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What does compliance mean in the EMS world and who says we need it?  Why is it important?  Was medical necessity met?  What is the exclusions list?  These are important questions as proper documentation plays a big role in EMS. 

This podcast was recorded on November 14.  Our guest was EMS Consultant Dan Williams.

Some important facts:

• In 2012, Medicare “Part B” paid $5.8 billion for ambulance transports, almost double the amount it paid in 2003.

• Medicare paid $24 million in the first half of 2012 for ambulance transports that did not meet certain program requirements to justify payment.

• Medicare paid $30 million for transports for which the beneficiaries did not receive Medicare services at the pick-up or drop-off locations, or anywhere else.

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