{"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 & Ambulance Billing Easier"},"content":{"rendered":"\n

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

Additionally, the EMS agencies & 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 NEMSIS<\/em> which is being supported by various solutions, especially ePCR<\/em> Solution used by healthcare transport Providers<\/em>.<\/p>\n\n\n\n

What is NEMSIS?<\/strong><\/p>\n\n\n\n

NEMSIS<\/em> stands for \u201cNational Emergency Medical Services Information System<\/em>\u201d, it\u2019s a standard data format to organize & exchange the data elements collected by the EMS providers. With 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

Currently there are 2 main versions of NEMSIS \u2013 Version 2 and Version 3<\/em>, and many ePCR (Electronic Patient Care Reporting)<\/em> & Other applications still support version 2.x<\/em>. However, from January 1, 2017, many States implemented latest NEMSIS v3.4.0<\/em> and shelf-life for NEMSIS v2.x<\/em> being shortened.<\/p>\n\n\n\n

NEMSIS v3.x and its importance<\/strong><\/p>\n\n\n\n

Since many agencies still supporting NEMSIS v2.x<\/em>, it\u2019s believed that they shall soon be upgrading to 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 (reference from NEMSIS website)<\/em>.<\/p>\n\n\n\n

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 NEMSIS<\/em> into the electronic patient care record, making a complete record of patient care.<\/p>\n\n\n\n

Connection between NEMSIS and EMS billing<\/strong><\/p>\n\n\n\n

Some part of the NEMSIS <\/em>was developed to meet CMS requirements for the patient condition codes that determine reimbursement to an EMS & Ambulance provider for emergency and non-emergency transports. The standardized data that NEMSIS<\/em> provides can also support for faster and more efficient medical transports billing.<\/p>\n\n\n\n

Government and Commercial payers require receiving medical transport (emergency & non-emergency) details\/claims electronically in standard X12N 837P format. 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 NEMSIS<\/em> data to standard claim\/X12N EDI 837P format that can be submitted to Payers for reimbursement.<\/p>\n\n\n\n

With all the changes in the healthcare industry, to support EMS & Medical Transport providers to streamline their billing, iTech\u2019s 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

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