Last On: 3:57PM, 17 Apr 13
Marty Hrinko
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  • Dickson City, PA
  • United States
  • EMT-B
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Marty Hrinko's Discussions

PA BLS Protocol
12 Replies

Is there a State Protocol about passing other hospitals to transport a patient to a hospital out of the area? For example, the patient wants to be transported to a hospital 26 mile away, to get to…Continue

Started this discussion. Last reply by Johnson Smithwood Feb 19, 2013.

 

Marty Hrinko's Page

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Johnson Smithwood replied to Marty Hrinko's discussion PA BLS Protocol
"Before making a field judgement on what CMS may or may not consider an emergency based on what it is that you write in in your documentation, don't forget that you may not be dealing with CMS at all with Medicare billing. There are many, many…"
Feb 19, 2013
Skip Kirkwood replied to Marty Hrinko's discussion PA BLS Protocol
"If you start down the ABN road in the 911 world, you're asking for trouble.  it's not required now, so please don't start. If you disagree with me, contact the lawyers at PWW in Harrisburg.  I'm pretty sure that they…"
Feb 19, 2013
Justin P replied to Marty Hrinko's discussion PA BLS Protocol
"I agree with you entirely, the question is what do we consider an emergency? Medicare has a different view of this than the general public. To many people if you bang your knee and it hurts that's an emergency; medicare would say that in order…"
Feb 19, 2013
Skip Kirkwood replied to Marty Hrinko's discussion PA BLS Protocol
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Feb 19, 2013
Skip Kirkwood replied to Marty Hrinko's discussion PA BLS Protocol
"Actually, I found the support for what I said, from CMS, very easily.http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/downloads/MM7821.pdf Issuance of the ABN is mandatory if all of the following 3 criteria…"
Feb 19, 2013
Skip Kirkwood replied to Marty Hrinko's discussion PA BLS Protocol
"My experience with this is very different than yours, Justin.  Sorry I'm not willing to do the research and write an expose on the topic, but there is guidance out there somewhere that says when an ABN is to be used, and they are never…"
Feb 19, 2013
Justin P replied to Marty Hrinko's discussion PA BLS Protocol
"Hey Skip, I see your point on this one but its factually inaccurate. Medicare doesn't define an 'emergency' by what number a patient called to get an ambulance. It doesn't matter if they called 911, a seven digit number, or a…"
Feb 18, 2013
Skip Kirkwood replied to Marty Hrinko's discussion PA BLS Protocol
"Justin, I think you may have over-analyzed the Medicare ABN rules.  What you describe as a non-emergency call is correct, but what is a non-emergency call?  "Non-emergency" is determined at the time of dispatch, by the route of…"
Feb 17, 2013
Justin P replied to Marty Hrinko's discussion PA BLS Protocol
"Great point about billing, although we are not EMS billers we are EMS providers, if a patient is requesting to go to ER C and you are bypassing ER's A and B to get there then having them sign an ABN (Advanced Beneficiary Notice) would make your…"
Feb 17, 2013
Justin P replied to Marty Hrinko's discussion PA BLS Protocol
"Yes, there is a protocol that addresses the issue; sort of. The protocol in question actually addresses the issue of by passing lower level community hospitals to transport a patient to a specialty care center such as a trauma center, pediatric…"
Feb 17, 2013
Skip Kirkwood replied to Marty Hrinko's discussion PA BLS Protocol
"The patient has the right to choose their facility (within reason).  THEY get to choose, not you.  You get to RECOMMEND - and their decision must be informed.  Our national EMS law firm is right there in PA - Page, Wolfberg and Wirth…"
Feb 9, 2013
Earl Culvey replied to Marty Hrinko's discussion PA BLS Protocol
"Marty PA Protocol states to transport the Patient to the closest appropriate facility.  If the Patient could not be definitively treated at the closer hospitals (i.e. no cardiology for MI or no neurology for stroke)  it is more than…"
Feb 8, 2013
Marty Hrinko's discussion was featured

PA BLS Protocol

Is there a State Protocol about passing other hospitals to transport a patient to a hospital out of the area? For example, the patient wants to be transported to a hospital 26 mile away, to get to that hospital we have to pass 4 other hospitals that are a maximum o 5 miles from the scene. Thanks for any input.See More
Feb 7, 2013
Marty Hrinko posted a discussion

PA BLS Protocol

Is there a State Protocol about passing other hospitals to transport a patient to a hospital out of the area? For example, the patient wants to be transported to a hospital 26 mile away, to get to that hospital we have to pass 4 other hospitals that are a maximum o 5 miles from the scene. Thanks for any input.See More
Feb 6, 2013
Marty Hrinko updated their profile
Feb 5, 2013
Marty Hrinko is now a member of JEMS Connect - EMS Emergency Medical Services
Feb 4, 2013

Profile Information

Employer/Affiliation
EMT-B
Primary Agency/Department Type
Volunteer Fire/EMS Department
Primary Department/Agency Name
Dickson City Community Ambulance
Department/Agency Web Site
http://www.23ems.com
Years in EMS/Public Safety
3
Other Past or Current Departments
Dickson City Fire Department
My Training:
PA EMT-B and many firefighting certifications
About Me
Im 19 years old, the Lieutenant on the volunteer side of my organization, and also a paid staff employee at the organization.
Day Job
EMT
Relationship Status
In a Relationship

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