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Preparing Your Ambulance Service for the Affordable Care Act

April 8, 2014 - Run Time 13:56

Attorney Thomas Shorter
Godfrey and Kahn Law Firm
Madison, WI

The Affordable Care Act, commonly referred to as ACA or Obamacare, will influence and change EMS in ways we don’t quite know yet.  Health exchanges, insurance plans and packages, health coverage mandates and so on. 

Ambulance services and their respective billing companies need to draw up plans and probably make some assumptions.  A few things seem to be certain.  Your payer mix may change, health exchanges and insurers for your region might be different, and self-pay patient transports will likely increase as ACA deductible amounts for some plans are in the thousands of dollars.

Now is a good time to start asking questions and getting answers from your billing company and healthcare facilities and communicating your findings with your ambulance service's Board of Directors or city and town officials. 

In this webcast we start asking those important ACA questions of Madison attorney Thomas Shorter.  Mr. Shorter is with the law firm Godfrey and Kahn.  We found him to be extremely knowledgeable in ACA.  In this webcast he offers some initial guidance to ambulance services.  We also start to hear some new terminology, like Accountable Care Organizations or ACOs.

Supporting Information:

A good source for exchange enrollment information:  click here

About our Guest

Thomas Shorter is a shareholder in the firm's Madison office and Chair of the Health Care Team. Tom represents hospitals, physicians' groups, research institutions and health care related organizations, as well as other businesses, providing counsel on health care, corporate, labor and employment and regulatory matters.

For clients in the health care industry, Tom handles matters regarding Medicare compliance, Health Insurance Portability and Accountability Act (HIPAA), Emergency Medical Treatment and Labor Act (EMTALA), Physician Self-Referral (Stark), and Anti-Kickback.

Additionally, Tom is also called upon by other organizations to handle management-side legal corporate and employment issues, including the Family and Medical Leave Act (FMLA), Fair Labor Standards Act (FLSA) compliance, Individuals with Disabilities Education Act (IDEA), Section 504, and Americans with Disabilities Act (ADA).

This audio webcast is sponsored by:

Webcast Library

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Preparing Your Ambulance Service for the Affordable Care Act
April 8, 2014 - Run Time 13:56
Attorney Thomas Shorter, Godfrey and Kahn Law Firm, Madison, WI

Feeling the Pinch:  IV Fluids Remain in Limited Supply
March 18, 2014 - Run Time 13:50
Guest: Stacey Barksdale Price, Product Manager of IV Therapy and Pharmaceuticals,
Bound Tree Medical

EMS 2020 Vision Report and More with A.J.
March 5, 2014 - Run Time 15:05
Guest:  A.J. Heightman, Editor-in-Chief, JEMS and EMS Today Conference

AAA Update:  Medicare, Medicaid, Affordable Care Act and more...
February 14, 2014 - Run Time 17:57
Guest:  Tristan North, Senior Vice President for Government Affairs, American Ambulance Association, Washington, D.C.

Trans 309:  Change is coming for WI Ambulances.  Meet the Man in the Driver's Seat

January 22, 2014 - Run Time 11:35
Guest:  Bernard (Bud) Coxhead, Manager, Wisconsin State Patrol, Bureau of Transportation Safety, Motor Carrier Enforcement Unit


Critical Care Paramedic Update
February 2, 2013 - Run Time 8:17
Fred Hornby, Paramedic Coordinator, State of Wisconsin EMS Office

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January 14, 2013 - Run Time 25:11
Guest:  Kep Anderson, EMS Director, City of Sun Prairie

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January 10, 2013 - Run Time 17:58
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December 12, 2012 - Run Time 17:06
Guest:  Pat Daglio, Vice President of Marketing, McNeil and Company

NHTSA's Assessment on the State of Wisconsin's EMS System Is In
November 13, 2012 - Run Time 23:17
Brian Litza, State of Wisconsin EMS Director

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September 19, 2012 - Run Time 28:50
Guest:  Ernie Rodriguez, EMS Chief, Austin-Travis County EMS, Austin, Texas

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September 18, 2012 - Run Time 18:50
Guest:  Jim Chiolino, Director, Labor Standards Bureau, WI Dept. of Workforce Development

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June 29, 2012 - Run Time 15:42
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June 14, 2012 - Run Time 15:42
Guest:  Fred Hornby, ALS Coordinator (Paramedic) and Chuck Happel, ALS Coordinator (Intermediate), State of Wisconsin EMS Office

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May 14, 2012 - Run Time 13:05
Guest:  Harry Larson, Director of Strategic Accounts and Business Development, Bound Tree Medical

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April 13, 2012 - Run Time 11:25
Guest:  Debbie Rickelman, Senior Director, Information Center, Wisconsin Hospital Association & Chairperson, Wisconsin ICD-10 Collaborative Committee

Three Part Series:  EMS Drug Shortage and Ongoing Product Backorders

Part 1:  EMS Pharmaceutical Backorders (Product Distribution)
February 29, 2012 - Run Time 15:55
Guest:  Stacey Barksdale Price, Pharmaceutical and IV Therapy Marketing Manager, Bound Tree Medical

Part 2:  Pharmaceutical Backorders (State of Wisconsin EMS Office)
March 5, 2012 - Run Time 10:35
Guest:  Fred Hornby, ALS Coordinator (Paramedic), State of Wisconsin EMS Office

Part 3 - State EMS Medical Director on Drug Shortage:  Be Flexible
March 28, 2012 - Run Time 22:10
Guest:  Dr. Charles Cady, EMS Medical Director, State of Wisconsin


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December 17, 2011 - Run Time 13:30
Guest:  Gary Wingrove, Government Relations & Strategic Affairs, Mayo Clinic Medical Transportation

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November 23, 2011 - Run Time 12:10
Ryan Reid, Senior Accounts Receivable Consultant, Transworld Systems, Inc.

Wisconsin's New Conceal Carry Weapons Law and EMS
November 2, 2011 - Run Time 12:45
Guest:  Sgt. Kevin Bygd, Dunn County Sheriff's Office

Your EMS Budget:  Validate, Present, Defend
July 28, 2011 - Run Time 21:00
Guest:  Aarron Reinert, Executive Director, Lakes Region EMS

Community Paramedics:  An Emerging EMS Delivery Model in the U.S.
June 2, 2011 - Run Time 17:00
Guest:  Gary Wingrove, Government Relations & Strategic Affairs, Mayo Clinic Medical Transportation

Wisconsin Medicaid Broker Update
May 18, 2011 - Run Time 12:40
Guest:  Patrick Ryan, President, Professional Ambulance Association of Wisconsin

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May 12, 2011 - Run Time 12:00
Guest:  Jason Liu, MD, Acting Commander, Wisconsin-1 DMAT

Wisconsin Medicaid Patient Runs Go Thru Broker Staring July 1
April 8, 2011 - Run Time 8:00
Guest:  Patrick Ryan, President, Professional Ambulance Association of Wisconsin

2010 EMS Executive of the Year, Presented by the National EMS Management Association
March 14, 2011 - Run Time 11:35
Guest:  Aarron Reinert, Executive Director, Lakes Region EMS

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March 2, 2011 - Run Time 11:01
Guest:  Randolph Mantooth - John Gage from the 1970's TV Series "EMERGENCY!" - Actor, Writer, Producer

EMS to the Point is an audio interview program dedicated to the most current and emerging EMS topics in Wisconsin. 

This brief interview program comes to the point talking with those at the top or with the answers.

The most current interview is shown in the left column; however, make sure to look further down this page for the Webcast Library and a list of past interview topics and recordings. 

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EMS to the Point is produced by the Professional Ambulance Association of Wisconsin as a community service to EMS professionals throughout Wisconsin for the purpose of sharing information.

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Each webcast interview receives hundreds of downloads. 

Pick a topic from the highlighted title selections in the Webcast Library, located in the lower left column of this page.  Each interview is about 10 to 15 minutes.

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About Your Webcast Host

Joe Covelli

Joe is Executive Director at the Professional Ambulance Association of Wisconsin.  He joined PAAW in January 2010 as Director of Business and Development.

His professional and volunteer EMS work began in 1988 at Fitch-Rona EMS in Fitchburg, Wisconsin.  He's held national, regional and state EMS positions, to include:  Director of Sales and Public Relations at the Wisconsin EMS Association, EMS EXPO conference Show Manager at Cygnus Business Media, and Regional Manager and Director of Strategic Initiatives at Life Link III, an air medical provider in Minneapolis. 

In addition, Joe was appointed by Governor Jim Doyle to the Wisconsin EMS Advisory Board and served a four year term from 2004 to 2008.  He also held committee positions with the National Association of EMTs (NAEMT) and L.A. County Fire Museum's Pioneers of Paramedicine Project.

Joe earned a MBA degree in Business Administration from the University of Wisconsin – River Falls and Bachelor of Science degree in Radio/TV Broadcast Management from the University of Wisconsin

You may reach him directly at
414-236-4192 or by email.


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