EMS | Board & Collar
Episode #160:  Take Me to Higher Ground - The Ongoing EMS Challenge of Transporting to a Higher Level of Care

Episode #160: Take Me to Higher Ground - The Ongoing EMS Challenge of Transporting to a Higher Level of Care

August 17, 2021

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“Transported to a higher level of care.”  It’s a phrase EMS providers use often.  However, this little  phrase can cause your billing office some angst and headaches. Are you attune to documenting this in your electronic patient care report (ePCR)?  Have you covered all the necessary basis to support medical necessity...yes, no, maybe?

In this episode of the QMC EMS Board & Collar podcast, QMC Compliance Team members Katie Harrison and Chuck Humphrey unpack how to properly document using the phrase with just a little extra detail.  If you're headed to higher ground or a higher level of care, get there with these great tips from our team.  

 Presenters:  Chuck Humphrey and Katie Harrison

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Episode #159:  10 Questions | 30 Minutes - Mercy Flight Central, Canandaigua, New York

Episode #159: 10 Questions | 30 Minutes - Mercy Flight Central, Canandaigua, New York

August 11, 2021

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10Q30logo_fw_png.pngWelcome to QMC's 10Q30 EMS Leadership profile.  This month, we are featuring Mercy Flight Central based in Canandaigua, New York. Tune in as we pose our 10Qs to Mercy Flight Central's Jeff Bartkoski, President and CEO and Erin Reese, Program Director, on multiple topics relating to their unique 501(c3) flight program.  Mercy Flight Central was founded as a non-profit in 1992 to provide air medical services to New York State residents and beyond. Since its inception, the organization has served more than 15,000 patients and grown to approximately 70 employees. MFC’s three base locations serve the regions of the Finger Lakes, Central New York, and Mohawk Valley, including service to the Lower Adirondacks. 

We had a great time speaking with Jeff and Erin and received some great adjunct questions along the way from those who attended the LIVE broadcast.  As an added bonus, don't miss out hearing about new additions to their flight program and as well as some interesting facts about NASCAR and Car #66 - Quite the story!  Folks, you're going to enjoy this 10Q presented by two individuals who are deeply dedicated to serving their respective communities with exemplary air medical service.  Join us!
Your Hosts:  Gary Harvat and Chuck Humphrey

Episode #158:  Yet Another Piece of the Big HRSA CARES Act Puzzle Comes Together

Episode #158: Yet Another Piece of the Big HRSA CARES Act Puzzle Comes Together

June 15, 2021

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Late in the workday on Friday, June 11, 2021, the Health Resources and Services Administration (HRSA) released revised reporting requirements along with extended expenditure deadlines for the CARES Act Provider Relief Fund stimulus.  We offer a quick breakdown and alert you to the opening of the reporting portal on July 1st.  It's another piece of that big HRSA puzzle that you have to figure out - we'll help.  Take a listen...

 Presenter:  Chuck Humphrey

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Episode #157:  10 Questions | 30 Minutes - Longwood Fire Company, Kennett Square, PA

Episode #157: 10 Questions | 30 Minutes - Longwood Fire Company, Kennett Square, PA

June 9, 2021

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10Q30logo_fw_png.pngWelcome to QMC's 10Q30 EMS Leadership profile.  This month, we are featuring Longwood Fire Company from Kennett Square, Pennsylvania.  Joining us is Asst. Chief of EMS, Matt Eick.  Matt provides some interesting insight into how his department is remaining active and prosperous during these challenging times as we emerge from this pandemic.  Matt relates information on many different fronts including community outreach, retaining quality providers and more.  Join in for this 10Q episode as you won't be disappointed in hearing from about this progressive organization in Eastern Pennsylvania.  

 Your Host:  Gary Harvat and Chuck Humphrey

Episode #156:  The Matrix Called COVID - Ever Have That Feeling Where You’re Unsure If You’re Awake or Dreaming?

Episode #156: The Matrix Called COVID - Ever Have That Feeling Where You’re Unsure If You’re Awake or Dreaming?

May 27, 2021

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Somehow the last 15 months has felt like we’ve been living the real-life version of the movie The Matrix.  We share our musings of this COVID-19 public health emergency and what we have learned so-far looking back into our fluid rear-view mirror.  What’s next?  Give a listen!

 Presenter:  Chuck Humphrey

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Episode #155:  Celebrating Our Profession - National EMS Week 2021

Episode #155: Celebrating Our Profession - National EMS Week 2021

May 20, 2021

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EMS Week is a time to thank the EMS workforce for their service and sacrifices. It’s also serves as an opportunity for EMS raise public awareness about the role they play in their respective communities.  QMC extends their heartfelt thanks to those EMS providers who have dedicated themselves to serving those who are suddenly stricken ill or injured.  We convey our deepest thanks and gratitude through this short podcast.  

 Presenter:  Chuck Humphrey

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Episode #154: A TIP from our Friends at CMS - The CMS Treatment in Place (TIP) Waiver Figured Out

Episode #154: A TIP from our Friends at CMS - The CMS Treatment in Place (TIP) Waiver Figured Out

May 20, 2021

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A new waiver was issued by the Centers for Medicare and Medicaid Services (CMS) for ground ambulance services providing treatment in place as part of a COVID-19 protocol. 

Under authority provided through the American Rescue Plan Act of 2021, the new policy waives any requirements that an ambulance service must include the transport of an individual to receive Medicare payment. Instead, Medicare payment will be made for ground ambulance services during the COVID-19 Public Health Emergency.  Join us as we figure out what this is and just as important, what this is NOT.  

 Presenters:  Gary Harvat, Chuck Humphrey

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Episode #153: New Innovations In Prehospital Management of the Opioid Epidemic (Presented by Cooper University Health Care EMS)

Episode #153: New Innovations In Prehospital Management of the Opioid Epidemic (Presented by Cooper University Health Care EMS)

May 18, 2021

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The opioid epidemic continues to be a considerable health crisis in the United States. Current evidence supports Medication for Opioid Use Disorder (MOUD) as the most effective treatment. Our friends at Cooper EMS in New Jersey created a new treatment paradigm, in partnership with Cooper University Health Care’s Addiction Medicine Department, utilizing front line paramedic units to administer buprenorphine post Naloxone administration and provide a next day appointment in an outpatient clinic. Often, EMS is the only healthcare provider the OUD population will interact and this program affords access to OUD treatment as well as protection from overdosing prior to the scheduled appointment, i.e., “Bridging.” Cooper is the first EMS agency in the United States to provide MOUD in the prehospital setting at the point of overdose. In addition, Cooper EMS has documented an overall improvement in provider compassion fatigue. Cooper EMS staff are more engaged in the overall care of this population as opposed to simply administering Naloxone day after day.  Join us as the clinical team from Cooper EMS explains this study, the results, and the overall success of this innovative program.

 Presenters:  Gary Harvat, Chuck Humphrey and the EMS Leadership Team from Cooper University Health Care EMS

 

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Episode #152:  Look for the Bare Necessities - The Certificate of Medical Necessity

Episode #152: Look for the Bare Necessities - The Certificate of Medical Necessity

May 13, 2021

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All non-emergency ambulance transports billed to Medicare, some Medicaid and commercial insurance programs require a supporting document that we have begun to call the Certificate of Medical Necessity.  In this episode of the QMC EMS Board and Collar podcast, we’ll help unravel the mystery that surrounds the two types of documents, the PCS and the N-PCS.  Plus, we’ll take some time to talk about the purpose of these documents and who must sign them pertaining to the reason surrounding the transport. 

 Presenter:  Chuck Humphrey

 

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Episode #151: Excuse My Medic Pod Magazine (May 7, 2021)

Episode #151: Excuse My Medic Pod Magazine (May 7, 2021)

May 7, 2021

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EM2A.pngWelcome to the May 2021 edition of Excuse My Medic (EM2).  We've got a great show with lots of laughs and great information to convey on topics affecting Emergency Medical Services across the country.  During this episode, we take a close look at the CMS Treatment in Place and we also have some laughs with the EMS lookback and of course, no show would be complete without some open banter and jabs between these three EMS dinosaurs.  Download this episode, hold onto the wheel and get ready for another EM2 adventure with the guys.  Happy National EMS Week folks.  We're glad you're here!  

  Your Hosts:  Chuck Humphrey, Ed Marasco and Gary Harvat

Episode #150:  10 Questions | 30 Minutes:  McGregor EMS - New Hampshire

Episode #150: 10 Questions | 30 Minutes: McGregor EMS - New Hampshire

April 28, 2021

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10Q30logo_fw_png.pngWelcome to QMC's 10Q30 EMS Leadership profile.  This month, we are featuring the McGregor EMS from Durham, New Hampshire.
Tune in to hear how their leadership team is bringing innovation into their operation and a unique approach to community outreach. You will find their responses to each of our questions interesting and in many cases, thought-provoking as to how they function within their community as well as within a major a university setting.  We've got 3 great leaders from McGregor joining us providing excellent insight into their operation.  Be sure to check out this 10Q.  Our thanks to the McGregor Team and hey, be SAFE out there!  

 Your Host:  Gary Harvat and Chuck Humphrey

Episode #149:  For Amber Waves of Grain - The American Rescue Plan EMS Overview

Episode #149: For Amber Waves of Grain - The American Rescue Plan EMS Overview

March 17, 2021

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Last week, the United States Congress passed the American Rescue Plan legislation.  This $1.9 trillion package has some potential game-changing implications for the ambulance industry.  Check out what this legislation entails (or doesn't entail) and how it may affect your organization during the remaining days of the pandemic.  

 Presenter:  Chuck Humphrey and Gary Harvat

 

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Episode #148:  Throw a Hot Towel On It - The 1135 Blanket Waiver

Episode #148: Throw a Hot Towel On It - The 1135 Blanket Waiver

March 5, 2021

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What is an 1135 Waiver?  This COVID-19 Pandemic has dropped some interesting questions into our billing company lap.  In this episode, we talk about the philosophy behind one of the blanket waivers and provide some practical application steps that every billing office should take before moving forward.  Take a breath, pump the breaks and give a listen to this timely subject matter.  We're glad you're here.

 Presenter:  Chuck Humphrey

 

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Episode #147:   Pay Up (or else): Re-Paying the Medicare Accelerated Payments

Episode #147: Pay Up (or else): Re-Paying the Medicare Accelerated Payments

March 2, 2021

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Do you remember applying for and receiving the Medicare Accelerated Payment triggered by the COVID-19 pandemic?  Well, for most of you it’s been almost 1 year from the day that you received the advance.  Now, the government wants their money back!  In this edition of the QMC EMS Board and Collar podcast we take a quick look at what the repayment process looks like and what you, as an ambulance administrator, can expect to happen next.  PLUS!  There’s some late breaking potentially good news for the ambulance industry within the walls of the U.S. Senate Chambers.  You’ll want to be sure to listen to the end of our broadcast when we share what we know today.  We pack a lot of STUFF into this roughly 9-minute episode…so download it now.  Don’t miss it!!

 Presenter:  Chuck Humphrey

 

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Episode #146: Long In the Tooth and Short On Plans…Succession Planning at Your EMS Organization

Episode #146: Long In the Tooth and Short On Plans…Succession Planning at Your EMS Organization

February 22, 2021

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EMS is a relatively young profession and some of the challenges faced by our community today are “old world problems” for many of our peers around the healthcare and public safety sectors. As the early leaders in our profession approach their golden years, the question of future leadership looms large as we face substantial clinical, operational, and financial challenges. As a community, we pride ourselves on preparation and planning, along with the flexibility to adapt to changing circumstances. It is the nature of our work.

 Presenter:  Ed Marasco 

 

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Episode #145:  Excuse My Medic Pod Magazine (February 19, 2021)

Episode #145: Excuse My Medic Pod Magazine (February 19, 2021)

February 22, 2021

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EM2A.pngWelcome to the February 2021 edition of Excuse My Medic (EM2).  We have a great show for this month's segment and to boot, a guest presenter joining our team this time around to discuss new legislation in the State of Georgia that may affect our industry as it relates to surprise ambulance billing.  Yes, it's in Georgia for the moment but pay close attention as the matter is being closely scrutinized across the country.  Our thanks to Adam Patterson for detailing this for us. 

Also, along the way tune in for News of the EMS Offbeat as we have a couple of stories along with our EMS Word of the Day that will have you shaking your head and laughing at the banter. All in all, a great segment and we're glad you chose to join the three old EMS guys for this round of Excuse My Medic.  

Your Hosts:  Chuck Humphrey, Ed Marasco and Gary Harvat

Episode #144:  Ten Questions In 30 Minutes Featuring Bellmore-Merrick EMS (Long Island, NY)

Episode #144: Ten Questions In 30 Minutes Featuring Bellmore-Merrick EMS (Long Island, NY)

February 10, 2021

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10Q30logo_fw_png.pngWelcome to QMC's 10Q30 EMS Leadership profile.  This month, we are featuring the leadership team from Bellmore-Merrick EMS based in Long Island, NY.  Tune in to hear their take on how Bellmore-Merrick leadership is addressing many issues in their service area which are also affecting EMS nationwide. 

Bellmore-Merrick is New York State's Ambulance Service of the year and getting there was not an easy task for them over the years. Hear about their challenges and innovations that have taken place within this organization that has led them to be the standout agency they are today.  Ten Questions in 30 Minutes...you won't be disappointed.  Download this great episode today!

 Your Host:  Gary Harvat

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Episode #143: Tale of Two Studies

Episode #143: Tale of Two Studies

January 27, 2021

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Two of the biggest studies to impact EMS have been interrupted due to the COVID-19 pandemic.  In this episode we’ll talk about how the pandemic put a pause on ET3 and Cost Data Collection, dig into what’s good and bad about the interruptions, plus complain about bad decisions in Washington.

  Presenter:  Chuck Humphrey 

 

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Episode #142:  Promoting Your EMS Organization

Episode #142: Promoting Your EMS Organization

January 26, 2021

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Join Paul Furiga, President and Chief Storyteller from WordWrite (www.wordwritepr.com), based in Pittsburgh, PA.,  as he discusses the important elements you should consider in promoting your EMS organization.  Paul shares a wealth of information from his deeply-detailed background in public relations and provides great food for thought. This informative episode should prove quite useful given the challenges that EMS constantly faces in justifying and promoting their organization to the communities they serve. Don't miss out on this great Board & Collar offering folks.      

 Presenter:  Paul Furiga and Gary Harvat (Moderator)

 

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Episode #141: Excuse My Medic (December 18, 2020)

Episode #141: Excuse My Medic (December 18, 2020)

December 18, 2020

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EM2A.pngWelcome to the December 2020 edition of Excuse My Medic (EM2).  Lots happening in our EMS world at present including a vaccine that will hopefully, save millions of lives and make our life in the street a bit easier.  Additionally, we will explore new information on a proposed compromise legislation for  surprise ambulance billing currently under Congressional review. Stick around for the fun-filled EMS Word of the Day as well as several offbeat EMS stories for some grins along the way.  Lots of holiday laughs and great information.  Stick around and tune in.  

 

Your Hosts:  Chuck Humphrey, Ed Marasco and Gary Harvat

Episode #140:  Finally, A Shot in the Arm - COVID-19 Vaccine Update (What EMS Organizations Need to Know)

Episode #140: Finally, A Shot in the Arm - COVID-19 Vaccine Update (What EMS Organizations Need to Know)

December 18, 2020

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Well, it's here and let's hope there's a shining light at the end of the tunnel.  The first COVID-19 immunization has been approved, shipped and now being administered to the front line.  Are you making this mandatory with people from your organization?  Are you considering serving as a mass immunizer in your community. Lots of things to consider here so tune in and here the latest from the guys at QMC who keep their ears close to the pulse of this well needed, shot in the arm.  

 Presenter:  Chuck Humphrey 

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Episode #139:  Thanksgiving Thoughts for Those Who Fight the Good Fight During this Great American Holiday

Episode #139: Thanksgiving Thoughts for Those Who Fight the Good Fight During this Great American Holiday

November 23, 2020

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Pause.  Reflect.  Give Thanks.  Our thoughts for those of you on the front lines this Thanksgiving 2020.  One to remember but still much to be thankful for today, tomorrow and for years to come.

 

 Presenter:  Chuck Humphrey 

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Episode #138:  Excuse My Medic with Special Guest Steve Wirth

Episode #138: Excuse My Medic with Special Guest Steve Wirth

November 6, 2020

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EM2A.pngWelcome to the November 2020 edition of Excuse My Medic (EM2).  We've got a program that you will be telling your grandkids and neighbors about for years to come, trust me.  Joining us for this episode is our good friend Steve Wirth from the National EMS Law Firm of Page, Wolfberg & Wirth, LLC. Steve joins us to discuss something near and dear to every EMS professional...documentation.  Steve reviews the Top Ten (a la Late Night with David Letterman) documentation errors that he has seen over his years.  Don't miss Steve's talk along with some backseat banter from the EM2 regulars. You're gonna like this, guaranteed. 

We also have Positive EMS as well as the EMS Word of the Day and Offbeat EMS Stories.  So, tune in for some great information and fun along the way.  We have to keep laughing folks and EM2 is your prescription.  

Your Hosts:  Chuck Humphrey, Ed Marasco and Gary Harvat
Special Guest:  Steve Wirth, Esq.  

Episode #137:  Not a Red Ryder BB Gun but it’s a Holiday Gift come early from the Fed Santa (Kinda)

Episode #137: Not a Red Ryder BB Gun but it’s a Holiday Gift come early from the Fed Santa (Kinda)

October 30, 2020

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It’s not a new bicycle, video game or even a Barbie doll…but to the ambulance industry the announcement of the Ambulance Inflation Factor (AIF) is typically an early Christmas gift for us!  If you’re an ambulance billing geek, it’s time to unwrap this present as we roll out the 2021 Medicare Fee Schedule adjustment to you in this edition of the QMC EMS Board & Collar Podcast!

 

 Presenter:  Chuck Humphrey 

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Episode #136:  Boss, Any Chance I Can Have an Advance, Please?  The Advance Payment Program and More

Episode #136: Boss, Any Chance I Can Have an Advance, Please? The Advance Payment Program and More

October 8, 2020

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There is good news for the EMS industry on the pandemic front.  Repayment of the Accelerated/Advance Medicare payments has been delayed.  Wait, something that actually benefits EMS? Goodness, how did this happen? Who cares, but we will take it.   Download this episode to find out the details!

 

 Presenter:  Chuck Humphrey 

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