattern that is not consistent with organizational policy? Well, it's time for a difficult conversation about a specific uncomfortable topic. It may seem easier to turn your head and look the other way but in your heart, you know that's not in the best interest of the organization - not to mention your professional status either.
On this edition of the QMC EMS|Board & Collar we explore having those difficult conversations with employees and how to go about making the conversation have impact without pushing a great employee who just needs some tweaking out the ole door. Join Sean Kukauskus, Ambulance Director from Spaulding Rehabilitation Network in Boston, Massachusetts as he provides some insight on this very uncomfortable topic.
Presented by: S. Kakauskus
Written by: S. Kakauskus
Moderated by: G. Harvat
Welcome to Episode #3 of Excuse My Medic (EM2). EM2 is a pod magazine for EMS Professionals which brings you headline stories, interesting news and even a few light-hearted moments with Chuck and Gar.
In this episode we will further explore Part 2 the proposed CMS Ambulance Cost Data Collection System and the impact it will have on your organization. Also in this edition, Positive News, The EMS Word of the Day and a couple of zany stories from the "What were you thinking?" files that we are sure you will enjoy. Stop by for an entertaining and informative EM2.
Your Hosts: Chuck Humphrey and Gary Harvat
So, how are you enjoying your Summer? Great, eh? Good, take it all in because, it's just about history...over...done. Here comes Fall 2019 and with the leaves and the cooler temperatures comes even more fun for those of us in EMS and it's called FLU SEASON (hold the applause please). Yes, get ready for the "flu-like symptoms" responses and the catch-all from your 911 center squawks through the radio as, you know it....generalized weakness. Today, on The QMC Board and Collar we look at properly documenting these cases which you will be sure to have in the days ahead. Get ready for it, a Bug Named Flu is on its way to a neighborhood near you. Welcome Fall.
Written by: C. Humphrey
Presented by: G. Harvat
Without question, probably the most misunderstood and misrepresented form in the ambulance business. The Advance Beneficiary Notice rears its ugly head daily in our industry primarily because providers are just not sure about when or when not to use the form. In this edition of The QMC Board & Collar, we will help sort through this Ball of Confusion and set the record straight on the ABN or more confusingly known as CMS-R-131 (v.03-11). Ugh...Great Googa Mooga!
Written by: C. Humphrey
Presented by: G. Harvat
While the thought of Zzzzs may equate to a good night's sleep, in the EMS industry, Zs remain part of the detailed coding now required to process your PCR for payment. Z-codes play a unique role of enabling the coder to drill down to further specify a patient's illness or injury. Without these codes illness and injuries remain somewhat generic in nature and as a result, create more opportunity for denials of claims. Z-codes have been a critical coding component for several years now and in this episode of The QMC Board & Collar we look closer at how Z-codes correlate to the PCR you write.
Written by: C. Humphrey
Presented by: G. Harvat
The other day, I had a conversation with a co-worker and throughout the conversation both he and I used multiple acronyms - all which have originated from CMS (acronym for Centers for Medicare and Medicaid Services). I thought to myself, goodness, there are a ton of healthcare acronyms out there today, aren't there?
In this episode of The QMC Board & Collar we will continue to use acronyms to detail the Social Security Number Removal Initiative or SSNRI (yet, another acronym) as well as the new MBI (one more acronym - Medicare Beneficiary Identifier) or the MBN (Medicare Beneficiary Number) as well as the HICN (Health Insurance Claim Number). Confused yet? Stay with us, we will get you through it and hopefully, you will understand WTH (What the Heck) these shortened terms of the English language are all about! HAGD, TJU!
Written by: C. Humphrey
Presented by: G. Harvat
They don't occur that often but when they do, Specialty Care Transports (SCTs) present to the provider a unique cloud of uncertainty when it comes to documenting these "Misunderstood" transports. While they have long been a part of the EMS Transportation industry, SCTs seem to come as somewhat of a phenomena when making sure billing prerequisites are well-covered to process the trip for payment. In this episode of The QMC Board & Collar, we explore this subject matter and hopefully, bring some clarity to this topic.
Written by: C. Humphrey
Presented by: G. Harvat
Today, nothing happens without good, solid data to backup every decision that governments and corporations make. Even professional sports teams use analytical data on such things as how to pitch to power hitters or where to position the fielders when a specific batter comes to the plate. From an EMS perspective, with good data we can look to better structure the Medicare ambulance fee schedule to reflect the true costs of providing ambulance services. We will also be able to use the data to pursue providing medical care and reimbursement which is not just tied to transporting patients to facilities.
In this edition of The QMC Board & Collar we stand on the mound and view into the catcher for signals on how this new data collection system will evolve. It's going to be an interesting game ahead that may go into extra innings before a full outcome is achieved.
Written by: C. Humphrey
Presented by: C. Humphrey
Writing well-documented patient care narratives is extremely important but chronological entry of events within the report is also key for many reasons. One of the largest problems with reports is incorrect entry of times to include time of event to time of medication introduction. Accurate time entry is paramount in every patient care report and providers need to pay attention to ensure that all chronological entries are correct. This edition of The QMC Board & Collar takes a closer look at time and the importance of both a good narrative which denotes accurate event times.
Written by: C. Humphrey
Presented by: G. Harvat
Well, we've all had them...Those patients who are stricken seriously ill that, for one reason or another, want to ambulate on their own volition to the ambulance. Not uncommon in our industry but how does CMS and all the other payers feel about patients who walk this way? Medical necessity is fairly well-defined and we are all forced to comply. This edition of The QMC Board & Collar looks closing at those who walk (or crawl) and how payers view them (dub in Steven Tyler and the hit tune from Aerosmith now).
Written by: C. Humphrey
Presented by: G. Harvat
How many times have you heard the horror stories about those individuals behind in finishing their patient care reports (PCRs)? Typically, these individuals are not behind by one or two but sometimes, ten, twenty or even more. Ugh. How can anyone recall the patient interaction from ten days prior? That's absolutely impossible (sorry for the editorial comment).
While most states have rules for timely completion, the question remains as to how well this is policed and to be honest, why must something as important as report writing be put on the back burner? Yes, I know, your organization runs call after call but timely report writing is part of the patient care process and it is your responsibility to get them completed. In this episode of The QMC Board & Collar we'll take a quick look at how to avoid life's simple distractions that will hopefully, help you get those PCRs completed on time.
Written by: C. Humphrey
Presented by: G. Harvat
Multiple trauma patients challenge our professional senses when carrying out the delivered care in the field. We are called to use all of our talents and training to ensure a positive outcome for each patient. For many reasons, this doesn't always come easy.
Part of the pre-hospital care plan is to ensure that all we did for the patient(s) is well-documented for both the clinical staff at the trauma center for ongoing care as well as to make sure we protect ourselves long after the call has ended. Clear, concise documentation is key and must paint a true picture of these challenging patient types. This episode of The QMC Board & Collar looks at the drama behind the trauma patient and making sure you covered every aspect of the care you delivered in the patient care report (PCR).
Written by: C. Humphrey
Presented by: G. Harvat
It's one thing to write your PCR and have it out of the way so you can move onto documenting your next patient care report. However, can your front office do the billing for every report you write? In many cases, there are 3 reasons why even some of the best written reports don't contain the proper elements to process your PCR to payers and ultimately have your organization paid for services rendered. In this edition of The QMC Board & Collar, we explore the primary reasons your billing office may not be able to process your PCR for payment.
Written by: C. Humphrey
Presented by: G. Harvat
Unless you live under that pre-verbial EMS rock, you have probably have had more than one response for breathing problems. These calls come in all shapes and sizes...mild, moderate and life-threatening severe. If you have been in the business for any length of time, you've probably experienced multiples of each. In this edition of The QMC Board & Collar we look at the need for clear and concise documentation of these patients given how different each can be while having the same chief complaint. Without documenting these cases well, one could have trouble with trouble breathing calls.
Written by: C. Humphrey
Presented by: G. Harvat
Efficient processing of patient care reports (PCRs) are paramount to ensure reimbursement and a sound cash flow for your organization. Is your processing system/billing office current with today's technology to always be in step with payers? This edition of The QMC Board & Collar takes a look at technology, your billing office and efficient processing of claims.
Written by: C. Humphrey
Presented by: G. Harvat
Here in the Northeastern US we have had a very wet Summer with torrential rains and flooding in areas that typically, never flood. With these rising waters comes the need to manage multiple patients over a very short period of time. Evacuations, relocations and caring for those who typically cannot care well for themselves are all part of the chaos that is created when flooding occurs. In addition, we have illnesses and injuries specific to the catastrophic conditions that further complicate the job we do. This session looks at the aftermath of dealing with collecting dollars for emergent services rendered when heavy storms, flash flooding and overall, inclement weather hits your town.
Written by: C. Humphrey
Presented by: G. Harvat
In many cases, the pre-auth is your "ride ticket" toward reimbursement for patient transportation services rendered by your organization. The words, "No ticket, no pay" come to mind with many patients who have been pre-authorized for ambulance transportation by their insurance provider. It's important to not broad brush this and think that all pre-auths are created equal. There's much more to these powerful pieces of paper that we will cover in this edition of The QMC Board & Collar.
Written by: C. Humphrey
Presented by: G. Harvat
So, on my way into work this morning, I came across an accident. Two cars and lots of challenges with morning traffic trying to navigate around the accident as the medics worked to assist those injured. Yes, they were doing the job that they chose to do but there is something about this group of dedicated individuals that overwhelms me every time I see them caring for those suddenly stricken ill or injured. Given this, I present to you my thoughts and observations in this edition of The QMC Board & Collar.
Written by: C. Humphrey
Presented by: G. Harvat
McDonald's, Wendy's, Taco Bell, Burger King, Five Guys, Dunkin', Kentucky Fried, Popeye's, Arby's, Denny's, Dairy Queen, Chik-Fil-A, Hardees, Subway, Sonic, Rally's. Treat yourself better. Don't do it in this edition of The QMC Board & Collar.
Written by: Nutrition Action Healthletter (April 2017)
Presented by: G. Harvat
In this edition of the QMC Board & Collar, we take a look at eMedicare's new tool that came available for IOS and Android in January of this year. While it is primarily built for Medicare consumers, it has some good information within as it pertains to ambulance transports and how Medicare views coverage of these types of patient transports. We encourage you to familiarize yourself with this new tool from CMS as you will surely see it in use or have it referred to by many of your Medicare beneficiaries in the days ahead.
Written by: C. Humphrey
Presented by: G. Harvat
Welcome to Episode #2 of Excuse My Medic (EM2). EM2 is a pod magazine for EMS Professionals which brings you headline stories, interesting news and even a few light-hearted moments with Chuck and Gar.
In this episode we will spotlight the proposed CMS Ambulance Cost Data Collection System and the impact it will have on your organization. Also in this edition, positive news, the EMS Word of the Day and a couple of zany stories from the "What were you thinking?" files that we are sure you will enjoy. Stop by for an entertaining and informative EM2.
Your Hosts: Chuck Humphrey and Gary Harvat
Unless you've been wearing ear muffs and blinders, you probably have long-noticed that our industry is undergoing a great change. While many can argue that regulations have not helped us with improved reimbursement, some might say that these changes are part of growth which may lead to an improved picture for EMS nationally down the road.
Recently, CMS has proposed changes to the Physicians Certification Statement (PCS). This edition of The QMC Board & Collar is a two-part series which reviews these changes as well as looks at how this will also affect the CMS Ambulance Data Collection System which continues to evolve. It's been said before and is worth repeating...One thing for certain, change is inevitable. Stay tuned.
Written by: C. Humphrey
Presented by: C. Humphrey
Transport of Skilled Nursing Facility (SNF) patients can be challenging for many reasons. SNF patients typically have a host of medical problems that are sometimes challenging to manage in the field. Once the field work is complete, comes the task of properly billing these patients to ensure that is done compliantly and according to all pertinent Medicare rules and regs. This edition of The QMC Board & Collar examines pitfalls that can occur as it relates to billing these patients and hopefully, brings some clarity to this matter as well.
Written by: C. Humphrey
Presented by: G. Harvat
So, were you able to get a better handle on how Medicare works from the previous Board & Collar Podcast on Defining Medicare (Dragon Tamer 101: Defining Medicare)? If so, then great! Now, that you have your arms around how Medicare works, here's your basic curve ball. Try this episode on for size as we explore and work to define Medicaid. There are many differences and also similarities to each. We see those words again...under-funding, growing payer class and more.
Take a listen and don't be afraid to toggle through both podcasts to capture the gist of both government-funded programs. Yep, all of this can be a bit overwhelming but we hope these Board & Collar presentations bring some clarity. Onward troops, try your hand at taming this dragon too.
Written by: C. Humphrey
Presented by: G. Harvat
I truly wish I had a nickel for every time I uttered the word "Medicare." Whether we like it or not, Medicare drives the healthcare industry. As goes Medicare, so goes the other payers and so goes healthcare in the new millennium.
From an EMS standpoint, the word association game for Medicare includes terms and phrases like under-funding, largest portion of a community's payer mix and more. As time moves forward, we will have to work with groups like the American Ambulance Association to ensure our collective EMS voice is heard by CMS. Otherwise, we could go from bad to worse in the years ahead.
Before you plan on doing battle, you must have a baseline understanding of this dragon we call Medicare. In this Board & Collar episode, we will review and further define, Medicare. Remember, knowledge is power.
Written by: C. Humphrey
Presented by: G. Harvat
Well finally, Summer has arrived. Warmer weather, swimming pools and outdoor fun. Why, with all this beautiful weather are we seeing patients with the flu? Very strange but it's happening across the country. Are you ready to care for these patients and what portion of this patient population truly need to go via ambulance to a healthcare facility? Well worth a "podversation" on this topic in this edition of The QMC Board & Collar.
Written by: C. Humphrey
Presented by: G. Harvat
Where we goin' and what time we gonna get there? The Emergency, Triage, Treat and Transport (ET3) Model is coming and it's important to know some facts behind it all as well as what's in store for the road ahead. The process is moving and whether you are interested in being one of the initial applicants or just wish to watch this process unfold from the sidelines, it's important to have a baseline understanding before you make a determination, take a listen to this edition of The QMC Board & Collar.
Written by: C. Humphrey
Presented by: G. Harvat
With the infamous words of Hank Williams, Jr., echoing in my ears, "Are You Ready for Some Football," the 2019-20 football season is underway. Professional teams (my Steelers - sorry, Eagle, Giant, Cowboy, etc. fans), college teams and high school teams have reported to training camp and are preparing for another year on the gridiron. As EMS providers, we get to see all types of injuries coming from this sport including muscle, bone and the ever-concerning, head injury. It is important how, you not only treat these patients but also how you document the patient profile and the care you rendered. We will examine this a bit closer in this episode of The QMC Board & Collar.
Written by: C. Humphrey
Presented by: G. Harvat
Not too often do you hear a podcast dedicated to, of all things, belly pain. Hey, what the heck, let's give it a go and see if we can relate a few helpful points on evaluating, assessing and documenting this most common chief complaint. This, and more on The QMC Board & Collar.
Written by: C. Humphrey
Presented by: G. Harvat
So, are you aware of the implications and uses for a guarantor when the patient is unable to care/sign for themselves? Do you know your role in interacting with a guarantor and better yet, does the guarantor of an understanding of his/her role prior to your arrival. Today, we explore the role of the guarantor in this edition of The QMC Board & Collar.
Written by: C. Humphrey
Presented by: G. Harvat
It is no longer common for Medicare subscribers to simply review their Explanation of Benefits (EOB) and not question charges. The public is becoming smarter and smarter about the inner-workings of today's healthcare and as a result, scrutinize every charge. This edition of The QMC Board & Collar examines the explanation you and/or your organization must put forth when a Medicare or, for that matter, any healthcare consumer (Medicare, Medicaid, Commercial, Self-Pay) questions their charges.
Written by: C. Humphrey
Presented by: G. Harvat
Welcome to QMC's 10Q30 EMS Leadership profile. This month, we are featuring the leadership team from LifeMed Alaska (LMAK), based in Anchorage. Tune in to hear their take on how LifeMed leadership is addressing many issues in their service area which are also affecting EMS nationwide.
Gain an understanding of the unique challenges they face working in such a large geographic area; from weather issues to multiple leg transports including moving patients from point A to Point B via some unique means including hovercraft and even dog sled. You will find this interesting format is time well spent in learning how this organization's leaders must adapt and address many key matters to maintain, sustain and grow their operation.
Your Host: Gary Harvat
The candidates are already lining up for the 2020 election for our nation's highest office as well as local government posts. Sometimes it just gets too overwhelming with commercials, radio spots, town hall discussions and even talk around the dinner table with the fam. As much as it taxes one's senses, you can use this to your advantage to talk with, and poll the candidates in your own backyard and educate them on the needs, struggles and value-added your EMS organization brings to the community. We will explore your options for making an impact statement to those running in this edition of The QMC Board & Collar.
Written by: C. Humphrey
Presented by: G. Harvat
Do you have people within your organization whose favorite quote is "But, we've always done it that way?" If you don't, consider your organization lucky with a group of forward-thinkers. However, it's probably safe to say that every organization has one or two detractors that serve as obstacles keeping you from moving forward with new organizational approaches and implementing innovative ideas.
The detractors are those who pull the others down while leadership plays a tug-of-war game to move the organization forward. In this episode of The QMC Board & Collar, we'll take a closer look at the naysayers and the importance behind the quote that should be your organizational anthem..."The smallest steps lead to the biggest change."
Written by: C. Humphrey
Presented by: G. Harvat
In this episode of The QMC Board & Collar we explore the importance behind your organization remaining compliant in every aspect of its day-to-day operation. In 1973, Ringo Starr had a hit song entitled "It Don't Come Easy." I am certain his motivation for this tune was EMS Compliance, don't you think?
Written by: C. Humphrey
Presented by: G. Harvat
Our world both inside and outside of EMS moves quickly. Probably, more quickly than we actually realize. This edition of The QMC Board & Collar provides insight into how technology and analytics is affecting us today and how it will in the future as well. These things, along with how we manage as leaders will serve as an important component for the future of your organization.
Written by: C. Humphrey
Presented by: G. Harvat
Every morning on my way into work, I always try to remind myself to please Gary, engage brain before mouth on all things the day may bring. Sometimes, I am really great at this and other times, I fail miserably. When you're in a patient's presence this is even more paramount. While we may think, amidst their pain and suffering, our patient may not recall things stated to them or the responses we've made to their questions. However, they do, and we need to be cognizant of this every time we have a patient in our care.
This is especially true when they ask THAT big question enroute to the hospital... "How much is this going to cost me?" Be smart about your response and don't get caught in the middle while trying to make your patient feel better through your offered words. It's all in the presentation and the response to this frequent question should be well-planned. Let's explore this a bit more in this session of The QMC Board & Collar.
Written by: C. Humphrey
Presented by: G. Harvat
While the matter of questionable billing practices has not made the evening news in some time (thank goodness!), it's good to re-visit the subject matter just as a simple checkpoint to make sure we are all singing from the same sheet of music. We need to remind ourselves the practices by a few that led to EMS on the whole being placed on the OIG radar screen. While 99.9% of EMS organizations operate and practice a compliant operation, we must always be knowledge of the problems that led a select few to fall short and create challenges for all that do comply.
Written by: C. Humphrey
Presented by: G. Harvat
We often ask people, what's most important for the continued health of your organization? Most state continued/increased revenue or strong cash flow. We agree, and both of these are very important. However, are you turning a blind eye to compliance? Non-compliance will eventually lead to no revenue and no cash flow, trust us. Know the warning signs of non-compliance and don't be like the 3 Blind Mice. Stay vigilant to keep you and your organization away from the cat that lurks beside the mouse hole.
Written by: C. Humphrey
Presented by: G. Harvat
What are the driving factors that distinguishes the difference in billing for ALS vs. BLS? Is it how the ALS dispatch and assessment influence the response and subsequent treatment of the patient? In this edition of The QMC Board & Collar, we will take a closer look at this sometimes, confusing topic with the hope of providing a clearer picture of the CMS advanced life support (ALS) assessment rule. Don't be afraid to hit the replay button as we jam ten pounds of information into a five pound podcast.
Written by: C. Humphrey
Presented by: G. Harvat
Welcome to this episode of Excuse My Medic (EM2). EM2 is a pod magazine for EMS Professionals which brings you headline stories, interesting news and even a few light-hearted moments with Chuck and Gar. This month's spotlight is on Surprise Billing and how this key issue being explored by our nation's lawmakers can affect your organization. Also in this edition, positive news, the EMS Word of the Day and a couple of good ole EMS war stories to help you through the 4-12 shift.
Your Hosts: Chuck Humphrey and Gary Harvat
Is your organization's front office overpowering operations or is the operations side running wild over the office. Who's in charge, who has final say and who created this antonym of the wonderful word called "partnership?" Yeow, can't we find some harmony here? Let's discuss the internal partnership (or lack thereof) that exists in some EMS organizations and ascertain "who is driving the bus. "Watch your step, have a seat and hold on in this edition of The QMC Board & Collar.
Written by: C. Humphrey
Presented by: G. Harvat
Seems that the EMS buzzwords of late is Cost Data Collection and the Federal requirements concerning this subject. No question, it is coming to your organizational backyard but there still remains work to be done and time parameters that have yet to be fully established. This is not to say, sit back and wait. Moreover, you should be preparing now and at a minimum, understand what this means to your organization moving forward when fully implemented. This edition of The QMC Board & Collar provides an overview to hopefully, provide some clarity.
Written by: C. Humphrey
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resented by: G. Harvat
A shrinking pool of EMS providers, a changing patient population and flat funding are all contributory factors causing stressors for EMS across the United States. In this episode of The QMC Board & Collar, we look at the big picture of change across America from those in our ambulance as patients as well as those who care for them at their side. To state the prophetic words of Bob Dylan, "The Times They Are A-Changin'."
Written by: C. Humphrey
Presented by: G. Harvat
Keeping your EMS organization functional is not an easy task on even the best of days. Declining revenue, employee retention and managing the opiate problem across our nation is all-consuming for EMS providers. We explore this matter further in this edition of the QMC Board & Collar.
Written by: C. Humphrey
Presented by: G. Harvat
We receive regular questions from EMS organizations about moving from one ePCR software to another. This edition of The QMC Board & Collar explores this topic and discusses the positives and the negatives that you should be cautious of when considering a change. More bells and whistles doesn't always dictate to a better program that is more functional for your staff.
Written by: C. Humphrey
Presented by: G. Harvat
Making sure you ask your patient the right questions will get you the best responses to document and properly describe your patient. This helpful edition of The QMC Board & Collar provides key insight into obtaining questions that properly draws the picture of your patient.
Written by: C. Humphrey
Presented by: G. Harvat
This edition of The QMC Board & Collar explores the ongoing saga of the Closest Appropriate Facility and how payers including Medicare and Medicaid view this matter. It is complicated at times and has variables which you should be aware of when completing your patient care report (PCR). Hopefully, this B&C presentation will bring some clarity to this subject.
Written by: C. Humphrey
Presented by: G. Harvat
This edition of The QMC Board & Collar discusses one of the subjects that draws more questions each year than any other inquiry. The challenging subject of transport modalities to meet medical necessity is one that is never black or white but every shade of grey one can dream about. Take a listen and get clarified or more confused...your call.
Written by: C. Humphrey
Presented by: G. Harvat
Much has changed in the EMS industry over the past 40+ years. Much for the better and some, well some, for an increased challenge. What is constant is the human component - YOU! Be proud of what you do. Doesn't make a difference if you are working at a paid service or do this job as a volunteer once a month on Sunday evenings. Let's take a look at how we present ourselves in this edition of The QMC Board & Collar. In the meantime, represent the profession well and make it grow. It's up to you...Be Proud.
Written by: C. Humphrey
Presented by: G. Harvat
On my way into the office this morning, traffic was backed on a busy street that usually moves well. What, an accident at this time of day? Never good for making it to the office early to get a bit of work accomplished before meetings and the chronic ringing of the phone.
As traffic moved ever-so-gingerly around the accident, I noticed the EMS crew extricating an individual from one of the involved vehicles. Four medics busting their tail along with an engine company and the police department. Organized and well-orchestrated, much work was getting accomplished to extricate the patient and keep the scene safe.
Given this, I thought I would simply extend a note of thanks as this could have easily been me or one of my family involved. I know, I know, protocol is to say thanks in May during National EMS Week. Heck with that, you deserve it everyday I would be remiss if I did not state it today after seeing the tireless work all of you were putting forth this morning. Whether you're in Anchorage or Albion, Derry or DuBois, Pittsburgh or Platte Valley, thank you.
Written by: C. Humphrey
Presented by: G. Harvat
Yep, it's never easy getting the crews to get their PCRs completed in a timely fashion. Usually, this task falls with the medic in the back of the rig who carries out the lion's share of the care. With any organization, this can be a daunting task after a busy shift. We explore "the buddy system" in this edition of The QMC Board & Collar.
Written by: C. Humphrey
Presented by: G. Harvat
Is there really a better means to manage those individuals who abuse the EMS system? While New York began to look at this closely a few years back, other states are beginning to pay attention. As a provider of emergency care, we need to make sure we keep this topic on the forefront. When the opportunity arises, make sure we get the ear of our legislators every time the opportunity arises. Our collective talents need to be there for those who are truly in need - not those who use us to circumvent the system with other motives in mind. We take a look at what's happening today and what we hope to happen further tomorrow in this edition of The QMC Board & Collar.
Written by: C. Humphrey
Presented by: G. Harvat
It is not uncommon in our industry to have turnover. People move on and employee retention is always a hot topic on everyone's organizational table. However, before hiring that "New Guy" did you make sure he/she has does not have any issues that would affect your ability to get reimbursed properly. Do your homework and vet that new guy well.
Written by: C. Humphrey
Presented by: G. Harvat
How great, for a long time you've wanted to be your organization's President, Secretary or Treasurer and you finally won the company election. Congratulations! Now, you can lead the organization onto new fronts and serve your community in even better ways than your predecessor. Do you realize that along with the title comes the responsibility you now have to the Federal Government - specifically, Medicare and Medicaid? It's now time to relinquish a good bit of your private information to these entities. What's that, none of their business? Make sure you know the responsibility that comes with the new title. We will explore your obligations in this edition of The QMC Board & Collar.
Written by: C. Humphrey
Presented by: G. Harvat
How do your patients view your organizational face? Are your teams and leadership kind, considerate and respectful of the patients that you see each day. Or, do your teams approach their job as a painful, redundant process of moving people from Point A to Point B. Make sure you put on your best face in all cases. This episode of The QMC Board and Collar takes a look at, what we hope to be, your organization's smiling face.
Written by: C. Humphrey
Presented by: G. Harvat
When your patient activates the EMS system and tends not to be a good historian, the catch-all response mode ends up being generalized weakness. Today, on The QMC Board & Collar we will examine the weaknesses that typically comes with weakness. Hopefully, we provide you with better ways to get to the root of what might be the underlying cause. Sorry, that write-up was pretty weak but take in this B&C episode any how.
Written by: C. Humphrey
Presented by: G. Harvat
Does the public you serve have any clue who you are and what comprises your overall organization? Or, are you "just the ambulance drivers?" in town that they see at the local eatery or driving down their street? Educate your community, make them know that your organization has dedicated individuals and thousands of dollars in equipment coupled with thousands of man-hours devoted to training. Let them know who you are what are the reasons they should contact you should they consider dialing that 3-digit phone number. Let's explore this topic a bit further in this episode of The QMC Board & Collar.
Written by: C. Humphrey
Presented by: G. Harvat
In this edition of The QMC Board & Collar we salute our volunteers. Quite frankly, we are amazed at how they balance managing an ambulance service with all the regulations, changes and needs coupled with their "real" professional life - not to mention, a family in the mix as well Volunteer ambulance managers and staff need a support system in place to keep them afloat as regulatory issues have no borders as to how an organization is chartered. We explore this challenge and extend our thanks to those who perform this service as caring souls and simply for the good of their community.
Written by: C. Humphrey
Presented by: G. Harvat
Hard to believe it's been over two decades since HIPAA strolled into the back of our ambulance and for that matter, all of healthcare. Are you in the loop or are you still thinking this will just go away like disco music? Trust us, HIPAA is growing stronger than it was back in 1996. Take a visit down HIPAA Lane and get re-acquainted with our old friend on this edition of The QMC Board & Collar.
Written by: C. Humphrey
Presented by: G. Harvat
All of us who have grown up in the world of EMS have come to realize that it's not about just what we do, but that what we do does translate into making a difference. In many cases, we document our findings, assessment and key interventions but don't always document the positive impact that has occurred as a result of our actions. Document the difference you make and go ahead, pat yourself on the back in today's QMC Board & Collar.
Written by: C. Humphrey
Presented by: G. Harvat
Every EMS organization across the nation has these patients... they are a challenging group of individuals we've come to term, Frequent Flyers. As you know, this has nothing to do with rewards points for air travel. Today's Board & Collar presentation provides key tips on managing this patient population through both a day-to-day and an overall, unified approach. Please take a listen and repeat (get it?) as necessary.
Written by: C. Humphrey
Presented by: G. Harvat
The most recent EMS buzz words seem to be Community Paramedicine. While no one can truly argue with the concept, the question remains as to how we will be reimbursed and how all EMS organizations can take on this challenge without a level playing field being introduced by ranking officials and CMS.
Written by: C. Humphrey
Presented by: G. Harvat
How is the Affordable Care Act affecting your EMS Organization as it evolves right now? In this edition of The QMC Board & Collar, we take a close look at how those individuals with coverage doesn't always mean a payment for your professional services is forthcoming.
Written by: C. Humphrey
Presented by: G. Harvat
Pain...A common response to most injuries and maladies we see in the field. Are you documenting the pain to its fullest on your PCR? Are you establishing baselines with your patient through good communication practice? These things all play a key role in recording pain severity and your narrative should be reflective of the many facets of patient pain. We will take a closer look at PAIN in today's QMC Board & Collar.
Written by: C. Humphrey
Presented by: G. Harvat
So, your long-time, community-based, volunteer organization has decided to make the move to add paid staff to your roster. Have you looked at this closely? Have you done your due diligence and understand the plusses and the minuses associated with this consideration? Be smart and be careful. Adding paid staff may not be the answer. We explore this subject further in today's edition of the QMC Board & Collar.
Written by: C. Humphrey
Presented by: G. Harvat
This Board & Collar episode takes a look at the importance behind building relationships that go beyond those with established with our brothers and sisters in public safety. For the patient's best interest and continued growth of your organization, relationships with all levels of healthcare are paramount. We explore this topic a bit further. Novel idea? Well, it shouldn't be.
Written by: C. Humphrey
Presented by: G. Harvat
Recently introduced House Bill 3350 proposes to amend Title 38 of the United States Code and allow for the US Department of Veteran Affairs (VA) to reimburse veterans for the cost of emergency medical transportation to a Federal healthcare facility. This could prove to be a big win for EMS and even a larger win for our country's veterans. Win/Win? Let's hope.
Written by: C. Humphrey
Presented by: G. Harvat
Cardiac arrests can be challenging both during the incident and after the response when the provider tries to re-assemble the timeline of events to properly document the incident. This segment of The QMC Board & Collar takes a closer look at documenting these cases to better assist you with this challenging dilemma.
Written by: C. Humphrey
Presented by: G. Harvat
This Board & Collar podcast explores and hopefully, brings clarity to the topic of Physician Certification Statements (PCS). For years, confusion has circled about as to who can sign, who can't sign and how many signatures does this darn document need. With any luck at all, this Keynote Presentation should better help you through the murky PCS waters. Ugh...
Written by: C. Humphrey
Presented by: G. Harvat
It's important for all EMS providers to understand how CMS and commercial payers look at the charges your organization seeks for professional services rendered. This Board & Collar presentation reviews how charges are applied, coded and hopefully, paid to your EMS organization.
Written by: C. Humphrey
Presented by: G. Harvat
This edition of The QMC Board & Collar provides key focal points regarding proper documentation for child patients. Children as patients are never easy to manage but here are some tips to ensure that you document permissions, care and transport properly.
Written by: C. Humphrey
Presented by: G. Harvat
Recent articles and commissioned reports across various platforms have begun to tab balance billing using the phrase "Surprise Billing." Reports paint the ambulance industry and the overall healthcare industry in an unfavorable light. It's important for you and your organization to be knowledgeable of this mindset that exists as our industry strives to collect reimbursement beyond what insurance companies are paying. This edition of The QMC Board & Collar re-examines this topic and takes a look at how the subject is under many a microscope right now.
Written by: C. Humphrey
Presented by: G. Harvat
Join Ed Marasco, Vice President of Business Development, as he uses excerpts from the Godfather Movie Trilogy to reinforce the sound principles of EMS Leadership. This interesting Board & Collar Keynote Presentation provides a unique take on leading people and using key management elements that run parallel with this Oscar-winning drama from the 1970s.
Written by: E. Marasco
Presented by: E. Marasco
A number of years ago, CMS enacted the re-validation process for all ambulance providers. This mandated requirement can be challenging and time-consuming if your organization does not adhere to the timelines and requirements that CMS has put forth. This Board & Collar Keynote Presentation examines the need behind re-validation and provides some helpful tips when your organization begins to undertake this process.
Written by: C. Humphrey
Presented by: G. Harvat
This edition of The QMC Board & Collar addresses the challenging and sometimes awkward subject of reimbursement for patients who have passed while in your care. While none of us like to admit it, there are times when our best life-saving efforts are unable to change the course of life events. We take a closer look at this scenario during this podcast.
Written by: C. Humphrey
Presented by: G. Harvat
In this edition of The QMC Board & Collar Keynote Presentation, we explore the topic of utilizing drop-down menus verses the importance behind well-written narratives on your ePCR. The Centers for Medicare and Medicaid Services (CMS) and other payers mandate specified inclusions in all your charts. This is ensure and verify the reasonableness and medical necessity of each patient transport we perform.
Written by: C. Humphrey
Presented by: G. Harvat
Summer is here and that probably means the doors to your station will be open for some much needed fresh air. Good idea? Make sure you listen to this edition of the QMC Board & Collar before you hit the "up" button on the door opener.
Written by: C. Humphrey
Presented by: G. Harvat
Remember those days in grade school when you had to concentrate and work so hard at coloring between the lines? Remaining compliant with EMS billing rules and regulations is much like that - staying within the lines. One of the best ways to get it right the first time is take a look at your organization in the mirror and learn to self-audit. This Board & Collar presentation provides tips for managing and conducting the self-audit process.
Written by: C. Humphrey
Presented by: G. Harvat
This Board & Collar podcast explores the ongoing challenge that confronts EMS professionals on every call - obtaining the patient's signature. Obtaining valid signatures can be cumbersome and awkward at times leaving EMS providers and front office/billing staff sometimes at odds over this important matter. The podcast provides tips and key information that will prove helpful to the listener.
Written by: C. Humphrey
Presented by: G. Harvat
There are several key items that affect reimbursement for your ambulance service. One of the key factors is payer mix. Do you understand it and do you now how it has been changing since the inception of the Affordable Care Act (ACA). We will explore this further on today's edition of The QMC Board & Collar.
Written by: C. Humphrey
Presented by: G. Harvat
Today's Board & Collar Keynote Presentation discusses the pros and cons of routine/non-emergency transports. While offering this service may be a means of generating additional revenue for your organization, here can be pitfalls along the way where caution should be exercised. We will explore three key questions you need to have answered before you enter the non-emergency transport arena.
Written by: C. Humphrey
Presented by: G. Harvat
Today's presentation is about me...yes ME! Not to sound overly self-centered, but I felt there was a good message here and one that I hope you will remember when interacting with all types of patients. Believe it or not, patients are people too! Please, take a listen.
Written by: G. Harvat
Presented by: G. Harvat
Throughout life's travel, there are many things which influence how we conduct our daily lives. Several years ago, I was reading a journal and stumbled across this article titled “Who Packs Your Parachute?” I loved this article and have tried to remember it as I take on each new day. I thought I would share it with you today on this edition of QMC’s Board and Collar Keynote Presentation.
Written by: Unknown
Presented by: G. Harvat
This Board & Collar podcast explores the importance of compliance and how non-adherence to regulatory issues might negatively impact your organization. While reimbursement for your services rendered is important, nothing in our EMS reimbursement world should be trump compliance. All of us in the EMS industry need to take notice. If you are swimming in murky waters and ignoring compliance issues then be advised, their may be a hidden shark in those waters approaching.
Written by: C. Humphrey
Presented by: G. Harvat
In this Board & Collar Keynote Presentation, Gary Harvat, Director of Client Services, provides an overview and key elements which comprise UPMC Health Plan's 2019 Treat/No Transport reimbursement policy. Gary reviews eligible subscribers along with reimbursement levels based on specific patient units.
Written by: G. Harvat
Presented by: G. Harvat
This Board & Collar Keynote Presentation examines best practices for documenting all facets of a patient interaction. While sometimes cumbersome, good documentation is truly part of delivering high-quality patient care. Sound practice helps to protect you if the care you render is ever called to question and also assists your billing company in processing claims efficiently for your organization. The presenter breaks down specific aspects of each call and relates important elements that should be included when completing a patient care report (PCR).
Written by: E. Marasco, G. Harvat, C. Humphrey
Presented by: G. Harvat
