Academy of International Mobile Healthcare Integration

The Academy of International Mobile Healthcare Integration Reimbursement Committee, led by Committee Chair, Bill Mergendahl of?ProEMS,?is hosting a series of ‘Best Practice’ presentations from subject matter experts for all AIMHI members, which we are making available here for the benefit of industry leaders. The first "Best Practices" session was held on March 12, 2025 on the topic of?Best Practices for Claim Scrubbing, Third Party Liability, and Deductible Management. Our Subject Matter Expert was?Brian Choate, Managing Partner of?Solutions Group Services. Brian shared excellent insights, and Committee Chair Mergendahl provided data on the results of these best practices. Click here?to view the 55 minute presentation video: https://lnkd.in/gHPRj63M PWW Advisory Group

?????????? ?????????? ???????????? ???? ?????????????? ?????? ?????????????????? ???????????????? ?????????????????????????? ???? ??.??. ?????????? ???????????? ?????? ???????????????? ?????????????????? https://lnkd.in/g5ZwvkGF PWW Advisory Group

There has been much discussion about the future of Ground Emergency Medical Transport (GEMT) programs since the Centers for Medicare and Medicaid (CMS), Office of the Inspector General (OIG) announced audits of GEMT program in 2023, following a memo from CMS to state Medicaid Directors in 2022 (?????????? ?????? ???????? ?????????? ???? ?????? ?????? ????????). The most recent GEMT reimbursement allocations in Texas may provide insight into the future direction of GEMT programs across states that currently have these programs, and those who have pending applications for Medicaid State Plan Amendments with CMS. PWW Advisory Group has done a deep dive into the changes in the Texas GEMT program, including what the changes were, and how the Federal Settlement Amounts and distribution of GEMT funds based on revised cost and revenue reporting methodology, and the impact on GEMT reimbursements to participating agencies. ?????????? ???????? ?????? ?????????? ???? ???? ?????????????? ???? ?????????????? ???????????? ???? ?????? ???????? ????????????????? Read the full analysis here: https://lnkd.in/gRW8AgCG CMS Memo on GEMT cost allocations: https://lnkd.in/gQAaTHjB Informational summary data tables:

Interesting approach – - Right Patient - Right Care - Right Time Hospital’s Advanced Care Practitioner re-assessing non-urgent patients at an ambulance ‘Pit Stop’ outside the ED to see if the patient really needs the ED or can be best seen in another part of the hospital. Their finding is that 20 – 40% of the patients being brough to the hospital by ambulance were non-urgent, and they were able to redirect 35% of the ambulance patients away from the ED to another specialized part of the hospital. Perhaps another option for hospitals with long ambulance ED delays? https://lnkd.in/gcFHwmEg Tip of the hat to Rob Lawrence for sharing this Reel! PWW Advisory Group

Absolutely inspirational day with the Academy of International Mobile Healthcare Integration Board at AIMHI member agency, Mecklenburg EMS Agency (Medic). Chock full of ideas and action plans to help drive EMS transformation! Be on the lookout for upcoming excellent educational webinars on performance metrics and benchmarking, transformative GEMT models, international models of EMS delivery, cybersecurity and best practices in revenue cycle management! PWW Advisory Group

Excited to be heading to Mecklenburg EMS Agency (Medic) for the Academy of International Mobile Healthcare Integration Board meeting! Will be packed with insights about the outstanding EMS delivery innovations from AIMHI members, the most clinically advanced, operationally effectiveve and fiscally efficient EMS systems in North America! We’ll also be planning the next series of EMS system performance analysis and education initiatives for public policy officials and EMS leaders bringing them up to speed on the current evidence-based research on effective EMS system design! PWW Advisory Group

In today's environment, it's more important than ever for EMS agencies to train the public to me more than bystanders, but to be citizen responders! Kerri Hatt from EMS1 shares the simplicity of success doing community training on medical interventions such as hands only CPR, Stop the Bleed and Narcan administration. When we did these programs at MedStar Mobile Healthcare, we often had hundreds of community members attend, including the Mayor of the 11th largest city in the country, Betsy Price! Thank you, Kerri, for this sharing this vital information!! https://lnkd.in/grQawHKP

Another excellent example of how ???????????? ???????????????????? ????????????????????/?????????????????? ?????????????????? (??????/????) programs can partner with hospitals for a H@H program. H@H programs can be an effective alternative to typical inpatient admissions, not only in rural areas, but also for other hospitals struggling with ED boarding due to limited inpatient resources at ‘brick and mortar’ facilities. Excessive ED boarding leads to delays in assessing ED patients which could negatively impact 2 key CMS hospital “Timely and Effective Care” quality metrics: - ‘Percentage of patients who left the emergency department before being seen’ - ‘Average (median) time patients spent in the emergency department before leaving from the visit’ Source: https://lnkd.in/gRpDwGdZ ED delays also impact hospital patient experience scores and may be a contributing factor to lengthy Ambulance Patient Offloading Times (APOT). CMS specifically allows MIH paramedics to be part of the H@H team through an ongoing H@H waiver for this care model. There are several requirements that a hospital must meet in order to participate in the program. These include: - Having appropriate screening protocols in place before care at home begins to assess both medical and non-medical factors - Having a physician or advanced practice provider evaluate each patient daily either in-person or remotely - Having a registered nurse evaluate each patient once daily either in-person or remotely - Having two in-person visits daily by either registered nurses or ???????????? ???????????????????? ???????????? ???????????????????? based on the patient’s nursing plan and hospital policies Source: https://lnkd.in/dSQ4WBp -------------------- ?????????????? ?????????? (????) ???????????? ???????????????? ???? ???????? Feb. 24, 2025 https://lnkd.in/ggAGaXqF FARGO, N.D. – Sanford Health Fargo is the first hospital in North Dakota to participate in the Hospital at Home program. Hospital at Home gives patients the ability to transfer from the hospital to their home while continuing to receive care. Patients who are admitted to the emergency room or an inpatient unit and qualify for Hospital at Home can receive IVs, antibiotics, medications, treatments and ongoing care and observation from home until they are eligible for discharge. The program includes two in-person caregiver visits a day from a nurse or ?????????????????? ??????????????????, as well as daily virtual visits with a provider using a TytoCare device. Transportation is provided if patients need diagnostic tests at the hospital.

A great example of EMS agencies filling local healthcare gaps through innovative Mobile Integrated Healthcare (MIH) programming. The key is to sustainability is to identify the gap, create a program that will likely fill that gap, find payers willing to fund the initiative, then track and report data that proves the value of the program to the payer. --------------------- ?????????????? ???????????? ???????????????? ?????????? ?????????????? ???? ???????????? ‘??????????-????????????????’ ???????????????? ???????? ?????? February 20, 2025 by Alena Maschke ? https://lnkd.in/gR9RBgTt ?????? ???????????? ???????? ?????? ????????????: "Approximately 20% of the state’s Medicaid patients visit local emergency rooms on average 17 times per year, making them “super-utilizers” in the Louisiana Department of Health’s lingo, often for non-life-threatening situations or due to social factors, such as a lack of transportation, according to recent data gathered by LDH’s Bureau of Health Services Financing." "The pilot will focus on a cohort of 7,000 Medicaid beneficiaries in Southwest Louisiana, a majority of whom will be referred to Acadian by their managed care organization — the insurance company that administers their Medicaid benefits." "Almost all of Louisiana is considered a Health Professional Shortage Area, a designation that includes a lack of primary care doctors. The Cicero Institute, a conservative Austin think tank, projects that by 2030, the state will be short almost 5,000 doctors, nearly 400 of them primary care physicians, to meet the medical needs of its residents." "For those who have a primary care physician, the program offers an acute care alternative that can provide urgent care services to patients at home within an hour, after being referred by their doctor or an Acadian physician outside of regular business hours." "According to Barnhill, one of the most common non-emergent conditions patients visit the emergency room for is pain, such as back pain or pain caused by a variety of chronic conditions. Patients in pain will likely be a large portion of those served by the Acadian pilot, Burnell anticipates."

Special thanks to EMS1 for publishing this important article: ?????????????????????? ?????? ?????? ?????????????? ???????????????? ?????? ?????????????? ?????? ?????? ???????????????? - ?????????????????? ???????? ?????? ?????????? ?????? ???????? ???????????????????? ???????????? ???? ?????????????????? ???????????????? ???? ?????????????? ?????????????? ???????????? ?????? ???????????? ?????????? ???? ?????????????? ????????????????. PWW Advisory Group Page, Wolfberg & Wirth, LLC Douglas Wolfberg https://lnkd.in/gMrKwVhx