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Welcome letter from PAAW President Patrick Ryan


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September 15, 2014

Medicare Reimbursement

2015 Ambulance Inflation Factor Announced

Medicare reimbursement rates will increase by 1.4% for ambulance services in 2015, but that's not the whole story.  CMS is also proposing to change designations of certain zip codes from rural to urban and vice-versa in 2015, and this would affect reimbursement amounts to ambulance providers picking up in those zip codes.  Moreover, unless Congress passes legislation, the urban, rural and super-rural ambulance bonus payments will expire on March 31, 2015. There are a lot of big things set to impact ambulance reimbursement in the coming year.

Source:  Page, Wolfberg and Wirth EMS Attorneys

August 30, 2014

Register now for EMS education and networking

PSOW Conference Schedule Announced


The 27th annual PSOW conference will be September 17 to 19 at the Tundra Lodge and Convention Center in Green Bay.


The original intent was to provide education for the new Paramedic systems throughout Wisconsin, specifically for Service Directors, Medical Directors and Training Centers. PSOW’s Conference format is not limited to EMS providers at the EMT-Paramedic level of licensure.   


The PSOW Conference organizers cordially invite all levels of EMS licensure to attend. This conference has once again been recognized as the top conference for Administrative personnel in Wisconsin. 


This year’s conference fee remains at $190.00. This fee includes the meeting rooms, meals and breaks. 




Contact the Tundra Lodge directly for hotel accommodations at 1-877-886-3725 or . Be sure to mention that you are with Paramedic Systems of WI. The block of rooms will be held until September 5, so make your reservations early. The nightly rate is $70.  The rate will be honored after that date but will be subject to availability.


If there are any questions or you need more information contact: Dan Williams 920-818-0290 or e-mail,


Conference Lineup



10:00 to 10:05           Presentation of Colors and Honor Guard

10:05 to 10:20           Welcome and Introductions Dan Williams

10:20 to 12:00           Service Introductions and Initiatives/Projects (all in attendance)

12:00 to 1:00             Lunch

1:00 to 2:00               Service Introductions (continued)

2:00 to 3:30               Medicare, Budgets and Capital Hill Update, Attorney Brian Werfel

3:30 to 4:00               Break (In Vendor area)

4:00 to 5:00               Impact of Affordable Care Act on EMS, Attorneys Tom Shorter and

Todd Cleary

5:00 to 6:30               Hospitality with Vendors

6:30                            Dinner Banquet and PAAW Honorary Star of Life and Lifetime Member Presentation



8:00 to 9:30               Exclusive Vendor Hours  

9:30 to 10:30             Ketamine Study Mike Curtis and Chuck Cady

10:30 to11:00            NAEMSP – Wisconsin Chapter Report Chuck Cady

10:30 to 12:00           Selective Spinal Immobilization and other Trends Steve Stroman

12:00 to 1:00             Lunch

1:00 to 2:00               Cardiac Arrest – How are We Doing? Josh Finke

2:00 to 3:00               Hot Topics Dan Williams

3:30 to 5:00               Ask the Docs Chuck Cady and Steve Stroman



8:00 to 9:00               Critical Care Transport – Hot State Topics Fred Hornby

9:00 to 9:30               Medical Director’s Report Chuck Cady

9:30 to 10:30             State of the State Question/Answer Fred Hornby

10:30 to 11:30           Conference Wrap-up

August 20, 2014

Resource Utilization and Deployment

New Community Paramedicine:  Funding Made the Difference

Austin-Travis County EMS in Texas recently started a Community Paramedicine Program.  EMS Director Ernie Rodriguez and others speak about the new system, a $186,000 funding grant that made it all possible, and the intended benefits to such a system. 

Rodriguez is a past Paramedic Systems of Wisconsin Conference keynote speaker and frequent contributor to PAAW webcasts.

July 23, 2014

EMT Documentation

Beneficiary Signature Requirement - Positive Change

By David M. Werfel, Attorney, American Ambulance Association

When the patient is unable to sign the form requesting payment and authorizing the release of records due to a physical or mental condition, the request may be executed on their behalf by a legal guardian, relative, representative payee or representative of an institution providing care.
Until now, the person signing on behalf of the patient was required to also list their name, address, relationship to the patient and reason the patient could not sign.

Over two years ago, I asked CMS to remove the requirement of the address, when one of the Medicare Administrative Contractors (WPS) notified ambulance suppliers the address was required.  The requirement of the address of the person signing on behalf of the patient was impractical as there was no space on the 1500 form for it, no field for it on electronic claims, it was not required in the CMS Regulation (42 C.F.R. 424.36) and the industry would usually not be able to obtain it.

After many follow-ups, CMS has removed the requirement in Transmittal 2984.

Link to transmittal: Regulations-and-Guidance/ Guidance/Transmittals/ Downloads/R2984CP.pdf

In sum, the address of the person signing on behalf of the patient is no longer needed.

July 8, 2014

Wisconsin Looking to Establish STEMI System

When Wisconsin’s Trauma Care System received its initial funding nearly 10 years ago, it was a grassroots effort in sheer determination and the right legislative backing.  That same spirit and determination is beginning to build at the State Capitol, but this time the word “Trauma” has been replaced with “STEMI”.


As an EMS provider, you never forget the first time you’ve rushed your patient directly from the hospital ambulance bay to the Cath Lab, only minutes later to see dye being injected to locate blockage around the heart.  STEMI is probably one of the most closely tracked EMS to hospital events there is – and with good reason.


The State of Wisconsin is looking to establish a STEMI system similar to the one put in place for Trauma.


The effort began June 26th when Wisconsin State Assembly Representative Paul R. Tittl invited stakeholder groups, associations, hospital representatives and two leading air medical providers to the State Capitol.


Following the meeting, Rep. Tittl offered these comments, “Most people do not think much about heart attacks until they have one.  At that moment they are dependent on those who will get them to a facility where they can get the help they need.  Those who understand STEMI know that every second counts – minutes mean (heart) muscle.” 


“I appreciated the discussion that took place at the meeting and look forward to working together to see if there is anything we can do collectively to improve the system of care for people suffering a STEMI.”


“Our next session is scheduled for early November.  We hope to be able to look at some STEMI related data and statistics that will be helpful as we further discuss this issue.”


In attendance was PAAW President Patrick Ryan who shared, “Rep. Tittl has assembled an esteemed group of stakeholders who represent a broad cross section of healthcare in the State.  Together, I am confident that strong ideas will be developed that will greatly strengthen the STEMI system in Wisconsin.  I personal would like to thank Rep. Tittl for his work on this topic and look forward to collaborating with the professional stakeholders who have committed to contributing to the task at hand.  Ultimately, this will lead to better patient outcomes throughout Wisconsin.”

Click here for News and Information archive.

Upcoming Events

Friday, September 26, 2014 • Milwaukee Fire and Police Training Academy, Milwaukee, WI
Tuesday, October 14, 2014 • Sheraton Hotel, 706 John Nolen Drive, Madison, WI
Monday, October 20, 2014 10:00 AM • Conference Call - Contact Association for Call-in Number
Thursday, November 06, 2014 10:00 AM • Divine Savior Healthcare (Hospital), Portage, WI
Monday, November 17, 2014 10:00 AM • Conference Call - Contact Association for Call-in Number
Tuesday, December 02, 2014 • Sheraton Hotel, 706 John Nolen Drive, Madison, WI
Monday, December 15, 2014 10:00 AM • Conference Call - Contact Association for Call-in Number
Tuesday, February 03, 2015 • Sheraton Hotel, 706 John Nolen Drive, Madison, WI
Tuesday, April 07, 2015 • Sheraton Hotel, 706 John Nolen Drive, Madison, WI
Tuesday, June 02, 2015 • Sheraton Hotel, 706 John Nolen Drive, Madison, WI

Click here for all meetings, events and educational offerings in the calendar.

Click here for the next PAAW Board of Directors meeting information.

PAAW is pleased to partner with the following industry leading organizations:


Current PAAW Priorities

Tax Refund Interception Program (TRIP)

WI Liability Limits Statute 893.80

Further Collaboration with the Dept of Health Services/EMS Office

WI Medicaid Patient Transportation Rates

Affordable Care Act Information

Working with EMS/Fire Stakeholder Associations

Patient Contacts or Emergency Calls

to PAAW Member Ambulance

Services Last Year

Over 400,000

Click here to see who's a PAAW member

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Preparation and Training for Emergency Responders

(08/05/14 - Run Time 16:24 seconds)


Lt. James Mac Gillis
City of Milwaukee Police Dept.

 Captain Michael Wright
City of Milwaukee Fire Dept.

For the newest audio webcast, or to review the library of previous ones, click here.


PAAW continues to monitor the ongoing EMS pharmaceutical drug and IV Fluids backorder situation by posting weekly updates, courtesy of Bound Tree Medical.

For the most recent backorder report, click here.  The report is updated every Monday afternoon and posted to the PAAW website on Tuesday.

Through a special arrangement with EMS World magazine, PAAW members receive a free 12-month subscription, a $40 value. 

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Browse over 2,000 police, fire and EMS scanner monitoring stations around the U.S. with a simple click of your computer mouse.  It's sure to make any scanner junkie go wild!

Click here to find out more about selecting your own monitoring station or click the scanner below to open the audio player for Milwaukee County Fire radio traffic.

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