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Executive Advisor and Counsel to EMS Compliance, Kevin Fairlie JD, MHA has the privilege of discussing EMS Compliance with the Kansas EMS Association on Thursday, February 9th before teaching the legal section of the always enjoyable Ambulance Service Manager (ASM) course from Fitch & Associates on Friday, February 10th!
KEMSA-EMSC Olathe Seminar…

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So proud to be in partnership with the Kansas EMS Association! If you are an EMS provider in Kansas and would like to learn more about our services, please go to https://emscompliance.com/ref/KEMSA/ or contact Steve Lemmon slemmon@emscompliance.com…

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EMS Compliance executive advisor and attorney, Kevin Fairlie, is excited to be invited to Dallas next week to speak to Fire Departments about ongoing federal investigations and the importance of compliance programs and outside audits….

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MEMSA has signed an affiliate partnership agreement with EMS Compliance to offer EMS Compliance solutions to agencies in Missouri at an affordable rate while supporting the EMS Association.

Learn more at MEMSA…

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EMS Compliance’ executive advisor and attorney, Kevin Fairlie, was recently interviewed and featured in the latest edition of EMS World magazine.
In the article, titled “COVID Vaccine Mandates for EMS: A Legal Roundtable” Kevin, along with two other industry experts, address key questions surrounding the issue. Check it out here….

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EMS Compliance Co-Founder, Kevin Fairlie, was honored to teach the “Labor and Employment Law, Human Resource Management, Legal Issues and Trends” course last month at the ASM & CCM in Jacksonville, Florida!
Led by industry experts, Fitch & Associates, the Ambulance Service Manager (ASM) program is for aspiring, new and experienced managers who wish to develop their leadership competencies and sharpen essential management skills, the Ambulance Service Manager program provides a broad foundational curriculum that matches cutting edge management theory with real-life practical applications….

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As you are likely aware by now, Medicare has issued a waiver providing for reimbursement of ground ambulance services without transport under specific situations. The waiver applies to emergency ground ambulance services in response to a 911 or equivalent call in which a transport that would have been medically necessary, but did not occur due to a community-wide EMS protocol resulting from the COVID-19 pandemic. You should talk with your billing department or billing provider about the billing and reimbursement processes involved….

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The DOJ has released its stats related to False Claims Act (FCA) cases from 2020. While healthcare compliance programs became mandatory after Obamacare for anyone billing Medicare and Medicaid, one of the primary purposes of your compliance program is avoiding prosecution under the FCA, and the massive penalties and/or prison sentences that come along with it.
Significantly, 2020 saw the largest number of new FCA cases initiated in a single year. Strikingly, the number of government-initiated cases against health care entities more than doubled from 2019 to 2020 and was at the highest level ever reported….

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What you need to know
For the past two years, the Department of Justice, through its local U.S. Attorney offices, along with the Department of Health and Human Services’ Office of Inspector General (OIG), has been actively investigating fire-based services for improperly billing Medicare for ALS ambulance transports when a BLS level service should have been billed.  These investigations are ongoing across the country and involve all sizes and types of fire-based services. …

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Every ambulance provider should review and update their billing and claims policies and procedures
In September of 2015, the Office of the Inspector General at the U.S. Department of Health and Human Services released a report titled “Inappropriate Payments and Questionable Billing for Medicare Part B Ambulance Transports.” The report was a result of a study conducted by the OIG in which it analyzed Medicare Part B claims for ambulance transports from Jan….

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