Kathy Lester, Author at American Ambulance Association https://ambulance.org/author/kathylester-2/ Thu, 16 Nov 2023 13:33:04 +0000 en-US hourly 1 https://ambulance.org/wp-content/uploads/2016/11/cropped-newaaalogosquare-32x32.png Kathy Lester, Author at American Ambulance Association https://ambulance.org/author/kathylester-2/ 32 32 132285478 CMS Finalized CY 2024 Ambulance Fee Schedule Add-Ons and Adopts Helpful Modifications to Ground Ambulance Data Collection System https://ambulance.org/2023/11/15/cms-finalized-cy-2024-ambulance-fee-schedule-add-ons-and-adopts-helpful-modifications-to-ground-ambulance-data-collection-system/ Thu, 16 Nov 2023 02:14:46 +0000 https://ambulance.org/?p=416029

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]]> 416029 AAA Representatives Advocate for Protecting Consumer Access to Ground Ambulance Medical Services and Ending the Need for Balance Billing https://ambulance.org/2023/11/02/aaa-representatives-advocate-for-protecting-consumer-access-to-ground-ambulance-medical-services-and-ending-the-need-for-balance-billing/ Thu, 02 Nov 2023 18:19:39 +0000 https://ambulance.org/?p=415931

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]]> 415931 Clarification: Applicability of NSA to Ground Ambulance Services https://ambulance.org/2023/10/27/nsa/ Fri, 27 Oct 2023 22:12:21 +0000 https://ambulance.org/?p=415786

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]]> 415786 GAPBAC | AAA Comment Letter on Final Recommendations https://ambulance.org/2023/09/13/gapbac-aaa-comment-letter/ Wed, 13 Sep 2023 09:46:33 +0000 https://ambulance.org/?p=411533

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]]> 411533 CMS Releases New Guidance on Implementation of the NSA and Payment Delays https://ambulance.org/2023/03/30/cms-nsa-idr/ Thu, 30 Mar 2023 12:46:02 +0000 https://ambulance.org/?p=399191

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]]> 399191 President Biden’s Budget Seeks to Bypass Ground Ambulance Patient Billing Advisory Committee   https://ambulance.org/2023/03/09/president-bidens-budget-seeks-to-bypass-ground-ambulance-patient-billing-advisory-committee/ Thu, 09 Mar 2023 19:49:52 +0000 https://ambulance.org/?p=395446

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]]> 395446 CMS Releases New Guidance on Ending of the COVID-19 PHE https://ambulance.org/2023/02/24/phe-ends/ Fri, 24 Feb 2023 20:48:00 +0000 https://ambulance.org/?p=394553

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]]> 394553 Ambulance Medicare Add-Ons Extended to 2024 https://ambulance.org/2022/12/20/omnibus2023/ Tue, 20 Dec 2022 13:31:20 +0000 https://ambulance.org/?p=384815

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]]> 384815 CMS Update-CY 2023 Final Ambulance Fee Schedule https://ambulance.org/2022/11/22/cms-update-cy-2023-final-ambulance-fee-schedule/ Tue, 22 Nov 2022 17:10:55 +0000 https://ambulance.org/?p=381342 Member Advisory:  CMS Issues CY 2023 Final Ambulance Fee Schedule Rule Updated Data Ground Ambulance Data Collection System by Kathy Lester, JD, MPH CMS has released the “CY 2023 Payment […]

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]]> 381342 CMS End of PHE Roadmap https://ambulance.org/2022/08/25/cms-end-of-phe-roadmap/ Thu, 25 Aug 2022 21:18:15 +0000 https://ambulance.org/?p=375099

CMS Prepares Providers and Suppliers for the End of the Public Health Emergency: CMS Issues Updates on the End of Emergency Waivers and Flexibilities Issued during the PHE By Kathy […]

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]]> 375099 CMS Issues FY2023 Medicare Ambulance Fee Schedule Proposed Rule https://ambulance.org/2022/07/08/cms-fy2023/ Fri, 08 Jul 2022 14:01:41 +0000 https://ambulance.org/?p=372102

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]]> 372102 Sequestration and PAYGO Update https://ambulance.org/2021/12/03/sequestration-and-paygo-update/ Fri, 03 Dec 2021 16:33:45 +0000 https://ambulance.org/?p=347494

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]]> 347494 HHS Provides More Details on Phase 4 and Rural Provider Relief Fund Distribution https://ambulance.org/2021/09/16/hhs-provides-more-details-on-phase-4-and-rural-provider-relief-fund-distribution/ Thu, 16 Sep 2021 16:57:29 +0000 https://ambulance.org/?p=329918

As previously reported by the AAA, the Department of Health and Human Services (HHS) has announced that it will open on September 29, Phase 4 of the Provider Relief Fund […]

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]]> 329918 EMS Provider Comments Needed on the “Surprise Billing” Interim Final Rule https://ambulance.org/2021/08/16/surprisebillingifr/ Mon, 16 Aug 2021 12:23:56 +0000 https://ambulance.org/?p=325509

The Department of Health and Human Services, Department of Labor, and the U.S. Treasury Department (Departments) have issued an Interim Final Rule (IFR) on “surprise billing” that will take effect […]

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]]> 325509 CMS Proposes Modifications to Ambulance Cost Collection System https://ambulance.org/2021/07/16/costcxnproposedchanges/ Fri, 16 Jul 2021 14:53:34 +0000 https://ambulance.org/?p=323980

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]]> 323980 Administration Releases First Surprise Billing Interim Final Rule https://ambulance.org/2021/07/02/administration-releases-first-surprise-billing-interim-final-rule/ Fri, 02 Jul 2021 20:45:02 +0000 https://ambulance.org/?p=323022

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]]> 323022 EMS Balance Billing Quick Take—July 7, 2021 https://ambulance.org/2021/07/02/ems-balance-billing-quick-take-july-7-2021/ Fri, 02 Jul 2021 12:51:05 +0000 https://ambulance.org/?p=322644

Webinar July 7, 2021 | 13:00–13:30 ET | Free to AAA Members Speakers: Kathy Lester, Esq. & Asbel Montes On July 1, CMS issued a proposed rule on Surprise Billing which […]

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]]> 322644 HHS Revises Provider Relief Fund Reporting Requirements https://ambulance.org/2021/06/14/prfreporting/ Mon, 14 Jun 2021 11:16:41 +0000 https://ambulance.org/?p=319977

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]]> 319977 Congress Recognizes Ambulance Services as Health Care Services in “The American Rescue Plan Act of 2021” https://ambulance.org/2021/03/10/congress-recognizes-ambulance-services-as-health-care-services-in-the-american-rescue-plan-act-of-2021/ Wed, 10 Mar 2021 19:12:41 +0000 https://ambulance.org/?p=314500

Also Adds Dollars to the Provider Relief Fund to Support Rural Providers and Suppliers March 10, 2021 Moments ago, the House of Representatives joined the Senate in passing “The American […]

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]]> 314500 Update on Provider Relief Funding Phase 3 https://ambulance.org/2021/01/07/update-on-provider-relief-funding-phase-3/ Thu, 07 Jan 2021 16:10:29 +0000 https://ambulance.org/?p=306006

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]]> 306006 Bipartisan, Bicameral Members of Congress Reach Agreement on “Surprise” Billing Legislation https://ambulance.org/2020/12/11/bipartisan-bicameral-members-of-congress-reach-agreement-on-surprise-billing-legislation/ Fri, 11 Dec 2020 23:25:17 +0000 https://ambulance.org/?p=303570

It appears that members of Congress on the House Ways & Means, Energy & Commerce, and Education & Labor Committees along with the Senate Health, Education, Labor, & Pensions Committee […]

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]]> 303570 CDC Advisory Committee Recommends EMS for Phase 1 Vaccine Distribution https://ambulance.org/2020/12/02/cdc-advisory-committee-recommends-ems-for-phase-1-vaccine-distribution/ Wed, 02 Dec 2020 21:18:54 +0000 https://ambulance.org/?p=302466

As reported in various media outlets, on December 1 the Center for Disease Control and Prevention’s (CDC) Advisory Committee on Immunization Practices (ACIP) voted 13-1 to recommend that health care […]

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]]> 302466 CMS Releases the Fourth IFC on Removing Barriers to Medicare Beneficiaries Receiving COVID Vaccines https://ambulance.org/2020/11/02/4th-ifc-covid/ Mon, 02 Nov 2020 22:49:46 +0000 https://ambulance.org/?p=284651

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]]> 284651 CMS To Phase-In Expansion of Medicare Prior Authorization Model https://ambulance.org/2020/10/21/prior-authorization-phase-in/ Wed, 21 Oct 2020 18:47:05 +0000 https://ambulance.org/?p=284141

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]]> 284141 America First Healthcare Executive Order on Surprise Coverage https://ambulance.org/2020/09/25/afhp-bb/ Fri, 25 Sep 2020 17:39:24 +0000 https://ambulance.org/?p=281255

President Trump’s “An America-First Healthcare Plan” Executive Order on Surprise Billing Policy by Kathy Lester, J.D., M.P.H. As the American Ambulance Association (AAA) reported yesterday, President Trump issued an Executive […]

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]]> 281255 CMS Expands Prior Authorization Model https://ambulance.org/2020/09/22/cms-expands-prior-authorization-model/ Tue, 22 Sep 2020 23:59:37 +0000 https://ambulance.org/?p=281192 hippa

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]]> 281192 Update – SNF COVID-19 Testing Does Not Apply to EMS https://ambulance.org/2020/09/18/snf-testing_requirements_clarify_testing/ Fri, 18 Sep 2020 13:29:29 +0000 https://ambulance.org/?p=280984

CMS Clarify in Guidance that EMS Personnel Are Not Required To Be Tested under Skilled Nursing Facility Testing Interim Final Rule The Centers for Medicare & Medicaid Services (CMS) have […]

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]]> 280984 SNF Testing Requirements Impact on Ground Ambulance https://ambulance.org/2020/09/16/snf-testing_requirements/ Wed, 16 Sep 2020 14:38:41 +0000 https://ambulance.org/?p=280948

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]]> 280948 ET3 Model Moves Forward Starting January 1, 2021 https://ambulance.org/2020/09/16/et3-model-moves-forward/ Wed, 16 Sep 2020 14:02:20 +0000 https://ambulance.org/?p=280941

The Centers for Medicare & Medicaid Services (CMS) has announced that the first performance period for the Emergency Triage, Treat, and Transport (ET3) Model will begin on January 1, 2021. […]

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]]> 280941 CMS Updates Cost Data Collection FAQs and Data Collection Instrument https://ambulance.org/2020/08/06/new-ambulance-data-collection/ Thu, 06 Aug 2020 13:21:55 +0000 https://ambulance.org/?p=280038

The Centers for Medicare & Medicaid Services (CMS) has released printable version of the ground ambulance data collection instrument and an expanded FAQ. Both updated documents address some of the […]

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]]> 280038 CMS Releases CY 2021 Physician Fee Schedule https://ambulance.org/2020/08/04/2021-physician-fee-schedule/ Tue, 04 Aug 2020 21:31:39 +0000 https://ambulance.org/?p=280010

The Centers for Medicare & Medicaid Services (CMS) has released the Physician Fee Schedule Proposed Rule for Calendar Year (CY) 2021 which has traditionally included proposed changes to the Ambulance […]

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]]> 280010 Updated CMS FAQs on the Ambulance Data Collection https://ambulance.org/2020/06/18/updated-cms-faqs-on-the-ambulance-data-collection/ Thu, 18 Jun 2020 11:57:51 +0000 https://ambulance.org/?p=277695

Updated CMS FAQs on the Ambulance Data Collection System and Reporting Requirement Delay As we recently reported, CMS announced that it will be delaying the implementation of the statutorily mandated […]

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]]> 277695 CMS Modifies the Cost Data Collection System Year 1 Data Collection https://ambulance.org/2020/05/15/cms-cost-data-collection/ Fri, 15 May 2020 22:04:20 +0000 https://ambulance.org/?p=264397 CMS has issued a blanket waiver modifying the data collection period for the ground ambulance services that were selected to report in Year 1.  Under the current law, these organizations […]

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]]> 264397 CMS Relaxes Physician Certification Statement Signature Requirements During Public Health Emergency for COVID-19 https://ambulance.org/2020/04/25/relaxed-signature-requirements/ Sat, 25 Apr 2020 17:54:29 +0000 https://ambulance.org/?p=262664

CMS Relaxes Physician Certification Statement Signature Requirements During Public Health Emergency for COVID-19  By Kathy Lester, J.D., M.P.H.   The Centers for Medicare & Medicaid Services (CMS) has released guidance that […]

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]]> 262664 CMS Waives Restrictions on Ground Ambulances During COVID-19 Pandemic https://ambulance.org/2020/03/30/cms-waives-restrictions-on-ground-ambulances-during-covid-19-pandemic/ Tue, 31 Mar 2020 01:25:53 +0000 https://ambulance.org/?p=260580

The Centers for Medicare and Medicaid Services (CMS) promulgated an interim final rule with comment period (IFC) entitled “Policy and Regulatory Revisions in Response to the COVID-19 Public Health Emergency.”  […]

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]]> 260580 Accelerated Payment Program Highlights https://ambulance.org/2020/03/30/accelerated-payment-program-highlights/ Mon, 30 Mar 2020 17:08:53 +0000 https://ambulance.org/?p=260558

CMS announced at the end of last week that it is expanding its Accelerated Payment Program.  The goal of the program is to address cash flow problems arising from the public […]

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]]> 260558 Ambulance Cost Collection Rule Summary https://ambulance.org/2019/07/30/ambulance-cost-collection-rule-summary/ Tue, 30 Jul 2019 15:17:16 +0000 https://ambulance.org/?p=250168 The proposed rule sets the foundation for the data collection system for ground ambulances.  It proposes a stratified random sample method, that is very similar to the one the AAA […]

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]]> 250168 Update on HHS OIG Reports on Ambulance Services https://ambulance.org/2018/12/20/update-on-hhs-oig-reports-on-ambulance-services/ Thu, 20 Dec 2018 20:49:56 +0000 https://ambulance.org/?p=190805

Update on HHS Office of the Inspector General Reports on Ambulance Services The HHS Office of the Inspector General (OIG) released an update to the Work Plan as the year […]

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]]> 190805 Rural Health Day Advocacy Update https://ambulance.org/2018/11/15/rural-health-day-advocacy-update/ Thu, 15 Nov 2018 21:11:59 +0000 https://ambulance.org/?p=186209

Happy National Rural Health Day! Thank you to all of the ambulance service providers who work hard providing life-saving treatment in rural areas every day. In part of our ongoing […]

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]]> 186209 MedPAC Examines Beneficiary Use of Emergency Departments https://ambulance.org/2018/10/09/medpac-examines-beneficiary-use-of-emergency-departments/ Tue, 09 Oct 2018 19:22:29 +0000 https://ambulance.org/?p=152800

During its October meeting, the Medicare Payment Advisory Commission (MedPAC), reviewed Medicare’s current policies related to non-urgent and emergency care, as these topics relate to the use of hospital emergency […]

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]]> 152800 CMS Launches Outreach Effort to Ambulance Providers & Suppliers https://ambulance.org/2018/10/03/cms-launches-outreach-effort-to-ambulance-providers-and-suppliers/ Wed, 03 Oct 2018 19:52:25 +0000 https://ambulance.org/?p=160415 As part of the Bipartisan Budget Act of 2018 (BBA 2018), the Congress instructed CMS to develop a cost collection system to collect cost and revenue data related to the […]

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]]> 160415 CMS Non-Emergency Ambulance Transport Open Door Forum 7/26 https://ambulance.org/2018/07/25/cms-announces-non-emergency-ambulance-transport-open-door-forum-7-26/ Wed, 25 Jul 2018 18:00:36 +0000 https://ambulance.org/?p=160631

CMS Issues Data Elements and Templates for Non-Emergency Ambulance Transports (NEAT): Open Door Forum for Thursday, July 26, 2018 Just Announced As part of its Patients Over Paperwork Project, the Centers […]

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]]> 160631 Physician Fee Schedule Proposed Rule 2018 https://ambulance.org/2018/07/13/physician-fee-schedule-proposed-rule-2018/ Fri, 13 Jul 2018 16:11:24 +0000 https://ambulance.org/?p=160663 On Thursday, July 12, the Centers for Medicare & Medicaid Services (CMS) released the “Revisions to Payment Policies under the Physician Fee Schedule and Other Revisions to Part B for […]

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]]> 160663 Collecting Data for the Future https://ambulance.org/2018/02/16/collecting-data-future/ Fri, 16 Feb 2018 22:13:26 +0000 https://ambulance.org/?p=126003

Collecting Data for the Future:  Understanding the New Statutory Cost Collection Requirement By Kathy Lester, JD, MPH, Lester Health Law PLLC On February 9, the President signed into law the […]

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]]> 126003 Alert: Medicare Increases Will Expire For Now: What You Need to Know https://ambulance.org/2017/12/27/member-advisory-medicare-increases-will-expire-now-need-know/ Wed, 27 Dec 2017 19:44:31 +0000 https://ambulance.org/?p=112429 While the Congress succeeded in passing the Republican tax bill and keeping the federal government open with a short-term continuing resolution that included a temporary extension for the State Children’s […]

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]]> 112429 ACA Repeal & Reform – What it Means (Part Two) https://ambulance.org/2017/03/20/aca-repeal-reform-means-ambulance-services-pt-2/ Mon, 20 Mar 2017 15:14:54 +0000 https://ambulance.org/?p=44741

By: Tristan North and Kathy Lester, JD, MPH This is the second part of a two part Member Advisory by Tristan North and Kathy Lester on ACA Repeal & Reform. Read […]

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]]> 44741 Administration’s Proposed Rule on Marketplace Stabilization https://ambulance.org/2017/03/01/administrations-proposed-rule-marketplace-stabilization/ Wed, 01 Mar 2017 19:38:11 +0000 https://ambulance.org/?p=44688

The Centers for Medicare & Medicaid Services (CMS) has released the “Marketplace Stabilization Proposed Rule” (Proposed Rule). Overall, the rule proposes a series of modifications to the Marketplaces that align […]

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]]> 44688 CMS Moratoria Update https://ambulance.org/2016/08/03/cms-moratoria-update/ Wed, 03 Aug 2016 12:19:51 +0000 http://ambulance.org/?p=13418

The Centers for Medicare & Medicaid Services Lifts Moratoria on Enrollment of Part B Emergency Ground Ambulance Suppliers in All Geographic Locations; Moratoria for Part B Non-Emergency Ground Ambulance Suppliers […]

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]]> 13418 MedPAC Issues June 2016 Report to the Congress https://ambulance.org/2016/06/24/aaa-member-advisory/ Fri, 24 Jun 2016 19:38:17 +0000 http://ambulance.org/?p=6940

MedPAC Issues June 2016 Report to the Congress with Chapter on Improving Efficiency and Preserving Access to Emergency Care in Rural Areas Medicare Payment Advisory Commission (MedPAC or the Commission) has […]

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]]> 6940 The GAO Releases New Report on Claims Review Programs, Recommending Additional Prepayment Review Authority and Written Guidance on Calculating Savings from Prepayment Review https://ambulance.org/2016/05/17/gao-releases-new-report/ Tue, 17 May 2016 19:12:16 +0000 http://ambulance.org/?p=5776

On Friday, May 13, the Government Accountability Office (GAO) publicly released a new Medicare report entitled, “Claim Review Programs Could Be Improved with Additional Prepayment Reviews and Better Data,” which […]

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]]> 5776 The Importance of Ambulance Cost Survey Data https://ambulance.org/2015/11/09/the-importance-of-ambulance-cost-survey-data/ Mon, 09 Nov 2015 15:34:23 +0000 http://ambulance.org/?p=4401 By Kathy Lester, JD, MPH | Updated November 9, 2015 Tomorrow is in your hands today. This statement is especially true when we think about the evolution of ambulance services. […]

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]]> 4401 Prior Auth Expansion to MD, DE, DC, NC, VA, WV https://ambulance.org/2015/10/26/2016-prior-authorization-expansion/ Mon, 26 Oct 2015 15:11:58 +0000 http://ambulance.org/?p=4326 CMS Announces Expansion of Prior Authorization Program for Repetitive Scheduled Non-Emergent Ambulance Transports October 26, 2015 CMS has announced that consistent with the requirements of the Medicare Access and CHIP […]

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]]> 4326 Member Advisory: CMS Releases the ICD-10 Crosswalk https://ambulance.org/2015/10/09/member-advisory-cms-releases-the-icd-10-crosswalk/ Fri, 09 Oct 2015 17:49:00 +0000 http://ambulance.org/?p=4127 By Kathy Lester, JD, MPH | AAA Healthcare Regulatory Consultant | October 9, 2015 At the end of last week, CMS posted the ICD-10 crosswalks for medical conditions for ambulance […]

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