Guest guest Posted August 1, 2005 Report Share Posted August 1, 2005 We have been over this subject so many times. We can spend eternity telling what we charge and do not charge. Everyone is different, but I must admit I have never charged anyone $750.00 for a refusal. Andy In a message dated 8/1/2005 3:39:34 P.M. Central Standard Time, bearamedic99@... writes: Hmmm....checking pulse and watching the resps constitutes treatment? Luckily, no harm appears to be done to the patient otherwise I could see a negligence case/failure to treat appropriately. How many people out there bill for refusals? I understand it's one thing if the patient calls an ambulance because they want to be checked out but what if EMS is sent to every MVC and the patient never wanted you there? Andy Wheeler Paramedic --- txguy001@... wrote: > EMS Charges Accident Victim Who Refused Car - > Click2Houston > > http://www.click2houston.com/video/4775264/detail.html > > > [Non-text portions of this message have been > removed] > > __________________________________________________ Do You Yahoo!? Tired of spam? Yahoo! Mail has the best spam protection around http://mail.yahoo.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 1, 2005 Report Share Posted August 1, 2005 We bill $38.00 refusal charge and it can only be to an individuals residence where either the patient or a patients family would have called. Not to say that a mistake has never been made. However, it sounds to me like someone is trying to make their dollars the hard way. Additionally, it appears that the lady in the video had advance notice of the questions and concerns. A better showing and more precise answers would have been better. Was this lady the director or someone who took the heat. I would hope there is more to this than meets the eye. If not, any refusal for a 1050 call on a public street is un-called for. Henry Andy Wheeler wrote: > Hmmm....checking pulse and watching the resps > constitutes treatment? > > Luckily, no harm appears to be done to the patient > otherwise I could see a negligence case/failure to > treat appropriately. > > How many people out there bill for refusals? I > understand it's one thing if the patient calls an > ambulance because they want to be checked out but what > if EMS is sent to every MVC and the patient never > wanted you there? > > Andy Wheeler > Paramedic > > --- txguy001@... wrote: > > > EMS Charges Accident Victim Who Refused Car - > > Click2Houston > > > > > http://www.click2houston.com/video/4775264/detail.html > > > > > > [Non-text portions of this message have been > > removed] > > > > > > __________________________________________________ > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 1, 2005 Report Share Posted August 1, 2005 I know of a few services who charge for " Treatment, No Transport " but some form of " treatment " typically must be supplied. For instance, an altered mental status patient who is hypoglycemic and given oral or IV sugar and then wakes up and becomes oriented and refuses. Or folks for instance who complain of respiratory distress and following the MDI treatment, refuse transport. Stuff like that is ethical and is also billable to many insurance companies. As for billing for responding, I think there are fire departments who already do this as well as possibly some EMS agencies because the thought process is that if you have to turn your wheels, you must expend money for fuel, wear and tear on the truck, use of assessment equipment, whatever. Is that wrong? Not sure but I doubt if $750 is what most would consider reasonable for that type of response. Jane -------------- Original message from Andy Wheeler : -------------- Hmmm....checking pulse and watching the resps constitutes treatment? Luckily, no harm appears to be done to the patient otherwise I could see a negligence case/failure to treat appropriately. How many people out there bill for refusals? I understand it's one thing if the patient calls an ambulance because they want to be checked out but what if EMS is sent to every MVC and the patient never wanted you there? Andy Wheeler Paramedic --- txguy001@... wrote: > EMS Charges Accident Victim Who Refused Car - > Click2Houston > > http://www.click2houston.com/video/4775264/detail.html > > > [Non-text portions of this message have been > removed] > > __________________________________________________ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 1, 2005 Report Share Posted August 1, 2005 I do not know of any EMS or FD that charges if they do not do anything such as significant patient care or rescue/extrication. Stuff that costs more than just fuel and people (they get paid no matter). Usually the treat and no transport charges are used for those patients that utilize a significant amount of time and resources (such as the hypoglycemic patient that is non-compliant and has a problem every couple of days that requires O2, IV and D50 administration or those patients who are cared for by EMS but transported by air or the field termination of resuscitation efforts). As far as MVC's go, chances are that no one involved called for EMS in the first place, it is usually a bystander with a cell phone. So, if they didn't call, they were not hurt then they are not patients and should not be charged. My 2 cents Lee Re: (no subject) I know of a few services who charge for " Treatment, No Transport " but some form of " treatment " typically must be supplied. For instance, an altered mental status patient who is hypoglycemic and given oral or IV sugar and then wakes up and becomes oriented and refuses. Or folks for instance who complain of respiratory distress and following the MDI treatment, refuse transport. Stuff like that is ethical and is also billable to many insurance companies. As for billing for responding, I think there are fire departments who already do this as well as possibly some EMS agencies because the thought process is that if you have to turn your wheels, you must expend money for fuel, wear and tear on the truck, use of assessment equipment, whatever. Is that wrong? Not sure but I doubt if $750 is what most would consider reasonable for that type of response. Jane -------------- Original message from Andy Wheeler : -------------- Hmmm....checking pulse and watching the resps constitutes treatment? Luckily, no harm appears to be done to the patient otherwise I could see a negligence case/failure to treat appropriately. How many people out there bill for refusals? I understand it's one thing if the patient calls an ambulance because they want to be checked out but what if EMS is sent to every MVC and the patient never wanted you there? Andy Wheeler Paramedic --- txguy001@... wrote: > EMS Charges Accident Victim Who Refused Car - > Click2Houston > > http://www.click2houston.com/video/4775264/detail.html > > > [Non-text portions of this message have been > removed] > > __________________________________________________ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 1, 2005 Report Share Posted August 1, 2005 Most of the companies I've seen that charge a response fee are 911 services, and they don't normally charge for responding to MVC's or house fires.....it's for those that call the ambulance company to the house.....and it's certainly never the exorbitant price in that video. The average price I've seen is $50 to $100. Daphne -------------- Original message from je.hill@...: -------------- I know of a few services who charge for " Treatment, No Transport " but some form of " treatment " typically must be supplied. For instance, an altered mental status patient who is hypoglycemic and given oral or IV sugar and then wakes up and becomes oriented and refuses. Or folks for instance who complain of respiratory distress and following the MDI treatment, refuse transport. Stuff like that is ethical and is also billable to many insurance companies. As for billing for responding, I think there are fire departments who already do this as well as possibly some EMS agencies because the thought process is that if you have to turn your wheels, you must expend money for fuel, wear and tear on the truck, use of assessment equipment, whatever. Is that wrong? Not sure but I doubt if $750 is what most would consider reasonable for that type of response. Jane -------------- Original message from Andy Wheeler : -------------- Hmmm....checking pulse and watching the resps constitutes treatment? Luckily, no harm appears to be done to the patient otherwise I could see a negligence case/failure to treat appropriately. How many people out there bill for refusals? I understand it's one thing if the patient calls an ambulance because they want to be checked out but what if EMS is sent to every MVC and the patient never wanted you there? Andy Wheeler Paramedic --- txguy001@... wrote: > EMS Charges Accident Victim Who Refused Car - > Click2Houston > > http://www.click2houston.com/video/4775264/detail.html > > > [Non-text portions of this message have been > removed] > > __________________________________________________ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 1, 2005 Report Share Posted August 1, 2005 I would be willing to bet that the bill should have been $75 not $750 if so, then it is much more understandable to all. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 1, 2005 Report Share Posted August 1, 2005 -- " lverrett " wrote: " I would be willing to bet that the bill should have been $75 not $750 if so,then it is much more understandable to all. " Those columnar slips are sooo pesky! (lol) " Service is love made visible. Friendship is love made personal. Kindness is love made tangible. Giving is love made believable " - Anonymous Larry in Houston Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 3, 2012 Report Share Posted February 3, 2012 The count-a-dose is designed to work with the 50 cc syringe. Novolog and Humalog are both fast-acting insulins.When injected in the body they both clear your system in less than 4 or 5 hours. As I remember Novolog clears the system a slight faster than Humalog, but are both close in action. Quote Link to comment Share on other sites More sharing options...
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