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I would like to bring the new ambulance service payment schedule up again for the group.
I was surprised by the lack of comments and discussion about this subject. I thought it would
provoke a lot of conversation, especially from flight program administrators, managers, directors,
CEO, CFO, etc. My specific question is the same one asked April 5 by KStanhope@bhcpns, on
how other flight programs are going to address the "CMS agrees that in the case where a patient
expires prior to the arrival of the dispatched air ambulance, they will pay the base air rate. What are
the thoughts of everyone ??? This topic has created very hot discussion among the flight crew and
during our last flight meeting. I realize during this difficult economy and continued decrease
in medical reimbursement, it would be very hard to turn down any money. I also realize that some
programs finances are very tight, and the margin of profit and loss are very little. Meaning, that
accepting all funds available could mean the difference of a programs survival. In our program,
( approx 1300 flt/yr) we average approximately 20 percent scene flights. We estimate of those
scene flights, approximately 30 times a year we are disregarded while enroute the scene due to
the patient expiring prior to our arrival. We also estimate approximately 30 patients expire prior to our
arrival to hospitals or medical centers. Again, I realize that this potentially is a significant amount of
compensation. Fortunately, our program ( hospital based ) has deep pockets, and never really
questioned our finances, as long as we remain profitable to the hospital. Some question the
ethics, of billing a patient that we have no involvement in, and what public ( and professional )
opinion will be. Especially family members. And yes, they ( family ) will receive a statement.
Although, they will not have any out of pocket cost. This could be a public nightmare. Some
would also question whether we have the right to ask for patients ( that we had no contact with )
information due to confidentiality laws and rules. O.K., I'll shut up now !!! I think my opinion is
pretty obvious. But, I also realize other programs are in different situations. Currently my program
isn't going to bill expired patient, due to public relations fears, and I prey, it stays that way !!
What's the opinion of others ??? Our flight crew is very curious.
Thanks
David Stogsdill CCEMTP
Flight Paramedic