4 Lower outer quadrant .....LOQ Lost to follow up..... LTFU Left upper outer quadrant.....
The Public Safety Training Facility is a complex where MCC trains area police, fire, emergency medical and other first responder personnel.
- utility fire trainer
- ultra high frequency
- upper respiratory infection
- Differentiate Emergency vs. Non-Emergency Response
- Break Down Ambulance Services Categories
- Ground Ambulance Services
- Air Ambulance Services
- Non-Covered Services
To prevent coding errors, use extreme care when differentiating emergency from non-emergency transports. This often requires additional education for ambulance providers to assure their documentation of a patient’s conditions accurately describes when an emergency condition existed, or when an emergency transport was required. CMS defines an emergency response as, “responding immediately at the BLS or ALS1 level of service to a 911 call or the equivalent.” An immediate response is defined as a response by the ambulance supplier that begins as quickly as possible to the call. Emergency response is based on internal protocols, which consider the information received during the call. The call does not have to come through a 911 system. All scheduled transports are considered non-emergency, and include routine transports to nursing homes, patient homes, and end-stage renal disease (ESRD) facilities.
In the Ground Ambulance Services section of the ambulance fee schedule, there are seven categories of ground ambulance services (“ground” refers to both land and water transportation) and two categories of air ambulance services. The level of service is based on the patient’s condition, not the vehicle used. This is a challenge for many coders. In addition to the HCPCS Level II procedure codes and standard set of modifiers (see Chart A), a unique set of modifiers (see Chart B) are required to identify the origin and destination, which are affixed to the procedure code. Mileage must also be calculated, which presents additional challenges if this information is not clearly documented (ambulance coders are all too familiar with programs that estimate mileage between pick-up and drop-off points to assure accuracy for mileage calculations). Chart A: Common modifiers for ambulance services Chart B: Specialty modifiers for reporting ambulance services (including origin and destination cod...
A0425 Ground mileage, per statute mile requires documentation and/or calculation of mileage between sites. A0426 Ambulance service, advanced life support, nonemergency transport, level 1 (ALS1) includes transportation by ground ambulance and medically necessary supplies and services. The response personnel are required to document an ALS assessment, or to provide at least one ALS intervention. Advanced life support assessment is defined as: 1. Assessment performed by an ALS crew as part of an emergency response that was necessary; or 2. The patient’s reported condition at the time of dispatch was such that only an ALS crew was qualified to perform the assessment. An ALS intervention includes procedures that are beyond the scope of an EMT-basic. Personnel qualified for ALS are trained EMT-intermediates or paramedics. Often, the ALS assessment does not indicate that the patient required a level of service consistent with ALS, but that is only determined after the assessment is perform...
The two categories of air ambulance services are fixed wing (airplane) and rotary wing (helicopter). The air ambulance mileage rate is calculated per actual loaded (patient onboard) miles flown, and is expressed in statute miles (not nautical miles). A0430 Ambulance service, conventional air services, transport, one way (fixed wing). Fixed wing air ambulance (FW) is used when the patient’s medical condition requires immediate and rapid transportation that can’t be provided by ground ambulance either because the point of pick-up is inaccessible, the nearest hospital with appropriate facilities is far away, or the road is impassable due to heavy traffic or other obstacles. Mileage is identified with A0435 Fixed wing air mileage, per statute mile. A0431 Ambulance service, conventional air services, transport, one way (rotary wing). Rotary wing air ambulance (RW) service is used when a patient requires rapid transportation due to medical condition, and there are transportation challenge...
Effective Jan. 1, 2012, CMS allows ambulance providers to bill procedure codes for non-covered ambulance services. This does not include supplies associated with a covered ambulance transport. Per CMS Internet Only Manual (publication 100-04, chapter 15, section 30.1), those supplies are included in the base rate. If the supplies are associated with a non-covered service, they are billable to Medicare with modifier GY Item or service statutorily excluded, does not meet the definition of any Medicare benefit or for non-Medicare insurers, is not a contract benefit. Procedure codes A0021-A0424 and A0998 Ambulance response and treatment, no transport are billable procedure codes and must include modifier GY; however, they are not payable by Medicare. Effective for claims with dates of service on and after Oct. 1, 2013, payment for non-emergency BLS transports of individuals with ESRD to and from renal dialysis treatment facilities will be reduced by 10 percent. The reduced rate will be...
Jun 22, 2021 · Medical prefixes and suffixes. Medical terminology follows the same structural rules all language does, including use of prefixes and suffixes. You likely know some of these from words outside the realm of medicine. 25. A-, an-: Lack of or without. 26. -ation: Indicates a process. 27. Dys-: Abnormal, difficult, or painful.
A modifier is a two-character code that is added to a procedure code to demonstrate an important variation that does not, by itself, change the definition of the procedure. CPT codes have numeric modifiers, while HCPCS codes have alphanumeric modifiers.
Feb 26, 2020 · Current Procedural Terminology (CPT) codes are developed by the American Medical Association to describe every type of service (i.e., tests, surgeries, evaluations, and any other medical procedures) a healthcare provider provides to a patient. 1 They are submitted to insurance, Medicare, or other payers for reimbursement purposes.
“Procedure” code is a catch-all term for codes used to identify what was done to or given to a patient (surgeries, durable medical equipment, medications, etc.). Understanding and identifying the codes relevant to one’s study question is a key part of analyzing claims data.