I live in Alabama of course but I do believe there are "whistle blower" laws which protect me. I work for a private service and they are wanting us to do our billing tickets so as even if a person walks to our stretcher they are bedbound for medicare and medicaid purposes.I was forced by our office manager as she grabbed my arm and made me change a billing ticket on a patient who walked to our stretcher but is blind to bedbound on a billing ticket. They also want us to follow pre-written billing tickets for dialysis patients in order to assure proper billing.Even if a patient becomes able to ambulate we still have to put them down as bedbound.The other thing is they are now saying that all mvc's ,falls syncope's ,and overdoses require IV ,O2 ,ekg. I agree with part of this but Alabama protocol for mvc treats according to signs and symptoms (treat your patient not your books)which as long as vitals are stable you consider IV , falls are the same. I want what is best for the patient and I can not help but think that performing a skill which a patient does not need even though it does not hurt the patient does run the patients bill up and therefore can cause more stress on someone who does not have insurance. If a patient does not show any signs which require IV,O2, or EKG then I think that should be up to the medic who is caring for the patient. BLS trucks do not carry EKG or IV and they can transport MVC and fall patients. We also run out of trucks that have bad breaks, loose shocks and so on. I took this stand because I think it is time somebody stood for our rights as well as the patients rights against private companies who ultimately care only about their pockets getting filled. I only hope others will jump on board and help get laws tighter on private services.So they all follow the same guidelines as government owned facilities.