Founded in 1964, now nationally recognized, Mohawk Ambulance Service is the largest privately owned ambulance service in upstate New York. Our organization services six emergency centers, makes 56,000 trips annually and employs a team of more than 250 staff members. Eighty percent of our trips are for emergency transports where patients are unknown, in critical condition or have no identifying information. Finding fast, efficient ways to verify demographics and discover insurance coverage for these patients is imperative for our revenue cycle and our bottom line. We’ve always worked closely with our local hospitals and nursing homes to obtain information. Many standard processes have been refined over the years with checks and balances to verify coverage, screen deductibles and reduce eligibility-related rejections before claims are submitted to a payor. But our billing team knew we could do more to eliminate duplicate data entry and processing lag time. This article describes our journey to a more streamlined billing process. It includes lessons learned and best-practice recommendations for other EMS providers looking to improve staff efficiency and reduce receivables. First Stop: Real-Time Insurance Discovery The first area we tackled was insurance discovery where we had three employees stationed. We focused on our self-pay...
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Kathy Lester, MPH, JD Washington, DC Healthcare Consultant to AAA Tell us a little about yourself, please. I am from Indianapolis, Indiana. I graduated from Warren Central High School, best known for being the high school of Jane Pauley and Jeff George. My undergraduate degree is from DePauw University. I had a double major in biology and English literature, with a minor in violin performance. I also loved philosophy and political science course and was the editor-in-chief of the college newspaper. I received my JD from Georgetown University Law Center and my Master of Public Health (MPH) from The Johns Hopkins School of Public Health and Hygiene, now known as the Bloomberg School of Public Health. After law school, I clerked on for The Honorable Michael S. Kanne on the U.S. Court of Appeals for the Seventh Circuit. I have also worked in all three branches of government. In addition to the courts, I worked on the Hill for Sen. Richard G. Lugar (R-IN) and in the General Counsel’s Office at the Department of Health and Human Services. My husband and I met while both working for Senator Lugar. He retired from the Senate after 20+ years. We have two children (more…)