Blog Categories  /  Medicaid

Medicaid Audits: Small Payments, Big Price Tag

Medicaid sure doesn’t pay much per trip. The rate of reimbursement for Medicaid transport services is usually far below Medicare (we know Medicare doesn't reimburse the cost of service). The number of Medicaid recipients has grown. Which means that for the average ambulance service, mor...

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Medicaid Pulling EMS in All Directions

Medicaid could grow more important than Medicare. The trouble is, Medicaid pulls the industry in many directions. Today we discuss four Medicaid issues with potential to jolt EMS: ·         Large volume of Medicaid patients · &nbs...

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EMS Billing Impact of Substance Abuse

EMS is getting hit left and right with the burgeoning opioid epidemic. From the operational perspective, this is a daunting issue in EMS. While the billing department does not have to same challenge as field providers, the fact is that these patients are being transported means that someone, some...

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Medicaid Oversight Tightens

Three things are going on that dramatically impact EMS – more emergency calls from new Medicaid recipients, low reimbursements for those transports, and the rising oversight for Medicaid FFS and Medicaid managed care patients. That’s a lot flying at EMS all at once. One major prob...

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More Medicaid Emergency Patients

Yippee, more people have insurance! Uh-oh, many of those people are on Medicaid.  Reports are coming in that the use of emergency services is up. Not only is this an operational challenge for emergency providers, it’s going to have a BIG impact on how billing and documentation needs to...

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Ambulance Surety Bond?

Ohio ambulance providers face potential surety bond requirement.  Could you be next?    A Medicaid audit in Ohio showed that the State could save $10 million per year if it required surety bonds from ambulance and ambulette providers who are considered most likely to commit fra...

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Medicaid Fraud Tool

  You already know that the coming year brings more Medicaid growth. Along with Medicaid growth is an increased sensitivity to Medicaid fraud. Here's a handy tool for use in your efforts to combat fraud and abuse - an easy-to-use guide to each state’s anti-fraud efforts –...

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Medicaid's Moving Target

According to the CMS website, in 2010 there were over 66 million people enrolled in Medicaid, or 21.5% of our population. During that same year, over $383 billion (yes, billion with a "b") was spent on Medicaid services by both the states and federal government combined. Those figures a...

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