Gurney Service

AngelTrack supports gurney service, which is non-medical stretcher transport. Only a few states permit or regulate gurney service.


Configuring AngelTrack for Gurney Service

AngelTrack does not have gurney service enabled by default, because most customers do not use it. You must enable it, which requires Administrator privileges.

  1. Login with Administrator privileges.
  2. Visit the Service Levels Configuration page under Settings and:
    1. Enable "Gurney Transport" service.
    2. Configure its billing defaults. Select ☑ Assumed insurable if AngelTrack should automatically tick the ☑ Bill insurance checkbox when booking a gurney call. (Dispatchers can override the automatic setting as necessary.)
  3. Visit the Preferences page under Settings and configure all of these:
    1. From the list of choices for the default (i.e. the usual) service, tick the ☑ Gurney checkbox if that is the service that is most often booked.
    2. From the CPR certificates section, tick the ☑ Gurney checkbox if local regulations require it.
  4. Visit the Certificate Types List under Supervisor Home and enable the "Gurney Transport" certificate type.
  5. Visit the Employees List under Supervisor Home and issue a "Gurney Transport" certificate to all qualified employees whose current patch level is "Car" or "Wheelchair"... or post an announcement and direct the crews to issue the certificate to themselves. It is not necessary to issue gurney certificates to BLS+ employees, because AngelTrack assumes they are already qualified.
  6. Visit the Vehicles List under Supervisor Home and add your gurney vans, or modify the vehicle types of the gurney vans you have already registered as other vehicle types. Make sure that each one has "Gurney Transport" included among its capabilities. A gurney van's patient capacity should be the number of stretchers that it regularly carries onboard -- usually just one.
  7. If gurney service is included in any of your facility contracts, then use the Facilities List under Billing Home to review the facilities' records:
    1. Verify the ☑ Contract checkboxes are ticked.
    2. From the "Billing" tab, input the contracted prices for gurney service.
  8. Visit the Pricing page under Billing Home and:
    1. Select "Gurney" service from the dropdown list.
    2. Configure the retail price for gurney service*.
    3. If you are using any of the patient rates (in purple), configure their prices for gurney service if different than retail.
    4. Scroll down the list of facility prices and briefly verify that the new gurney prices were set correctly when you were modifying your facility records.

*Only the Principal Employee can modify the retail price schema; administrator privileges are not sufficient. In the Employees List, the principal employee is marked with a ★ star.


Dispatching a Gurney Call

AngelTrack has automatic rules for which shifts can take which calls. Although the dispatcher can override these rules by unticking the ☑ Hide shifts that are not qualified for this type of call checkbox, this is not a recommended practice. Below are the requirements in AngelTrack for a shift to quality for Gurney transport:

  1. At least one crew member onboard must have a current "Gurney Transport" certificate or BLS+ patch.
  2. At least one crew member onboard must have a current CPR certificate (if AngelTrack has been configured to enforce this requirement).
  3. The vehicle must have "Gurney Transport" among its capbilities.

PCR Requirements

The PCR requirements for gurney service are identical to that for wheelchair service:

  1. Leg times (enroute, on-scene, transporting, at destination, back in service)
  2. Odometer readings if transport occurred
  3. One signature on a "receiving facility" or "patient discharge" form (refer to the signature requirements chart for details)
  4. Followup fields (will still be filled out automatically where possible)
  5. Patient first and last name
  6. If call is ☑ Insurable, then:
  7. If call is ☑ Billable to patient, then:
  8. PMHx must be reviewed (crew member must view the PMHx page and click 'Save')
  9. All applicable Custom PCR fields must be answered

Billing for Gurney Transports

Only a few states recognize gurney van service. If you are in one of those states, Medicaid may cover trips in a gurney van.

As with all insurance claims, AngelTrack will claim your retail prices against the carrier, unless overridden by the biller on the Coding page. Therefore you must review your retail price schema for gurney service before filing any insurance claims. It will be pre-loaded with the same prices as your wheelchair service, so it will almost certainly require modification.

Invoicing

For patient copays, and for trips not covered by insurance, AngelTrack can invoice your gurney services in the usual way. Gurney service appears as a separate service level -- i.e. as a separate page -- in an invoice. They have their own independent price schema, allowing every facility, every affiliate, and every patient to receive a custom rate for gurney service.

As noted above, your gurney price schema template has already been created for you, pre-loaded with the prices from your wheelchair price schema. You must review the prices before creating any invoices.

Prior authorizations

AngelTrack attempts to collect a PAN for every gurney call that is ☑ Insurable. Therefore your recent and upcoming gurney calls will appear in the Prior Auth Queue where appropriate. Your dispatchers and billers can upload PANs, or mark calls as "PAN not needed", in the same way as they already do for BLS+ calls.



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