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How to Start a Medical Transportation Company Part II

By Joel E Davis
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Expert Author Joel E Davis

Medical transportation is not only limited to ambulettes and medivans. In many instances, ambulances are also used to meet the growing non-emergency transportation (NEMT) needs.

Ambulances, typically thought of only in regards to emergency transportation, are often enlisted to provide non-emergency transports in areas where there is a lack of adequate medivan services or areas where there is a failure in understanding of the convenience and cost-savings abilities of using ambulettes.

Unfortunately, many staff, facilities, and organizations fail to understand the versatility and cost saving opportunities that exist in using ambulettes versus using an ambulance. Typically, a NEMT being performed by an ambulette is, on average, 70 - 90 percent cheaper and more cost effective as compared to an ambulance performing the same transport of equal distance and dynamics.

The cause for this gross disparity in cost can be attributed to the simple overhead economics. The cost of vehicle, insurance, training, and equipment for an ambulance is considerably more as compared to that of an ambulette. Further an ambulance is always staffed by multiple certified EMT's; further driving up labor and training costs. Conversely, an ambulette can be staffed by a single licensed driver trained only in state and local mandated transportation requirements. But again, this is only feasible for NEMT exclusively.

In states, counties, facilities, and areas where more and more ambulettes are being called upon to meet the non-emergency transportation needs of the growing elderly and disabled, there is a greater reduction in financial costs to insurance companies, Medicaid and Social Services, brokers, hospitals, non for profit organizations, and the like. At a time when budgetary concerns are being critically tested, such savings in using more ambulettes for non-emergency transportation needs is not only sensible and practical, but it's critical. Rather than reimbursing an ambulance service thousands of dollars for a single non-emergency transport, the cost to private-paying clients and facilities alike for a comparable transport can literally be reduced to a hundred or so dollars!

Needless to say, as we move forward with ever growing medical and transportation needs, coupled with changes in health care practice and policies, the need for practical and cost effective non-emergency transportation solutions will become more apparent. The need for safe and adequate services will increase with a continued attention on overall cost of delivery of such services, hence, the growing opportunity of non-emergency transportation services.




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How to Start a Medical Transportation Company Part III

By Joel E Davis
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Expert Author Joel E Davis

Whether you're a new or experienced entrepreneur, building a NEMT business can be a great asset in your portfolio! It will also serve as an outstanding learning and networking opportunity as you will meet a wide range of clients, professionals and strategic partners.

However, a very important piece of counsel is that you, the entrepreneur, thoroughly consider all sources of industry-related information prior to spending any money or committing to anything. Wise and calculated entrepreneurs always invest in thorough research and investigate the industry before entering for which some of this research does indeed cost money. In fact, very little credible information can be found for free.

Those working to gain an advanced academic education or learning a specific skill or trade are required to invest time, money, and effort into such education. So why would it be different when it comes to learning the details of starting and building your medical transportation business or any other type of business?

What are proving to be much more common occurrences are prospective entrepreneurs blindly following what I categorize as "simpleton" advice; very generic, broad advice that is highly limited in credible substance. Unfortunately, such advice is readily offered online from people who have never owned, operated, or even worked for a non-emergency medical transportation company. However, such "simpleton" advice illustrates and supports the age-old success principle that "Free advice is always more expensive!"

The result of this "simpleton" advice is a growing number of entrepreneurs frustrated, disheartened, and confused. Again, this is not limited only to the medical transportation industry. Many times, as a result of following poor advice, these entrepreneurs waste more time and effort trying to un-confuse themselves. Misguided entrepreneurs have to correct the mistakes that they've been making and "fill the gaps" as a result of misinformation and inadequate detail.

Now, don't get me wrong. I'm definitely NOT belittling anyone's attempts at sharing information or helping others. In fact, I am a very strong advocate for the sharing of ideas, information, and creative thinking. But the problem is that although the internet is a wonderful and incredible resource and opportunity to share and disseminate information, there exists a great deal of convoluted and unending stream of inaccurate information.

Although the medical transportation industry is not a high tech business it is, none the less, more involved than simply getting a vehicle, some insurance, and business cards. Needless to say, starting and building your own thriving non-emergency medical transportation company consists of much more detail, preparation, licensing and registration.

But here's the morale of the story. The problem with much of the free information that is available online is either wrong, incredibly inaccurate, or altogether misleading. So, always consider what you pay for. Whether it's the medical transportation industry or some other industry, if the information you're gathering is free, it's probably going to cost you the most! It may not cost you the most in terms of money, but it can definitely cost you the most in terms of time and effort into further research and preparation.


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How to Start a Medical Transportation Company Part IV

By Joel E Davis
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Expert Author Joel E Davis

One of the most common misconceptions regarding the non-emergency medical transportation industry is that you need to be Medicaid approved in order to operate. This could not be further from the truth. There are many ambulette services that only service Private-Pay and contracted work. In fact, for the first two years of my business, I was exclusively a Private-Pay transportation provider until I figured out how to gain my Medicaid Provider Number.

Under the Social Security Act, the Department of Social Services is mandated to reimburse medi-van services for the non-emergency medical transportation of approved Medicaid recipients. However, Medicaid reimbursements rates can vary significantly not only between states, but between counties. There is no one single universal rate of reimbursement.

Further, in some counties and regions across the United States, the Department of Social Services outsources their administrative responsibility to brokers. Rather than work directly with transportation providers themselves, the Department of Social Services will contract with these "middle men" to reduce the burden and hassle to Social Services. In turn, these brokers are responsible for organizing, contracting with, contacting, and coordinating essential medical transportation for Medicaid recipients.

As is typical with any form of brokerage system, the broker makes money by taking a percentage of each transport. For example, using fictitious easy numbers, if the Department of Social Services pays $50 for a one-way wheelchair transport, the money will go to the broker. The broker will pay you, the transportation provider, $40 and the broker keeps $10.

Now, what you do with Medicaid transports, either working through a broker or Social Services directly, has NO bearing on what you do with Private-Pay or contracted work. Once you've gained proper operating authority within your state, you're technically in business. You can begin soliciting facilities and customers alike to meet the transportation needs of Private-Pay clients as well as begin soliciting and negotiating contracted work.

Medicaid or brokers have no ability to grant you operating authority or have any influence in what you do with Private-Pay or contracted work. Again, there are many transportation providers across the country that performs no Medicaid transports. For them, the Medicaid reimbursement rates might be too low to make it profitable or they're simply too busy meeting the needs of their Private-Pay and/or contracted clients.

I typically use the analogy of bricks and mortar. Depending on where you live, either Private-Pay or Medicaid will be the bricks of your foundation and the other will serve as the motar that keeps generating further revenue and keeps your vehicles moving. Typically, Private-Pay clients will yield a higher profit margin. Thus, you will want to always focus on your Private-Pay clients and use Medicaid transports to keep your vehicles and drivers moving and generating additional sources of revenue.


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How to Start a Medical Transportation Business Part I

By Joel E Davis
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Expert Author Joel E Davis

As we all know, we are currently enduring a struggling economy that is accompanied by rising inflation and an unemployment rate that is consistently holding close to 10%. In such times, there is now, more so than ever before, more and more people looking to pursue their entrepreneurial dreams in an effort of creating additional streams of income.

In light of such economic uncertainty, there are two niche markets that are not only continuing to rise, but are literally facing an explosion.

The first is the elderly population. By the year 2030, the elderly population will have literally doubled reaching in excess of 72 million US citizens; a sizable niche market that will require an increase in medical attention as well as an increase in medical transportation.

The second is the medical industry. By the year 2016 the medical industry will be consuming 20% of the US Gross Domestic Product and growing. By the time the elderly population has doubled, this number is expected to be a full 25% of the US GDP.

With such realistic predictions, the doubling of the elderly population and the rapid growth of the medical industry, the demand for transportation will continue to increase for both niche markets.

Elderly and disabled people will be ever more in need of medical attention and assistance as well as medical transportation to and from treatments and appointments. Furthermore, as hospitals continue to increase their outpatient procedures and treatments, the need for more and more non-emergency medical transportation services are on the rise all across the United States and into related industrial countries.

The entrepreneurial opportunities in the medical transportation industry are growing more and more unprecedented and offering an increase in profitable solutions for many motivated entrepreneurs. The reason for such profitability is because the transportation needs of the elderly and disabled are indeed wide and diverse.

Many seniors remain ambulatory and in need of only limited transportation assistance. Although many seniors may require more time in walking, sometimes with a cane or walker, the do remain relatively independent in terms of mobility. However, in time, more and more seniors and disabled are finding the need for wheelchair and non-emergency stretcher assistance warranted for both safety and convenience concerns.

Under such circumstances, non-emergency medical transportation vehicles, also known as ambulettes or medivans are used to meet the diverse transportation needs of such clientele. Typically charged with taking clients to and from medical appointments, medical transportation companies are finding flourishing opportunities from both clients and facilities alike because of their diverse capabilities.

Ambulettes are typically equipped to accommodate a combination of wheelchair and ambulatory passengers as well as, in many instances, stretcher transports. With the assistance of hydraulic lifts mounted either in the rear or on the side of the vehicle, wheelchair-bound patients are safely lifted into and securely fastened via securing devices and a seat belt. These medical transportation vehicles are very much accommodating and comfortable for all passengers regardless of physical needs and conditions.



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How to Start a Non-Emergency Medical Transportation Business

By Alan Redford
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By now you must be aware of the many compelling reasons why a non-emergency medical transportation business offers entrepreneurs such a great business model. With the growth in the health care industry and the explosion of baby boomer retirees, this market is big and set to get even bigger still.

In this article we look at how to start a non-emergency medical transportation (NEMT) business. Learn about some of the steps that are involved and some of the aspects of this business that you will have to consider.

Franchise or Independent Operator?

There are now several players offering non-emergency medical transportation franchises. Entrepreneurs benefit with the franchise model as they can operate under an established brand and get advice and training to get started and run a business. However, with the franchise fees that must be paid initially and on an ongoing basis, the upside potential for profit is reduced. If you do your homework, you will find that this business is not that difficult and it is possible to start up and thrive independently.

Choosing the Right Area

Give some thought to the demographics of the area where you are setting up your business. Look for statistics that prove that there are a good number of elderly, disabled or Medicaid citizens living nearby. Compile a list of hospitals, dialysis centers, retirement homes, assisted living centers and other relevant operations. You could even make initial contact with some of these organizations and find out about the transportation solutions that they currently have in place.

Research the Competition

Identify all of the major competitors that you will have in your area and evaluate them in terms of their strengths and weaknesses. You may decide to incorporate parts of their business model into your own business and reject other parts. Learn as much as you can about them by reading their websites and calling their offices to ask questions. You can even spend some time following around some of their vans in order to understand how they work and to find out exactly who their customers are.

Getting Started - Licenses and Permits

Regulations and requirements for medical transportation businesses vary from state to state so you should make enquiries at the local level to find out what your obligations are.

As you are in the business of transporting paying customers from one place to another you will need some kind of permit, just as a taxi driver does. Your application for this kind of license will be handled by transportation authorities at the state or local level. Due to the nature of this work, some states will also require businesses in this industry to be registered with local health authorities.

There may also be other paperwork that needs to be done such as registering your business name, getting a business license (possibly more if you serve multiple counties) and zoning considerations if you run a home business.

Vehicles and Equipment

It is common for medical transportation services to purchase regular vans, either new or used, and then have them fitted out to suit special needs clients. Business owners typically start out with one vehicle and gradually add to their fleet as their business grows.

The best vans for an ambulette have a high raised roof and doorways. Access is usually on the side of the vehicle but can also be at the rear.

Some operators still use manual lifts to help them get wheelchair passengers into and out of their vans. However, you should be able to provide a faster, more professional service if you have a modern hydraulic lift installed.

Once inside the van, wheelchairs can be fastened to various securing devices so that they don't move around during transit. Vehicles also require customized seatbelts for wheelchair bound passengers. You can also improve the quality of your service if you have some comforts like TV and air conditioning.

A decent sized van that is properly kitted out should be able to transport four wheelchair bound passengers at a time as well as have extra seats available for caregivers. Depending on your clients, you may also need a space in your van that will allow you to fit in a passenger that is confined to a stretcher.

Insurance Policies

To protect yourself from unforeseen events you will need to purchase a variety of insurance policies. A general liability insurance policy will ensure that you are covered in situations where your customers are injured or suffer losses while they are in your care. You will also need regular automotive insurance to protect yourself in cases where your vehicles are damaged, stolen or involved in traffic accidents.

Payment Options

Decide on how you want to collect payment for your services. You may have to invoice medical institutions on a monthly basis or you may need to process credit card payments for individual clients. If you service large clients like Medicaid then it may be as simple as receiving a check in the mail each month. Talk to some prospective clients and look at what their needs are. Find out what payment options your competitors are offering.

Service Hours

Give some thought to your operating hours. The best ambulette services in the market usually offer weekday service from early morning to late at night with decent hours on Saturdays too. As a sole operator you will be limited in the hours that you can take on. As you expand into a multi-driver operation you will be able to offer more flexible scheduling to clients.

Staffing Requirements

If you start out doing all the driving while also managing your business you will quickly get burnt out. In order to grow you need to step back and hire some drivers so that you can move into a purely management and marketing orientated role.

Staff should have a drivers license that allows them to take passengers and they may also be subject to certain standards or requirements at the local level. No matter what you should make sure that your staff are trained on how to do the practical side of the job. They need to know how to assist passengers and their caregivers as they get in and out of vehicles. They should also be instructed to smile and make pleasant conversation if the opportunity arises so that they help your brand to gain a positive reputation.

Marketing

There are many different ways to market a non-emergency medical transportation business. For some ideas on markets that you can target read our article on Medical Transportation Business Opportunities.

Initially you will have to go out and meet prospective clients and possibly even bid to try and win contracts. However, if your team are doing a good job then you will find that eventually business will come directly to you through word of mouth and referrals.

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How Long is Medical Billing Training?

By Helen Hecker
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If you're considering going into the medical billing field you may be wondering how long it takes? Medical billing training requires very little education compared to many fields, the job outlook is good and the jobs in this field are good paying too.

Whether you're looking for a job in medical billing or have thought about starting a business in this field there are a few things to know before you proceed.

First of all you want to know that there are companies in your area who would hire you. Even starting a business for yourself you would want to get experience in this field by working for one of the billing companies that offer their services to doctors' offices, clinics and health professionals. So make to sure to check out that these companies exist in your city. If you're in a small community there may not be any of these companies.

There are many ways to get the education you need in medical billing through your local colleges on campus or by going online to a variety of medical billing schools, specialty schools, colleges and universities. Going to school on campus may cost you more in transportation costs, etc., and you have to work in a particular time frame.

Taking medical billing training online from home is probably the best way to go because you can work in your own time frame, it'll cost you a lot less and it'll take you less time to complete. Also there is plenty of federal money available for online training or on-campus training, so you want to check this out to see how much you can get to reduce your cost upfront.

There are many online schools and you have to check these out carefully. They have a wide range of offerings in terms of courses. They may suggest a course you don't need like medical terminology. You really won't be using medical terminology doing medical billing. Nor will you need medical coding. The work will come into your company already coded or medical coders will have taken care of that already before it reaches you.

When you check out the online schools find out what are the least amount of courses you need to get the education you need. Also be aware there may be scams operating. A certificate from one of these schools may satisfy some employers, however some may want to know that you have been nationally certified, which requires taking a national exam and you'll receive certification as a Medical Billing Specialist.

So when you talk to your local companies before you start signing up for any courses or training, find out if they require this certification or not.

How long is medical billing training or how long will it take? Probably the shortest courses may require 55-65 hours and you may be able to do it in as little as three weeks or it may take longer. It'll depend on how much time you have available to work online. So you're really setting your own hours and therefore that will influence how long it'll take you to complete your medical billing training.


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Why is It Vitally Important to Buy a Travel & Medical Insurance When Booking a Trip

By Sevim OR
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The high travel season is at the corner now. People from all walks of life around the world are currently busy searching for the best offers of air and land travel, accommodations, vacation packages to suit their dreams, needs and budgets. Some of them have even started to make their reservations.

Here I would like to emphasize one vitally important thing, which is a must to remember when booking a trip, but ignored by a great number of travelers.

Much has been written on the importance of having insurance coverage while you are on a trip, away from home. This is an issue that remains somewhat ignored by many travelers. After all, they have been traveling frequently for many years, and nothing happened so far to worry about. So, to buy a travel insurance should not a be a must. It is only an optional precaution!

But, reality urges us to believe traveling anywhere in the world without protection today, is a vital mistake. Regardless of where you are traveling in the world, you must have an insurance coverage to survive any unexpected attacks and disasters, especially after the 9/11 attacks in the U.S.A.

Let's say, you have been planning the trip of your dreams for a long time; you have finally found the opportunity to make your long time dreams of a special trip come true.

You are so excited! You have thought of all the details. You have been actively preparing for this travel; thinking, programming, shopping . . . spending a lot of time, money, and energy! You are proud of yourself that you have finally managed to materialize your dream!

Your trip can really be an unforgettable experience from start to the end, on one condition.

When booking your trip, you should have remembered that, like most exciting events in our lives, travel has some important risks, too. For example, potential medical and/or financial risks associated with travel, can suddenly turn all the excitement and pleasures of the trip to a nightmare.

Your baggage and/or your hand bag with your money, passport, credit cards in, can be stolen leaving you desperate & frustrated in a foreign country.

No one can guarantee that a natural disaster would not happen at the place you would be staying during your trip.

An unexpected accident, injury or illness would suddenly ruin everything. In fact, in the recent years medical costs have increased dramatically, worldwide. How would you be able to pay the emergency medical expenses, expensive hospital bills if you needed an urgent treatment, or surgery and care during your travel when you have lost your money, credit cards, and passport? Isn't it a real nightmare?

In such a frustration, the only thing you would have needed to survive was a reliable medical and travel insurance policy, wasn't it?.

Especially in the light of the horrible threats on and after September 11 terrorist attacks, the war on terror, other ruthless terror attacks in Istanbul, Spain, Egypt and London, frequent flight disruptions and cancellations, airlines' bankruptcies, and more. In addition, travel suppliers such as tour operators and airlines worldwide have made cancellation policies more restrictive.

Therefore, if you have to cancel a trip, it's likely that a big portion of your pre-paid travel expenses will not be refunded by travel suppliers.

Recent SARS and bird flu threats have also been urging travelers and vacationers to seriously consider to buy a travel and medical insurance.

Travel Insurance types and prices defer from one travel insurance provider to another.

You have to review, compare and select the best offers to suit your personal needs.

For instance, some insurance providers do not offer coverage outside the U.S.A. Some companies do not provide emergency medical coverage and care, while others do.

Some airlines do not accept to be held responsible for the acts of God, weather problems, natural disasters, riots and unrests, SARS, bird flu, and similar outbreaks.

The Insurance types you will need on a trip are reviewed below:

Last Minute Cancellation Insurance

With the last minute cancellation and/or interruption insurance you will get coverage on non-refundable deposits you had made when you bought your travel insurance. Read the fine print on the policy carefully when buying this insurance. You should discuss your personal needs with your insurance agent before buying it.

Medical Insurance

This is one of the most important insurance policies you should have. Buying health and medical insurance must be considered as an important part of your travel budget. You can face a health problem or an accident anywhere and anytime during your trip. Be sure your medical and health insurance policy covers illness, accidents, surgeries, hospitalization bills in the countries you will be visiting, emergency medical transportation to your home country. Please remember to have your policies with you when traveling, leaving the copies of your insurance policies with a relative in your home country, in case the policies you have with you are lost.

Comprehensive Insurance Policy

This policy generally covers emergency medical transportation and trip cancellation and interruption, plus other needs you would expect. This insurance costs 5 to 7 percent of the total cost of the trip. You should have it for your safety.

What types of insurance policies do we need for a full protection?

The Essential Insurance Types offered by most providers are Travel, Last Minute, Medical, Health, Life, Hotel, Cruise, Air, Vacations, Luxury, car insurance, sports, and Spa Insurance policies.

Some travel insurance companies also offer affordable coverage for a wide range of winter sports including Ski, Off-Piste and Snowboarding.

We might need not one, but several types of insurance policies according to the general conditions at the destinations we're going to.

If your your kids are going with you, many travel insurance providers let them go free with adults.

Some companies provide policies for students, backpackers, cheap travel, holiday insurance, long stay, international, family travel, single travel, annual travel, annual multi-trips, and more. It's good to know that in this cyber age, you can buy the insurance policies you need online, without even leaving your home.

Most Travel Insurance policies cover Luggage Loss, too.

But you should definitely ask about what's covered and what's not when choosing Travel Insurance Policy to buy. Do ask questions, all questions you might have in mind, until you get all the information you need. It's much better to ask questions when buying insurance than to be sorry later.

How can I find the best insurance type to suit my personal or family needs?

When choosing a travel insurance policy to buy, you should get information on the offers of various insurance providers to compare.

Knowing how time consuming is to search, compare and choose the best travel and medical insurance types and prices to suit your needs and budget, we advice to visit the websites where you can find lists and information about various offers, then compare them, and choose the best ones to suit your needs.

You should keep in mind that buying your travel insurance through travel insurance providers, instead of travel agencies, would save you money in most cases.

In the light of terrorist attacks, unexpected natural disasters like earthquakes, tsunamis, deadly hurricanes, floods, epidemics, accidents, illness, SARS, bird flu, claiming hundreds of thousands of lives at many places around the world, especially in the recent years, every traveler must seriously consider to buy a travel health and a medical insurance, and some other insurance policies if needed, providing a reliable full coverage against both expected and unexpected threats.


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medical transportation company medical transportation business medical transportation companies medical transport companies medical transport company medical transportation service medical transport business how to start a medical transportation company how to build a million dollar medical transportation company medical transportation medical transport midwest medical transport medical transportation services medicaid transportation non emergency medical transportation medical transportation program midwest medical transport company medical transportation management non emergency medical transport medical transport services medicare transportation wheelchair transportation services positive medical transport medical transportation services chicago long distance medical transport cabulance medical transport richmond va medical transportation mn fixed wing medical transport non emergency medical transportation companies medical transportation nj medical transport service emergency medical transportation emergency medical transport lifecare medical transport medical air transport non medical transportation medical transportation jobs medical transporter medical transportation san francisco medical transport llc air medical transport exceptional medical transportation medical ground transportation medical transportation los angeles ambulatory transportation exceptional medical transport patient transportation services priority one medical transport medical transport nj non medical transportation business
medical transportation company medical transportation business medical transportation companies medical transport companies medical transport company medical transportation service medical transport business how to start a medical transportation company how to build a million dollar medical transportation company medical transportation medical transport midwest medical transport medical transportation services medicaid transportation non emergency medical transportation medical transportation program midwest medical transport company medical transportation management non emergency medical transport medical transport services medicare transportation wheelchair transportation services positive medical transport medical transportation services chicago long distance medical transport cabulance medical transport richmond va medical transportation mn fixed wing medical transport non emergency medical transportation companies medical transportation nj medical transport service emergency medical transportation emergency medical transport lifecare medical transport medical air transport non medical transportation medical transportation jobs medical transporter medical transportation san francisco medical transport llc air medical transport exceptional medical transportation medical ground transportation medical transportation los angeles ambulatory transportation exceptional medical transport patient transportation services priority one medical transport medical transport nj non medical transportation business