What Is Compliance?
Compliance is adhering to all Federal (Medicare) and State (Medicaid) guidelines pertaining to ambulance transportation. These guidelines are in place to prevent false claims and overpayments, and are currently being strictly enforced.
Whether you have hundreds of runs per day or only a handful of runs per year, everyone is held to the same standard of billing compliance. This includes compliance with the ever-changing laws, guidelines, healthcare trends, and government regulations that we all must adhere to. These guidelines are vast and include patient care documentation, reimbursement, employment workplace, and licensure matters. And while compliance helps ensure that we are all committed to the same high standard of practice, it can also be very difficult to navigate.
We want to ensure that all of your documentation is accurate and in accordance with Medicare and Medicaid's compliance standards. Effective compliance practices will prevent negative audit outcomes including thousands (if not millions) of dollars in lost revenue.
We pride ourselves on our compliant practices, and with the ever-changing EMS industry this means employing a well educated staff and ensuring their continued education. Nearly 85% of our staff have been certified through the National Academy of Ambulance Compliance for further education, including
Certified Ambulance Coders (CAC)
Certified Ambulance Documentation Specialists (CADS)
Certified Ambulance Compliance Officers (CACO)
Certified Ambulance Privacy Officers (CAPO)
To further our compliance, we also have a Paralegal on staff, and work closely with the National EMS Law Firm Page, Wolfberg, & Worth LLC to ensure Med-Bill is always up-to-date with industry practices and standards.
Our team participates in all relevant seminars, conferences, webinars, board meeting, continuing education courses, etc. to ensure we are practicing within the most up-to-date State and Federal regulations and guidelines. Med-Bill is also active in the community, working alongside the Indiana EMS Commission and the Indiana Emergency Response Commission to help progress positive changes for the EMS industry. Med-Bill’s Operations Manager, Brandon Driscoll, is personally responsible for the recent FSSA reversal decision of down coding, which will result in thousands of dollars in additional revenue for all EMS providers in the State of Indiana.
As a billing service, Med-Bill analyzes each run report for proper service levels, and ensures all proper billing documentation is received before filing a claim. However, compliance does not end there.
With Med-Bill, you will have a dedicated Certified Ambulance Compliance Officer on staff!
Med-Bill will guide your service through the intricacies of the proper back-end documentation needed in accordance with Medicare and Medicaid’s compliance standards. This includes driver’s licenses, EMT/Paramedic certifications, State ALS/BLS certifications, ambulance registration and certifications, monthly checks for every employee through the Office of Inspector General (OIG) List, and all additional documentation and information required.
Many stations have a good grasp on their compliance documentation; however, if you need extra help, Med-Bill can also manage your complete compliance for you! Our compliance services (listed below) are very comprehensive, however, if your station has specific needs or challenges then we will fully accommodate as needed. As always, our services are completely customized based on your service’s needs
To ensure that our clients adhere to all applicable laws, regulations, and policies when submitting claims to Medicare, Medicaid, and commercial payers. This includes proper documentation of services, billing, coding, claims submission, and the prevention and/or detection of possible fraud and/or abuse.