clbcpc

Hi TBS I too am a coder, biller; my certification is in physicians/clinics - however, I taught all facets of medical records management and billing/coding at the community college level. I am helping local EMS with their billing in an extremely remote, rural area in Texas. Our only hospital is more than 80 miles away. When it was time to for my renewal CEUs, I compiled a training manual for our team here. I found precious few resources and ended up investing about 30 hours in searching. I did find a wonderful chart called the "Medical Conditions List", created by CMS. The chart includes - ICD9 Primary Code ICD9 Alternative Specific Code Condition (General) Condition (Specific) Service Levels (ALS/BLS) Comments and Examples (not all-inclusive) and a HCPCS Crosswalk. We are non-par with Medicare, but I have always found the "Feds" do give good basic guidelines and tools for the rest of the world. I tried to cut and paste a sample page, but table didn't come through. you should be able to locate it using this information: January 4, 2006 FROM: Medicare Communications SUBJECT: Ambulance Fee Schedule - Medical Conditions List: Manualization Change Request (CR) #: 4221 Related CR Release Date: December 23, 2005 Effective Date: March 27, 2006 Implementation Date: March 27, 2006 Background This document furnishes you with the Ambulance Medical Conditions List and its instructions. Changes in Manual Instructions Chapter 15 - Ambulance 30.3 – Ambulance Fee Schedule – Medical Conditions List and Instructions (Rev. 789, Issued: 12-23-05, Effective: 03-27-06, Implementation: 03-27-06) What I really need now, is someone to advise me in the setup of a realistic fee schedule. Anybody out there? clbcpc