"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…"
Social and Professional Network
-
Marty Hrinko
- Male
- Dickson City, PA
- United States
- EMT-B
Last On: 3:57PM, 17 Apr 13
- Blog Posts
- Discussions (1)
- Events
- Groups
- Photos
- Photo Albums
- Videos
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.
Marty Hrinko's Page
Latest Activity
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…"
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…"
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…"
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…"
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…"
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…"
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…"
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…"
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…"
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…"
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
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
Profile Information
- Primary Role in EMS
- 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
JEMS Connect is the social and professional network for emergency medical services, EMS, paramedics, EMT, rescue squad, BLS, ALS and more.
© 2013 Created by JEMS Web Chief.
