Janine Mothershed CPC, CPC-I Building an EMS QA/QI program does not require reviewing every patient care report or creating a complicated scoring system. In fact, the most effective program may be the one your agency can consistently maintain. Many EMS quality...
Janine Mothershed CPC, CPC-I Most EMS agencies review patient care reports. However, far fewer turn those reviews into measurable data that actually improves documentation. A reviewer reads a chart, identifies a problem, sends feedback to the crew, and moves to the...
Janine Mothershed CPC, CPC-I Key Takeaways: EMS Apprenticeship Advanced Standing in 2026 Experienced EMTs and paramedics should not automatically have to start a Registered Apprenticeship Program at the same point as someone entering the occupation with no prior...
Janine Mothershed CPC, CPC-I Key Takeaways: EMS Medical Necessity and Claim Denials in 2026 A clinically appropriate ambulance transport can still result in a denied claim when the patient care report (PCR) does not clearly support medical necessity or the level of...
Janine Mothershed CPC, CPC-I Key Takeaways: EMS Documentation and QA/QI in 2026 EMS documentation is much more than writing a narrative after a call. In 2026, a patient care report (PCR) must clearly show the patient’s condition, medical necessity for ambulance...
Janine Mothershed CPC, CPC-I EMS agencies across the United States continue to face a difficult workforce problem in 2026: recruiting qualified employees is hard, training new providers is expensive, and keeping experienced EMTs and paramedics can be even harder....
Janine Mothershed CPC, CPC-I EMS documentation problems often look different on the surface. However, after reviewing patient care reports (PCRs) from different agencies, states, ePCR platforms, and call types, the same documentation gaps appear again and again. That...
Janine Mothershed CPC, CPC-I EMS agencies know employee turnover is expensive. However, many agencies have never calculated what losing an EMT or paramedic actually costs their service. That missing number matters. When leadership views an apprenticeship program only...