Deceased on Scene: The Policy and Reimbursement Conundrum for EMS

Billing for patients who are deceased on scene (DOS) presents complex clinical, financial, and public policy challenges for EMS agencies. In this EMS1 article, EMS|MC Chief Client Advocacy Officer Kim Stanley and PWW|AG EMS & Mobile Healthcare Consultant Matt Zavadsky examine Medicare reimbursement, the QL modifier, public perception, and the operational realities of these responses. Learn how thoughtful billing policies, reimbursement strategies, and transparent communication can help EMS organizations balance financial sustainability with compassionate patient and family care.