Minneapolis paramedic trades in sirens for a Honda

  • Article by: MAURA LERNER , Star Tribune
  • Updated: January 20, 2013 - 10:57 PM

Minnesota is the epicenter of an effort to get paramedics out into the community.

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tooty123Jan. 20, 13 9:28 PM

What a great idea! This is something that will help with the health of patients.

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basia2186Jan. 20, 13 9:41 PM

This is the only thing I have heard about making any sense regarding changes in healthcare policy since penicillian was invented. My invalid mom cannot walk more than a few stepswith her walker. Ten years ago an incompetent surgeon cut a main nerve to her right leg during an appendectomy. He is no longer licensed in MN., Due to atrophy she has swelling and sores on her leg requiring occassional home health care. She sees an LPN at least once a week. Her vitals are taken and general health is assessed. She has had the same medications for ten years. Blood pressure and an anti-anxiety pill- mostly because she lives with her younger (80 year old) deaf sister. Anyway......to get to the doctor she needs to call a van service with 2 attendants to carry her down the steps invasion wheel chair. Out of pocket cost is $70.00. The doctor checks her bloood pressure and temperature. This is REQUIRED to refill her prescriptions. This woman hasn't put street clothes on in 8 years, wears depends and is ashamed to leave the house. The clinic will not accept the. records from the licensed home health care providers as it is not in their protocol. The sharing of info., LPNs, RNs, etc.

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YoganaziJan. 21, 13 6:47 AM

The Public Health Nurses' have been performing this function for years, I have never seen an insurance contract that pays for paramedics to case manage home health care patients.

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martin68Jan. 21, 13 6:55 AM

This is a great idea. However, it will be important to monitor how much of an increase that social services will have due to increased referrals.

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davehougJan. 21, 1311:43 AM

The Public Health Nurses' have been performing this function for years - - - THAT would have really made this article informative. Explain how it add / differs from what else is out there.

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lallywJan. 21, 13 5:42 PM

Paramedics are not recognized by Medicare as being an eligible health care provider that may be reimbursed for home health visits. All insurers/HMO's Follow Medicare criteria. Paramedic visits will not be reimbursed.

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hmoguruJan. 21, 13 5:51 PM

NMMC might want to review their provider contracts with the HMO 's. Paramedics are not eligible for payment via CMS criteria for hhc services. Good luck getting any payer source to pay these visits.!!!

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mandansmomJan. 21, 13 6:02 PM

"Explain how it add / differs from what else is out there." Dollars and cents and availability, Dave. Home Health Services can save thousands, but they are very poorly reimbursed by Medicare and private payers. A few years ago, my mom-in-law was discharged from the hospital with doctor's orders for twice daily dressing changes to her open abdominal wound. A reputible service connected to the hospital system we use informed us she could have 3 nurse visits the first week, and 2 per week thereafter. As an RN, I raised some Cain, and lost. You get what Medicare pays, regardless of need, and in this case, regardless of supplemental insurace. The woman I talked to explained that they need to balance the payments across all their patients. [I suspect that's illegal, but whatever.] Had I not been an RN, doubless she would've been readmitted for a wound infection, and who knows what else? Check out the listings for visiting nurses. EMTs are logical gap fillers.

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mandansmomJan. 21, 13 6:04 PM

"Paramedic visits will not be reimbursed."

Many hospital stays are under-reimbursed, as are readmissions. They could quite easily stand to prevent losses in excess of the costs.

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nursefluffyJan. 21, 13 7:05 PM

Hilarious story! It is pretty clear North, nor Ms. Lerner, understand what home services and provider's are eligible for payment. What eligible code is being used for billing? Why wouldn't North utilize their home care agency for these services and get paid.

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