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In a message dated 15-Feb-06 21:38:53 Central Standard Time,

mvems@... writes:

My question is do any of you have suggestions for alternative funding

sources?

The hospital is broke. We cannot afford to continue transporting these

patients. Our County is unsympathetic.

These patients need to be transported but who is going to pay?

Any ideas?

Thank you for listening. M

Has the hospital applied for Disproportionate Share Funding? I'm not sure

how much it will help in your case, but I know of several hospitals in

Louisiana with similar problems where DSF made the difference between open and

closed

doors.

Also, have you looked at forming an Emergency Services District for taxing

purposes? While it doesn't sound like you'll have much success there, from

what Wes, Gene and Doc Bledsoe have told me, that's sometimes the only way to

make sure that the county 'elders' understand the situation.

ck

S. Krin, DO FAAFP

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Offer the hospital a contract at a reduced cost to transport these

patients. You may reduce your bill to just above Medicare allowable rate

legally. The hospital is saving money by transporting these patients

elsewhere. You should not have to absorb the cost.

Henry

Medina Valley Ems Farris wrote:

> Hello Everyone;

> I have a problem that I am sure many of you face or have faced in

> the past.

> I am the Director of a medium sized service located 20 miles west of

> San . In our County we have a small hospital that due to lack

> of advanced staffing and equipment, transfers many patients to

> hospitals in San .

> Many of these patients are unfunded. The hospital is in poor

> financial condition and does not have the money to support these

> transfers.

> My service is in the same situation. Our primary mission is to

> provide 911 service to our service area. We also attempt to handle

> the transfer rs form this hospital but this has caused severe

> financial difficulties. Over half of the patients transferred out are

> unfunded.

> My question is do any of you have suggestions for alternative

> funding sources?

> The hospital is broke. We cannot afford to continue transporting

> these patients. Our County is unsympathetic.

> These patients need to be transported but who is going to pay?

> Any ideas?

> Thank you for listening. M

>

>

> Mike Farris EMT-LP

> Administrator

> Medina Valley/ County EMS

>

>

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Mike

If you will contact me off list I will send you some information about how our

hospital district and ambulance service are working toward providing 911 and

transfer coverage by sharing expenses and guaranteeing coverage.

Kim King RN EMT-B

PI/Risk Management/Safety

Transfer Team Coordinator

Hansford County Hospital District

 

funding

Hello Everyone;

I have a problem that I am sure many of you face or have faced in the past.

I am the Director of a medium sized service located 20 miles west of San

. In our County we have a small hospital that due to lack of advanced

staffing and equipment, transfers many patients to hospitals in San .

Many of these patients are unfunded. The hospital is in poor financial

condition and does not have the money to support these transfers.

My service is in the same situation. Our primary mission is to provide 911

service to our service area. We also attempt to handle the transfer rs form

this hospital but this has caused severe financial difficulties. Over half of

the patients transferred out are unfunded.

My question is do any of you have suggestions for alternative funding sources?

The hospital is broke. We cannot afford to continue transporting these

patients. Our County is unsympathetic.

These patients need to be transported but who is going to pay?

Any ideas?

Thank you for listening. M

Mike Farris EMT-LP

Administrator

Medina Valley/ County EMS

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Share on other sites

Mike,

ESD's, and facility contracts are good suggestions. Indeed, in a better EMS

arena, those would be in place as a matter of course, yet they are not. I

think that somehow, you may need to have a discussion with the hospital, and

determine which of these patients, (probably all) are Medicaid eligible, and

then help the hospital form some type of internal department in the Hospital

PBS, (Patient Business services) that will help those patients apply for

Medicaid benefits, and then receive same. This way, the hospital could

recover some dollars, as well as your service. Further you may want to

encourage the media's help using both Henry's contract method and the ESD

suggestions as the lead in, to gain population support, get some local

press, offer a Saturday help session to explain how to apply for benefits,

then help the currently " well " population apply and obtain benefits prior to

becoming ill and needing care.

Aside from this, you may be experiencing another issue. As of Jan this

year, Consolidated Billing (CB) for hospitals became a mandated law. What

that means to you is that for each Medicare beneficiary, in a hospital

inpatient stay, that requires ambulance transport, the Hospital must bill

Medicare for the transport, and then reimburse you directly. I would bet

that is not happening, especially if the Hospital is already under funded.

Identical to Henrys facility contract, you must bill the Hospital for those

transports, and not Medicare. It is another way, of Medicare trying to

streamline their costs, not build a way out of paying, so don't confuse the

two.

I hope this helps, and everybody in this situation can mix the same recipe

and you should get some traction with your communities.

Good luck,

Steve Mc.

_____

From: Medina Valley Ems Farris

Sent: Wednesday, February 15, 2006 9:14 PM

To: ems listserver

Subject: funding

Hello Everyone;

I have a problem that I am sure many of you face or have faced in the

past.

I am the Director of a medium sized service located 20 miles west of San

. In our County we have a small hospital that due to lack of

advanced staffing and equipment, transfers many patients to hospitals in San

.

Many of these patients are unfunded. The hospital is in poor financial

condition and does not have the money to support these transfers.

My service is in the same situation. Our primary mission is to provide

911 service to our service area. We also attempt to handle the transfer rs

form this hospital but this has caused severe financial difficulties. Over

half of the patients transferred out are unfunded.

My question is do any of you have suggestions for alternative funding

sources?

The hospital is broke. We cannot afford to continue transporting these

patients. Our County is unsympathetic.

These patients need to be transported but who is going to pay?

Any ideas?

Thank you for listening. M

Mike Farris EMT-LP

Administrator

Medina Valley/ County EMS

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Share on other sites

Been there, done that. The adminstrator says there is no money and that we

should take the calls just like a 911 call. We will be meeting with the

Hospital Board of Directors the early part of next month and maybe we can get

somethng worked out. Thanks M

Henry wrote: Offer the hospital a contract at a reduced

cost to transport these

patients. You may reduce your bill to just above Medicare allowable rate

legally. The hospital is saving money by transporting these patients

elsewhere. You should not have to absorb the cost.

Henry

Medina Valley Ems Farris wrote:

> Hello Everyone;

> I have a problem that I am sure many of you face or have faced in

> the past.

> I am the Director of a medium sized service located 20 miles west of

> San . In our County we have a small hospital that due to lack

> of advanced staffing and equipment, transfers many patients to

> hospitals in San .

> Many of these patients are unfunded. The hospital is in poor

> financial condition and does not have the money to support these

> transfers.

> My service is in the same situation. Our primary mission is to

> provide 911 service to our service area. We also attempt to handle

> the transfer rs form this hospital but this has caused severe

> financial difficulties. Over half of the patients transferred out are

> unfunded.

> My question is do any of you have suggestions for alternative

> funding sources?

> The hospital is broke. We cannot afford to continue transporting

> these patients. Our County is unsympathetic.

> These patients need to be transported but who is going to pay?

> Any ideas?

> Thank you for listening. M

>

>

> Mike Farris EMT-LP

> Administrator

> Medina Valley/ County EMS

>

>

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Share on other sites

Been there, done that. The adminstrator says there is no money and that we

should take the calls just like a 911 call. We will be meeting with the

Hospital Board of Directors the early part of next month and maybe we can get

somethng worked out. Thanks M

Henry wrote: Offer the hospital a contract at a reduced

cost to transport these

patients. You may reduce your bill to just above Medicare allowable rate

legally. The hospital is saving money by transporting these patients

elsewhere. You should not have to absorb the cost.

Henry

Medina Valley Ems Farris wrote:

> Hello Everyone;

> I have a problem that I am sure many of you face or have faced in

> the past.

> I am the Director of a medium sized service located 20 miles west of

> San . In our County we have a small hospital that due to lack

> of advanced staffing and equipment, transfers many patients to

> hospitals in San .

> Many of these patients are unfunded. The hospital is in poor

> financial condition and does not have the money to support these

> transfers.

> My service is in the same situation. Our primary mission is to

> provide 911 service to our service area. We also attempt to handle

> the transfer rs form this hospital but this has caused severe

> financial difficulties. Over half of the patients transferred out are

> unfunded.

> My question is do any of you have suggestions for alternative

> funding sources?

> The hospital is broke. We cannot afford to continue transporting

> these patients. Our County is unsympathetic.

> These patients need to be transported but who is going to pay?

> Any ideas?

> Thank you for listening. M

>

>

> Mike Farris EMT-LP

> Administrator

> Medina Valley/ County EMS

>

>

Link to comment
Share on other sites

Been there, done that. The adminstrator says there is no money and that we

should take the calls just like a 911 call. We will be meeting with the

Hospital Board of Directors the early part of next month and maybe we can get

somethng worked out. Thanks M

Henry wrote: Offer the hospital a contract at a reduced

cost to transport these

patients. You may reduce your bill to just above Medicare allowable rate

legally. The hospital is saving money by transporting these patients

elsewhere. You should not have to absorb the cost.

Henry

Medina Valley Ems Farris wrote:

> Hello Everyone;

> I have a problem that I am sure many of you face or have faced in

> the past.

> I am the Director of a medium sized service located 20 miles west of

> San . In our County we have a small hospital that due to lack

> of advanced staffing and equipment, transfers many patients to

> hospitals in San .

> Many of these patients are unfunded. The hospital is in poor

> financial condition and does not have the money to support these

> transfers.

> My service is in the same situation. Our primary mission is to

> provide 911 service to our service area. We also attempt to handle

> the transfer rs form this hospital but this has caused severe

> financial difficulties. Over half of the patients transferred out are

> unfunded.

> My question is do any of you have suggestions for alternative

> funding sources?

> The hospital is broke. We cannot afford to continue transporting

> these patients. Our County is unsympathetic.

> These patients need to be transported but who is going to pay?

> Any ideas?

> Thank you for listening. M

>

>

> Mike Farris EMT-LP

> Administrator

> Medina Valley/ County EMS

>

>

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Share on other sites

Thanks Steve; I did not know that and it certainly puts one more bullet in my

gun for the pending showdown next week. Give me a call sometime. Lunch on me

this time. M

Steve McCormick wrote: Mike,

ESD's, and facility contracts are good suggestions. Indeed, in a better EMS

arena, those would be in place as a matter of course, yet they are not. I

think that somehow, you may need to have a discussion with the hospital, and

determine which of these patients, (probably all) are Medicaid eligible, and

then help the hospital form some type of internal department in the Hospital

PBS, (Patient Business services) that will help those patients apply for

Medicaid benefits, and then receive same. This way, the hospital could

recover some dollars, as well as your service. Further you may want to

encourage the media's help using both Henry's contract method and the ESD

suggestions as the lead in, to gain population support, get some local

press, offer a Saturday help session to explain how to apply for benefits,

then help the currently " well " population apply and obtain benefits prior to

becoming ill and needing care.

Aside from this, you may be experiencing another issue. As of Jan this

year, Consolidated Billing (CB) for hospitals became a mandated law. What

that means to you is that for each Medicare beneficiary, in a hospital

inpatient stay, that requires ambulance transport, the Hospital must bill

Medicare for the transport, and then reimburse you directly. I would bet

that is not happening, especially if the Hospital is already under funded.

Identical to Henrys facility contract, you must bill the Hospital for those

transports, and not Medicare. It is another way, of Medicare trying to

streamline their costs, not build a way out of paying, so don't confuse the

two.

I hope this helps, and everybody in this situation can mix the same recipe

and you should get some traction with your communities.

Good luck,

Steve Mc.

_____

From: Medina Valley Ems Farris

Sent: Wednesday, February 15, 2006 9:14 PM

To: ems listserver

Subject: funding

Hello Everyone;

I have a problem that I am sure many of you face or have faced in the

past.

I am the Director of a medium sized service located 20 miles west of San

. In our County we have a small hospital that due to lack of

advanced staffing and equipment, transfers many patients to hospitals in San

.

Many of these patients are unfunded. The hospital is in poor financial

condition and does not have the money to support these transfers.

My service is in the same situation. Our primary mission is to provide

911 service to our service area. We also attempt to handle the transfer rs

form this hospital but this has caused severe financial difficulties. Over

half of the patients transferred out are unfunded.

My question is do any of you have suggestions for alternative funding

sources?

The hospital is broke. We cannot afford to continue transporting these

patients. Our County is unsympathetic.

These patients need to be transported but who is going to pay?

Any ideas?

Thank you for listening. M

Mike Farris EMT-LP

Administrator

Medina Valley/ County EMS

Link to comment
Share on other sites

Thanks Steve; I did not know that and it certainly puts one more bullet in my

gun for the pending showdown next week. Give me a call sometime. Lunch on me

this time. M

Steve McCormick wrote: Mike,

ESD's, and facility contracts are good suggestions. Indeed, in a better EMS

arena, those would be in place as a matter of course, yet they are not. I

think that somehow, you may need to have a discussion with the hospital, and

determine which of these patients, (probably all) are Medicaid eligible, and

then help the hospital form some type of internal department in the Hospital

PBS, (Patient Business services) that will help those patients apply for

Medicaid benefits, and then receive same. This way, the hospital could

recover some dollars, as well as your service. Further you may want to

encourage the media's help using both Henry's contract method and the ESD

suggestions as the lead in, to gain population support, get some local

press, offer a Saturday help session to explain how to apply for benefits,

then help the currently " well " population apply and obtain benefits prior to

becoming ill and needing care.

Aside from this, you may be experiencing another issue. As of Jan this

year, Consolidated Billing (CB) for hospitals became a mandated law. What

that means to you is that for each Medicare beneficiary, in a hospital

inpatient stay, that requires ambulance transport, the Hospital must bill

Medicare for the transport, and then reimburse you directly. I would bet

that is not happening, especially if the Hospital is already under funded.

Identical to Henrys facility contract, you must bill the Hospital for those

transports, and not Medicare. It is another way, of Medicare trying to

streamline their costs, not build a way out of paying, so don't confuse the

two.

I hope this helps, and everybody in this situation can mix the same recipe

and you should get some traction with your communities.

Good luck,

Steve Mc.

_____

From: Medina Valley Ems Farris

Sent: Wednesday, February 15, 2006 9:14 PM

To: ems listserver

Subject: funding

Hello Everyone;

I have a problem that I am sure many of you face or have faced in the

past.

I am the Director of a medium sized service located 20 miles west of San

. In our County we have a small hospital that due to lack of

advanced staffing and equipment, transfers many patients to hospitals in San

.

Many of these patients are unfunded. The hospital is in poor financial

condition and does not have the money to support these transfers.

My service is in the same situation. Our primary mission is to provide

911 service to our service area. We also attempt to handle the transfer rs

form this hospital but this has caused severe financial difficulties. Over

half of the patients transferred out are unfunded.

My question is do any of you have suggestions for alternative funding

sources?

The hospital is broke. We cannot afford to continue transporting these

patients. Our County is unsympathetic.

These patients need to be transported but who is going to pay?

Any ideas?

Thank you for listening. M

Mike Farris EMT-LP

Administrator

Medina Valley/ County EMS

Link to comment
Share on other sites

Thanks Steve; I did not know that and it certainly puts one more bullet in my

gun for the pending showdown next week. Give me a call sometime. Lunch on me

this time. M

Steve McCormick wrote: Mike,

ESD's, and facility contracts are good suggestions. Indeed, in a better EMS

arena, those would be in place as a matter of course, yet they are not. I

think that somehow, you may need to have a discussion with the hospital, and

determine which of these patients, (probably all) are Medicaid eligible, and

then help the hospital form some type of internal department in the Hospital

PBS, (Patient Business services) that will help those patients apply for

Medicaid benefits, and then receive same. This way, the hospital could

recover some dollars, as well as your service. Further you may want to

encourage the media's help using both Henry's contract method and the ESD

suggestions as the lead in, to gain population support, get some local

press, offer a Saturday help session to explain how to apply for benefits,

then help the currently " well " population apply and obtain benefits prior to

becoming ill and needing care.

Aside from this, you may be experiencing another issue. As of Jan this

year, Consolidated Billing (CB) for hospitals became a mandated law. What

that means to you is that for each Medicare beneficiary, in a hospital

inpatient stay, that requires ambulance transport, the Hospital must bill

Medicare for the transport, and then reimburse you directly. I would bet

that is not happening, especially if the Hospital is already under funded.

Identical to Henrys facility contract, you must bill the Hospital for those

transports, and not Medicare. It is another way, of Medicare trying to

streamline their costs, not build a way out of paying, so don't confuse the

two.

I hope this helps, and everybody in this situation can mix the same recipe

and you should get some traction with your communities.

Good luck,

Steve Mc.

_____

From: Medina Valley Ems Farris

Sent: Wednesday, February 15, 2006 9:14 PM

To: ems listserver

Subject: funding

Hello Everyone;

I have a problem that I am sure many of you face or have faced in the

past.

I am the Director of a medium sized service located 20 miles west of San

. In our County we have a small hospital that due to lack of

advanced staffing and equipment, transfers many patients to hospitals in San

.

Many of these patients are unfunded. The hospital is in poor financial

condition and does not have the money to support these transfers.

My service is in the same situation. Our primary mission is to provide

911 service to our service area. We also attempt to handle the transfer rs

form this hospital but this has caused severe financial difficulties. Over

half of the patients transferred out are unfunded.

My question is do any of you have suggestions for alternative funding

sources?

The hospital is broke. We cannot afford to continue transporting these

patients. Our County is unsympathetic.

These patients need to be transported but who is going to pay?

Any ideas?

Thank you for listening. M

Mike Farris EMT-LP

Administrator

Medina Valley/ County EMS

Link to comment
Share on other sites

Mike, You are welcome, and I'll give you a shout!!

Steve Mc.

_____

From: Medina Valley Ems Farris

Sent: Friday, February 17, 2006 7:20 AM

To:

Subject: RE: funding

Thanks Steve; I did not know that and it certainly puts one more bullet in

my gun for the pending showdown next week. Give me a call sometime. Lunch

on me this time. M

Steve McCormick wrote: Mike,

ESD's, and facility contracts are good suggestions. Indeed, in a better EMS

arena, those would be in place as a matter of course, yet they are not. I

think that somehow, you may need to have a discussion with the hospital, and

determine which of these patients, (probably all) are Medicaid eligible, and

then help the hospital form some type of internal department in the Hospital

PBS, (Patient Business services) that will help those patients apply for

Medicaid benefits, and then receive same. This way, the hospital could

recover some dollars, as well as your service. Further you may want to

encourage the media's help using both Henry's contract method and the ESD

suggestions as the lead in, to gain population support, get some local

press, offer a Saturday help session to explain how to apply for benefits,

then help the currently " well " population apply and obtain benefits prior to

becoming ill and needing care.

Aside from this, you may be experiencing another issue. As of Jan this

year, Consolidated Billing (CB) for hospitals became a mandated law. What

that means to you is that for each Medicare beneficiary, in a hospital

inpatient stay, that requires ambulance transport, the Hospital must bill

Medicare for the transport, and then reimburse you directly. I would bet

that is not happening, especially if the Hospital is already under funded.

Identical to Henrys facility contract, you must bill the Hospital for those

transports, and not Medicare. It is another way, of Medicare trying to

streamline their costs, not build a way out of paying, so don't confuse the

two.

I hope this helps, and everybody in this situation can mix the same recipe

and you should get some traction with your communities.

Good luck,

Steve Mc.

_____

From: Medina Valley Ems Farris

Sent: Wednesday, February 15, 2006 9:14 PM

To: ems listserver

Subject: funding

Hello Everyone;

I have a problem that I am sure many of you face or have faced in the

past.

I am the Director of a medium sized service located 20 miles west of San

. In our County we have a small hospital that due to lack of

advanced staffing and equipment, transfers many patients to hospitals in San

.

Many of these patients are unfunded. The hospital is in poor financial

condition and does not have the money to support these transfers.

My service is in the same situation. Our primary mission is to provide

911 service to our service area. We also attempt to handle the transfer rs

form this hospital but this has caused severe financial difficulties. Over

half of the patients transferred out are unfunded.

My question is do any of you have suggestions for alternative funding

sources?

The hospital is broke. We cannot afford to continue transporting these

patients. Our County is unsympathetic.

These patients need to be transported but who is going to pay?

Any ideas?

Thank you for listening. M

Mike Farris EMT-LP

Administrator

Medina Valley/ County EMS

Link to comment
Share on other sites

Mike, You are welcome, and I'll give you a shout!!

Steve Mc.

_____

From: Medina Valley Ems Farris

Sent: Friday, February 17, 2006 7:20 AM

To:

Subject: RE: funding

Thanks Steve; I did not know that and it certainly puts one more bullet in

my gun for the pending showdown next week. Give me a call sometime. Lunch

on me this time. M

Steve McCormick wrote: Mike,

ESD's, and facility contracts are good suggestions. Indeed, in a better EMS

arena, those would be in place as a matter of course, yet they are not. I

think that somehow, you may need to have a discussion with the hospital, and

determine which of these patients, (probably all) are Medicaid eligible, and

then help the hospital form some type of internal department in the Hospital

PBS, (Patient Business services) that will help those patients apply for

Medicaid benefits, and then receive same. This way, the hospital could

recover some dollars, as well as your service. Further you may want to

encourage the media's help using both Henry's contract method and the ESD

suggestions as the lead in, to gain population support, get some local

press, offer a Saturday help session to explain how to apply for benefits,

then help the currently " well " population apply and obtain benefits prior to

becoming ill and needing care.

Aside from this, you may be experiencing another issue. As of Jan this

year, Consolidated Billing (CB) for hospitals became a mandated law. What

that means to you is that for each Medicare beneficiary, in a hospital

inpatient stay, that requires ambulance transport, the Hospital must bill

Medicare for the transport, and then reimburse you directly. I would bet

that is not happening, especially if the Hospital is already under funded.

Identical to Henrys facility contract, you must bill the Hospital for those

transports, and not Medicare. It is another way, of Medicare trying to

streamline their costs, not build a way out of paying, so don't confuse the

two.

I hope this helps, and everybody in this situation can mix the same recipe

and you should get some traction with your communities.

Good luck,

Steve Mc.

_____

From: Medina Valley Ems Farris

Sent: Wednesday, February 15, 2006 9:14 PM

To: ems listserver

Subject: funding

Hello Everyone;

I have a problem that I am sure many of you face or have faced in the

past.

I am the Director of a medium sized service located 20 miles west of San

. In our County we have a small hospital that due to lack of

advanced staffing and equipment, transfers many patients to hospitals in San

.

Many of these patients are unfunded. The hospital is in poor financial

condition and does not have the money to support these transfers.

My service is in the same situation. Our primary mission is to provide

911 service to our service area. We also attempt to handle the transfer rs

form this hospital but this has caused severe financial difficulties. Over

half of the patients transferred out are unfunded.

My question is do any of you have suggestions for alternative funding

sources?

The hospital is broke. We cannot afford to continue transporting these

patients. Our County is unsympathetic.

These patients need to be transported but who is going to pay?

Any ideas?

Thank you for listening. M

Mike Farris EMT-LP

Administrator

Medina Valley/ County EMS

Link to comment
Share on other sites

Mike, You are welcome, and I'll give you a shout!!

Steve Mc.

_____

From: Medina Valley Ems Farris

Sent: Friday, February 17, 2006 7:20 AM

To:

Subject: RE: funding

Thanks Steve; I did not know that and it certainly puts one more bullet in

my gun for the pending showdown next week. Give me a call sometime. Lunch

on me this time. M

Steve McCormick wrote: Mike,

ESD's, and facility contracts are good suggestions. Indeed, in a better EMS

arena, those would be in place as a matter of course, yet they are not. I

think that somehow, you may need to have a discussion with the hospital, and

determine which of these patients, (probably all) are Medicaid eligible, and

then help the hospital form some type of internal department in the Hospital

PBS, (Patient Business services) that will help those patients apply for

Medicaid benefits, and then receive same. This way, the hospital could

recover some dollars, as well as your service. Further you may want to

encourage the media's help using both Henry's contract method and the ESD

suggestions as the lead in, to gain population support, get some local

press, offer a Saturday help session to explain how to apply for benefits,

then help the currently " well " population apply and obtain benefits prior to

becoming ill and needing care.

Aside from this, you may be experiencing another issue. As of Jan this

year, Consolidated Billing (CB) for hospitals became a mandated law. What

that means to you is that for each Medicare beneficiary, in a hospital

inpatient stay, that requires ambulance transport, the Hospital must bill

Medicare for the transport, and then reimburse you directly. I would bet

that is not happening, especially if the Hospital is already under funded.

Identical to Henrys facility contract, you must bill the Hospital for those

transports, and not Medicare. It is another way, of Medicare trying to

streamline their costs, not build a way out of paying, so don't confuse the

two.

I hope this helps, and everybody in this situation can mix the same recipe

and you should get some traction with your communities.

Good luck,

Steve Mc.

_____

From: Medina Valley Ems Farris

Sent: Wednesday, February 15, 2006 9:14 PM

To: ems listserver

Subject: funding

Hello Everyone;

I have a problem that I am sure many of you face or have faced in the

past.

I am the Director of a medium sized service located 20 miles west of San

. In our County we have a small hospital that due to lack of

advanced staffing and equipment, transfers many patients to hospitals in San

.

Many of these patients are unfunded. The hospital is in poor financial

condition and does not have the money to support these transfers.

My service is in the same situation. Our primary mission is to provide

911 service to our service area. We also attempt to handle the transfer rs

form this hospital but this has caused severe financial difficulties. Over

half of the patients transferred out are unfunded.

My question is do any of you have suggestions for alternative funding

sources?

The hospital is broke. We cannot afford to continue transporting these

patients. Our County is unsympathetic.

These patients need to be transported but who is going to pay?

Any ideas?

Thank you for listening. M

Mike Farris EMT-LP

Administrator

Medina Valley/ County EMS

Link to comment
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