Insights That Move Healthcare Forward
Research, webinars, leadership perspectives, and practical resources to help healthcare organizations strengthen financial performance.
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Major Milestone: Congressional Letter Sent to CMS on Prescriptive PCS
The EMS Sustainability Initiative helped build congressional support for a stronger Medicare PCS requirement. A new Senate letter urges CMS to consider a prescribed order for non-emergency ambulance transportation, supporting compliance and program integrity.
Self-Pay Is Rising. Some of It Isn’t Really Self-Pay.
Self-pay does not always mean uninsured. A second coverage search can uncover retroactive Medicaid and other billable coverage missed by the initial eligibility check, before accounts become write-offs.
One Emergency. Two Ambulance Rides.
Who gets to decide what counts as an emergency? Asbel Montes connects three perspectives on emergency ambulance coverage and explains why your TPL process needs to follow the patient beyond the first hospital.
The Committee Already Answered the Question. Congress Just Hasn't Acted On It.
The GAPB Advisory Committee already proposed a solution to two persistent gaps in ground ambulance coverage: who gets to define an emergency and what happens when that emergency continues beyond the first hospital. The recommendations passed with almost no opposition. Now, the question is whether Congress will act on them.
Your Point-of-Service (POS), Your Electronic Medical Record (EMR), Your Billing System: Three Islands
Your billing team may be spending more time connecting systems than you realize. See how mapping the manual touches between POS, ePCR, and billing can uncover opportunities to automate workflows, improve data quality, and get claims moving faster.
Why “Stable” Isn’t the Finish Line in Emergency Care
“Stable” doesn’t always mean safe. Dr. Nicholas Cozzi joins Asbel Montes to examine what happens after the 911 call, when a patient has been stabilized but still needs a higher level of care, and why distance, delays, and system limitations should never determine a patient’s clinical outcome.