{"id":98,"date":"2017-04-11T12:45:40","date_gmt":"2017-04-11T12:45:40","guid":{"rendered":"http:\/\/www.itechws.com\/blog\/?p=98"},"modified":"2024-01-25T14:06:18","modified_gmt":"2024-01-25T14:06:18","slug":"nemsis-made-ems-ambulance-billing-easier","status":"publish","type":"post","link":"https:\/\/www.expedium.net\/blog\/nemsis-made-ems-ambulance-billing-easier\/","title":{"rendered":"NEMSIS made EMS &amp; Ambulance Billing Easier"},"content":{"rendered":"\n<p>The scenario of USA healthcare system is changing with time and it\u2019s mandatory that all entities follow such new norms and regulations. In such complex system, EMS agencies face a tough time in juggling between managing calls, trips, patients and budgets using their tools.<\/p>\n\n\n\n<p>Additionally, the EMS agencies &amp; stakeholders realized that they could not compare or communicate data seamlessly between tools unless there is a standard format. To control all these challenges, the industry has standardized a format call <em>NEMSIS<\/em> which is being supported by various solutions, especially <em>ePCR<\/em> Solution used by healthcare transport <em>Providers<\/em>.<\/p>\n\n\n\n<p><strong>What is NEMSIS?<\/strong><\/p>\n\n\n\n<p><em>NEMSIS<\/em> stands for \u201c<em>National Emergency Medical Services Information System<\/em>\u201d, it\u2019s a standard data format to organize &amp; exchange the data elements collected by the EMS providers. With <em>NEMSIS,<\/em> organizing and sharing patient care data has become easy. It has helped building communication between service providers, state agencies and with any stakeholders.<\/p>\n\n\n\n<p>Currently there are 2 main versions of <em>NEMSIS \u2013 Version 2 and Version 3<\/em>, and many <em>ePCR (Electronic Patient Care Reporting)<\/em> &amp; Other applications still support <em>version 2.x<\/em>. However, from January 1, 2017, many States implemented latest <em>NEMSIS v3.4.0<\/em> and shelf-life for <em>NEMSIS v2.x<\/em> being shortened.<\/p>\n\n\n\n<p><strong>NEMSIS v3.x and its importance<\/strong><\/p>\n\n\n\n<p>Since many agencies still supporting <em>NEMSIS v2.x<\/em>, it\u2019s believed that they shall soon be upgrading to <em>NEMSIS v3.x<\/em> as States PCR Portals are upgrading to this version. There are 574 possible elements included in version 3 with 166 identified as National Elements <em>(reference from NEMSIS website)<\/em>.<\/p>\n\n\n\n<p>This version was important to match EMS data with patient\u2019s electronic health records at the hospital. And the HL7 is an important step to include<em> NEMSIS<\/em> into the electronic patient care record, making a complete record of patient care.<\/p>\n\n\n\n<p><strong>Connection between NEMSIS and EMS billing<\/strong><\/p>\n\n\n\n<p><em>Some part of the NEMSIS <\/em>was developed to meet CMS requirements for the patient condition codes that determine reimbursement to an EMS &amp; Ambulance provider for emergency and non-emergency transports. The standardized data that <em>NEMSIS<\/em> provides can also support for faster and more efficient medical transports billing.<\/p>\n\n\n\n<p>Government and Commercial payers require receiving medical transport (emergency &amp; non-emergency) details\/claims electronically in standard X12N 837P format. <em>NEMSIS<\/em> allows an EMS provider to export such billing\/claim data (run or trips) from their ePCR solution and import it to a billing solution that supports such format. The billing system converts <em>NEMSIS<\/em> data to standard claim\/X12N EDI 837P format that can be submitted to Payers for reimbursement.<\/p>\n\n\n\n<p>With all the changes in the healthcare industry, to support EMS &amp; Medical Transport providers to streamline their billing, iTech\u2019s <a href=\"https:\/\/www.expedium.net\/medical-billing-software\" title=\"\">expEDIum Medical Billing Software<\/a> supports latest NEMSIS V3.4.0 and some earlier versions. The\u00a0 expEDIum Billing Solution also allows integrating with an ePCR solution that supports such NEMSIS format using Web APIs\/SOAP APIs or RESTful APIs.<\/p>\n\n\n\n<div class=\"social-icons\">\n<a target=\"_blank\" href=\"https:\/\/www.linkedin.com\/shareArticle?mini=true&amp;url= https:\/\/www.expedium.net\/blog\/nemsis-made-ems-ambulance-billing-easier\/&amp;title=Create\" rel=\"noopener\"><img decoding=\"async\" alt=\"Share in linkedIn\" src=\"http:\/\/www.expedium.net\/blog\/wp-content\/uploads\/2024\/01\/linkedin-icon.png\"><\/a>\n<a target=\"_blank\" href=\"https:\/\/twitter.com\/intent\/tweet?text=https:\/\/www.expedium.net\/blog\/nemsis-made-ems-ambulance-billing-easier\/\" rel=\"noopener\"><img decoding=\"async\" alt=\"Share in Twitter\" src=\"http:\/\/www.expedium.net\/blog\/wp-content\/uploads\/2024\/01\/twitterx-icon.png\"><\/a>\n<a target=\"_blank\" href=\"https:\/\/www.facebook.com\/sharer\/sharer.php?u=http%3A%2F%2Fwww.expedium.net%2Fblog%2F5-nemsis-made-ems-ambulance-billing-easier%2F&amp;src=sdkpreparse\" class=\"fb-xfbml-parse-ignore\" rel=\"noopener\"><img decoding=\"async\" alt=\"Share in fb\" src=\"http:\/\/www.expedium.net\/blog\/wp-content\/uploads\/2024\/01\/facebook-icon.png\"><\/a>\n<\/div>\n<style>\n    .social-icons {\n        display: flex;\n        justify-content: center;\n    }\n    .social-icons a {\n        margin: 0 10px;\n    }\n<\/style>\n","protected":false},"excerpt":{"rendered":"<p>EMS &amp; Ambulance Agencies are now seamlessly transferring data they collected for medical transportation through a standard format called NEMSIS which is supported by most of the ePCR Solutions. EMS &amp; Ambulance Billing can be streamlined using NEMSIS where some billing software can convert NEMSIS data to a standard claim data needed by payer for reimbursement.<\/p>\n","protected":false},"author":5,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[7],"tags":[],"class_list":["post-98","post","type-post","status-publish","format-standard","hentry","category-ems-billing"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.expedium.net\/blog\/wp-json\/wp\/v2\/posts\/98","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.expedium.net\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.expedium.net\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.expedium.net\/blog\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/www.expedium.net\/blog\/wp-json\/wp\/v2\/comments?post=98"}],"version-history":[{"count":7,"href":"https:\/\/www.expedium.net\/blog\/wp-json\/wp\/v2\/posts\/98\/revisions"}],"predecessor-version":[{"id":1115,"href":"https:\/\/www.expedium.net\/blog\/wp-json\/wp\/v2\/posts\/98\/revisions\/1115"}],"wp:attachment":[{"href":"https:\/\/www.expedium.net\/blog\/wp-json\/wp\/v2\/media?parent=98"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.expedium.net\/blog\/wp-json\/wp\/v2\/categories?post=98"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.expedium.net\/blog\/wp-json\/wp\/v2\/tags?post=98"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}