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The post AAA Releases 2024 Medicare Rate Calculator appeared first on American Ambulance Association.

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The post CMS Announces 2024 Ambulance Inflation Factor appeared first on American Ambulance Association.

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The post CMS Ambulance Open Door Forum 11/30 appeared first on American Ambulance Association.

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The post Impact of Partial Government Shutdown on Healthcare appeared first on American Ambulance Association.

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The post CMS Releases Advance Copy of CY 2024 Physician Fee Schedule Proposed Rule appeared first on American Ambulance Association.

Hear from American Ambulance Association President Randy Strozyk about the latest EMS advocacy initiatives as well as our Annual Conference & Trade Show! Contact Congress ►https://www.votervoice.net/Ambulance/… Annual Conference & Trade […]

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The post Wenstrup, Sewell, Carter & Tonko Introduce Medicare Ambulance Bill appeared first on American Ambulance Association.

The post Revised CY 2023 Ambulance Fee Schedule Public Use Files appeared first on American Ambulance Association.

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The post Ambulance Medicare Add-Ons Extended to 2024 appeared first on American Ambulance Association.

The AAA has sent a letter to VA Secretary Denis McDonough asking him to delay the implementation of a final rule that would allow the Department of Veterans Affairs (VA) […]

The post Letter to VA Reimbursement of Ambulance Services appeared first on American Ambulance Association.

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The post AAA Posts Reformatted 2023 Public Use File appeared first on American Ambulance Association.

On November 23, 2022, CMS posted the 2023 Ambulance Fee Schedule Public Use Files. These files contain the amounts that will be allowed by Medicare in the calendar year 2023 […]

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The post CMS Update-CY 2023 Final Ambulance Fee Schedule appeared first on American Ambulance Association.

On October 14, 2022, CMS issued Transmittal 11642 (Change Request 12948), which announced the Medicare Ambulance Inflation Factor (AIF) for the calendar year 2023. The AIF is calculated by measuring […]

The post CMS Announces 2023 Ambulance Inflation Factor appeared first on American Ambulance Association.

The Biden Administration has issued a list of expiring programs and items that they would like to see or have no objection to being, extended as part of the FY2023 […]

The post Administration Includes Ambulance Add-Ons Extension on CR List appeared first on American Ambulance Association.

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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The post CMS Ambulance Open Door Forum Summary appeared first on American Ambulance Association.

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The post Issue Impacting Medicare Claims for Patients in a Part A SNF Stay appeared first on American Ambulance Association.

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The post 2021 Legislative Priorities Highlights & Wrap Up appeared first on American Ambulance Association.

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The post AAA Releases 2022 Medicare Rate Calculator appeared first on American Ambulance Association.

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The post Congress Passes Sequestration Cut Delay Bill appeared first on American Ambulance Association.

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The post CMS Posts 2022 Public Use File appeared first on American Ambulance Association.

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The post CMS Announces 2022 Ambulance Inflation Factor appeared first on American Ambulance Association.

Yesterday, Senators Catherine Cortez Masto (D-NV) and Susan Collins (R-ME) introduced the Protecting Access to Ground Ambulance Medical Services Act of 2021 (S. 2037). Senators Cortez Masto and Collins were […]

The post Medicare Ambulance Relief Bill introduced in Senate appeared first on American Ambulance Association.

From CMS on June 9, 2021 Biden Administration Continues Efforts to Increase Vaccinations by Bolstering Payments for At-Home COVID-19 Vaccinations for Medicare Beneficiaries As part of President Biden’s commitment to […]

The post CMS Bolsters Payments for At-Home COVID-19 Vaccines appeared first on American Ambulance Association.

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The post AAA Releases 2019 National and State-Specific Medicare Data appeared first on American Ambulance Association.

CMS Increases Medicare Payment for COVID-19 Vaccinations                                                                           By Brian S. Werfel, Esq. On March 15, 2021, the Centers for Medicare and Medicaid Services (CMS) announced that it would […]

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The post 2021 Medicare Rate Calculator Released appeared first on American Ambulance Association.

Section 1834(l)(3)(B) of the Social Security Act mandates that the Medicare Ambulance Fee Schedule be updated each year to reflect inflation.  This update is referred to as the “Ambulance Inflation […]

The post Preliminary Calculation of 2020 Ambulance Inflation Update appeared first on American Ambulance Association.

American Ambulance Association Medicare Consultant Brian Werfel, Esq provides a brief update on the HHS COVID-19 Provider Relief Fund.

The post Werfel | Quick Take on HHS Provider Relief Fund appeared first on American Ambulance Association.

On July 7, 2020, CMS updated its Coronavirus Disease 2019 (COVID-19) Provider Burden Relief Frequently Asked Questions (FAQs).  As part of this update, CMS indicated that it would resume several […]

The post CMS Announces Resumption of Program Integrity Functions appeared first on American Ambulance Association.

The post CMS Modifies the Cost Data Collection System Year 1 Data Collection appeared first on American Ambulance Association.

On May 1, 2020, CMS updated its “COVID-19 Frequently Asked Questions (FAQs) on Medicare Fee-for-Service (FFS) Billing.”  The full document can be viewed by clicking here. In the updated FAQ, […]

The post CMS Issues Additional Staffing and Licensing Waivers appeared first on American Ambulance Association.

HHS Updates Guidance on Provider Relief Funding for Uninsured to include Air and Water Ambulance The Department of Health and Human Services recently updated its guidance on the disbursement of […]

The post COVID-19 Uninsured Program Now Includes Air, Water appeared first on American Ambulance Association.

UPDATED: HHS Opens Portal for Healthcare Providers and Suppliers to Apply for Second Tranche of CARES Act Provider Relief Funding Updated April 24, 2020 at 9:40 pm | Register for […]

The post UPDATED: What to Do for Round 2 of HHS Provider Relief appeared first on American Ambulance Association.

HHS Announces Plans for Distribution of Remaining CARES Act Provider Relief Funding By Brian S. Werfel, Esq. March 27, 2020, President Trump signed into law the Coronavirus Aid, Relief, and […]

The post HHS Announces Plans for Distribution of Remaining CARES Act Provider Relief Funding appeared first on American Ambulance Association.

Frequently Asked Questions (FAQs) related to HHS CARES Act Provider Relief Funding By Brian S. Werfel, Esq. In March 27, 2020, President Trump signed into law the Coronavirus Aid, Relief, […]

The post FAQs – HHS CARES Act Provider Relief Funding appeared first on American Ambulance Association.

Grants and Tax Credits Toolkit Download materials from Akin Gump including aid summaries and how-to guides on qualifying for tax credits and deferments and applying for financial assistance. Paycheck Protection […]

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CMS Clarifies Medicare Requirements Related to Medical Necessity and the Patient Signature Requirement during Current National State of Emergency By Brian S. Werfel, Esq. On April 9, 2020, CMS updated […]

The post CMS: Medical Necessity & Patient Signature Requirements During COVID-19 appeared first on American Ambulance Association.

On March 27, 2020, President Trump signed into law the Coronavirus Aid, Relief, and Economic Security Act (CARES Act).  As part of that Act, Congress allocated $100 billion to the […]

The post HHS Announces Release of Initial Tranche of CARES Act Provider Relief Funding appeared first on American Ambulance Association.

On April 8, 2020, the Centers for Medicare and Medicaid Services (CMS) announced that it will be delaying the start of the Emergency Triage, Treat and Transport (ET3) Model until […]

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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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The post CMS Releases Update Guidance on Hospital EMTALA Obligations Related to COVID-19 appeared first on American Ambulance Association.

On March 16, 2020, CMS approved an 1135 Waiver request submitted by the State of Florida. The State had requested the flexibility to waive prior authorization requirements, streamline its Medicaid […]

The post CMS Grants State of Florida’s 1135 Waiver Request for Coronavirus Response appeared first on American Ambulance Association.

On March 13, 2020, President Donald J. Trump announced a national state of emergency in response to the COVID-19 pandemic. Previously, HHS Secretary Alex Azar had declared a public health […]

The post Understanding Medicare, Medicaid, and SCHIP Coverage of Ambulance Services under a Declared National State of Emergency appeared first on American Ambulance Association.

On December 2, 2019, CMS posted the 2020 Ambulance Fee Schedule Public Use Files. These files contain the amounts that will be allowed by Medicare in calendar year 2020 for […]

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The Centers for Medicare and Medicaid Services has scheduled a call for Thursday, December 5 from 1:30-3:00 PM Eastern to review the new Ambulance Cost Data Collection System. If you plan to attend, register […]

The post CMS Cost Collection Call – December 5th appeared first on American Ambulance Association.

The American Ambulance Association is pleased to announce the publication of its 2018 Medicare Payment Data Report. This report is based on the “Early Edition” of the 2018 Part B […]

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On October 4, 2019, CMS issued Transmittal 4407 (Change Request 11497), which announced the Medicare Ambulance Inflation Factor (AIF) for calendar year 2020. The AIF is calculated by measuring the […]

The post CMS Announces 2020 Ambulance Inflation Factor appeared first on American Ambulance Association.

On October 29, 2019, the Centers for Medicare and Medicaid Services (CMS) posted a notice in the Federal Register announcing an opportunity for the public to provide comments on the […]

The post CMS Announces Comment Period for National Expansion of Prior Authorization Process appeared first on American Ambulance Association.

On September 16, 2019, CMS published a notice in the Federal Register that it would be extending the prior authorization demonstration project for another year. The extension is limited to […]

The post CMS Announces Extension of Prior Authorization Program appeared first on American Ambulance Association.

Section 1834(l)(3)(B) of the Social Security Act mandates that the Medicare Ambulance Fee Schedule be updated each year to reflect inflation. This update is referred to as the “Ambulance Inflation […]

The post Preliminary Calculation of 2020 Ambulance Inflation Update appeared first on American Ambulance Association.

On April 1, 2019, CMS implemented a new series of Common Working File (CWF) edits that are intended to better identify ground ambulance transports that are furnished in connection with […]

The post New SNF PPS Edits Highlight the Importance of Facility Agreements appeared first on American Ambulance Association.

The post Summary of March 28, 2019 Ambulance ODF appeared first on American Ambulance Association.

CMS Set to Implement New Common Working File Edits to Identify Ambulance Services Provided in Connection with Outpatient Hospital Services that should be bundled to the SNF under Consolidated Billing. […]

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CMS Set to Implement New Common Working File Edits to Identify Ambulance Services Provided in Connection with Outpatient Hospital Services that should be bundled to the SNF under Consolidated Billing […]

The post CMS SNF Edits Go Into Effect – April 1, 2019 appeared first on American Ambulance Association.

On January 30, 2019, the Centers for Medicare & Medicaid Services (CMS) announced that it had elected not to extend its temporary moratoria on the enrollment of new Medicare Part […]

The post CMS Declines to Extend Temporary Moratorium appeared first on American Ambulance Association.

As the government shutdown drags on the negative impacts continue to grow. If the shutdown continues through January 24, 2019, which is looking likely at this point, current law will […]

The post Update on Government Shutdown and Sequestration appeared first on American Ambulance Association.

On November 28, 2018, CMS posted the 2019 Ambulance Fee Schedule Public Use Files. These files contain the amounts that will be allowed by Medicare in calendar year 2019 for […]

The post CMS Posts 2019 Public Use File appeared first on American Ambulance Association.

On November 30, 2018, CMS issued Transmittal 4172 (Change Request 11031), which announced the Medicare Ambulance Inflation Factor (AIF) for calendar year 2019. The AIF is calculated by measuring the […]

The post CMS Announces 2019 Ambulance Inflation Factor appeared first on American Ambulance Association.

On November 30, 2018, CMS issued a notice on its website that it would be extending the prior authorization demonstration project for another year. The extension is limited to those […]

The post CMS Announces Extension of Prior Authorization Program appeared first on American Ambulance Association.

The American Ambulance Association is pleased to announce the publication of its 2017 Medicare Payment Data Report. This report is based on the Physician/Supplier Procedure Summary Master File. This report […]

The post 2017 National and State-Specific Medicare Data appeared first on American Ambulance Association.

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 […]

The post MedPAC Examines Beneficiary Use of Emergency Departments appeared first on American Ambulance Association.

CMS Announces Revisions to Provider Enrollment Moratoria Access Waiver Demonstration (PEWD) Program On August 20, 2018, the Centers for Medicare & Medicaid Services (CMS) published a notice in the Federal Register that […]

The post CMS Announces Revisions to Provider Enrollment Waiver Demonstration (PEWD) Program appeared first on American Ambulance Association.

Talking Medicare: Recent DOJ Settlement Highlights Importance of Exclusion Testing On July 17, 2018, the U.S. Attorney for the District of Maine issued a press release on a settlement that […]

The post Talking Medicare: DOJ Settlement Highlights Importance of Exclusion Testing appeared first on American Ambulance Association.

The post CMS Extends Moratorium on Non-Emergency Ground Services appeared first on American Ambulance Association.

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 […]

The post CMS Non-Emergency Ambulance Transport Open Door Forum 7/26 appeared first on American Ambulance Association.

OIG Report – Overpayments For Non-Emergency Ambulance Transports To Non-Covered Destinations The Office of the Inspector General released its report “Medicare Improperly Paid Providers for Non Emergency Ambulance Transports to […]

The post OIG Report on Overpayments For Non-Emergency Transports appeared first on American Ambulance Association.

The post Talking Medicare: A Good Thing Poorly Explained appeared first on American Ambulance Association.

The AAA would like to take this opportunity to update members on a number of issues related to Medicare reimbursement: CMS and its contractors have begun adjusting claims for ground […]

The post Update on Medicare Reimbursement Issues appeared first on American Ambulance Association.

The post First Interim Evaluation Report on Medicare Prior Authorization appeared first on American Ambulance Association.

CMS held its latest Open Door Forum on Wednesday, March 7, 2018. As with past Open Door Forums, CMS started the call with the following series of announcements: Medicare Fee […]

The post Summary of March 2018 Ambulance Open Door Forum appeared first on American Ambulance Association.

CMS Posts Updated 2018 Public Use File; OIG Guidance on Waiver of Small Cost-Sharing Balances Updated AAA 2018 Medicare Rate Calculator Now Available! The Centers for Medicare and Medicaid Services […]

The post AAA Releases Updated 2018 Medicare Rate Calculator appeared first on American Ambulance Association.

  It is my pleasure to share with you that—just minutes ago—Congress passed the 5 year extension of the Medicare ambulance add-ons. The extension was part of the two-year budget […]

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The post House Passes Ambulance Medicare Add-Ons appeared first on American Ambulance Association.

The post Talking Medicare: Low Volume Settlement Option appeared first on American Ambulance Association.

CMS Extends Temporary Moratorium on Non-Emergency Ground Ambulance Services in New Jersey and Pennsylvania On January 30, 2018, the Centers for Medicare & Medicaid Services (CMS) issued a notice in […]

The post CMS Extends Moratorium on Non-Emergency Ground Services appeared first on American Ambulance Association.

The Great Medicare Debate: Should I Hold My Medicare Claims? By: Brian S. Werfel, Esq. and Rebecca Williamson, Chair, AAA Medicare Regulatory Committee Ambulance suppliers face an important decision at the start […]

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The post President’s Perspective: January 2018 appeared first on American Ambulance Association.

On December 14, 2017, CMS held its latest Open Door Forum. As usual, it started with a few announcements, as follows: Ambulance Inflation Factor – CMS announced that it had […]

The post Summary of December 2017 Ambulance Open Door Forum appeared first on American Ambulance Association.

Talking Medicare: Navigating a Post-Prior Authorization World Novitas Solutions, Inc. recently announced that it will no longer issue prior authorizations for scheduled, repetitive non-emergency transports, effective December 1, 2017. This […]

The post Navigating a Post-Prior Authorization World appeared first on American Ambulance Association.

The post Response to Kaiser Health News Ambulance Billing Article appeared first on American Ambulance Association.

CMS Announces Ambulance Inflation Update for 2018 On October 27, 2017, CMS issued Transmittal 3893 (Change Request 10323), which announced the Medicare Ambulance Inflation Factor (AIF) for calendar year 2018. […]

The post CMS Announces Ambulance Inflation Update for 2018 appeared first on American Ambulance Association.

The post Time to handle 911 call demands with Paramedics appeared first on American Ambulance Association.

In order to assist with the disaster response to Hurricane Harvey, CMS has announced that it has lifted the temporary moratorium on the enrollment of new Part B non-emergency ambulance […]

The post CMS Lifts Moratorium Enrollment Non-Emergency Providers (TX) appeared first on American Ambulance Association.

On September 14, 2017, CMS held its latest Open Door Forum. As usual, it started with a few announcements, as follows: “Locality” Rule – On 6/16/17 CMS issued Transmittal 236, […]

The post Summary of September 2017 Ambulance Open Door Forum appeared first on American Ambulance Association.

The American Ambulance Association is pleased to announce the publication of its 2016 Medicare Payment Data Report. This report is based on the Physician/Supplier Procedure Summary Master File. This report […]

The post 2016 National and State-Specific Medicare Data appeared first on American Ambulance Association.

A Preliminary Estimate of 2018 Medicare Rates In this blog, I will provide a preliminary estimate of the Ambulance Inflation Factor (AIF) for calendar year 2018.  The AIF is main […]

The post Preliminary Estimate of 2018 Medicare Rates appeared first on American Ambulance Association.

CMS Extends Temporary Moratorium on Non-Emergency Ground Ambulance Services in New Jersey, Pennsylvania, and Texas On July 28, 2017, the Centers for Medicare & Medicaid Services (CMS) issued a notice […]

The post CMS Extends Moratorium on Non-Emergency Ground Ambulance appeared first on American Ambulance Association.

Maxmed is a home health agency. In 2011, Medicare reviewed a sample of 40 claims involving 22 Medicare beneficiaries and determined that all but one were not medically necessary. The sample […]

The post Court Decision Overpayment Determination Statistical Sampling appeared first on American Ambulance Association.