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

This content is for AAA members only. Please either Log In or Join!

The post 2023 Ambulance Fee-for-Service Medicaid Rate Survey 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 […]

The post CMS End of PHE Roadmap appeared first on American Ambulance Association.

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

Yesterday, the American Ambulance Association Board of Directors approved the Association’s advocacy priorities for 2022. Our key initiatives reflect the challenges we face this year, including short-sighted threats to EMS […]

The post AAA 2022 Legislative Priorities appeared first on American Ambulance Association.

FOR IMMEDIATE RELEASE June 21, 2021 Contact: CMS Media Relations CMS Media Inquiries New Medicaid and CHIP Enrollment Snapshot Shows Almost 10 million Americans Enrolled in Coverage During the COVID-19 Public Health Emergency […]

The post CMS | New Medicaid and CHIP Enrollment Snapshot 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.

CMS released published a guidance document summarizing some of the steps that it has taken to relieve the administrative burden on health care providers and suppliers during the current public […]

The post CMS “Pauses” Prior Authorization Model for Scheduled, Repetitive Non-Emergency Ambulance Transportation appeared first on American Ambulance Association.

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.

The post CMS Announces New Healthy Adult Opportunity Initiative appeared first on American Ambulance Association.

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 AAA is pleased to release its 2019 State Medicaid Rate Survey. This survey sets forth the fee-for-service Medicaid rates for all 50 states. For each state, the Survey lists […]

The post AAA Releases 2019 State Medicaid Ambulance Rate Survey appeared first on American Ambulance Association.

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

The post Physician Fee Schedule Proposed Rule 2018 appeared first on American Ambulance Association.

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

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

Medicaid billing in emergency medical services is unavoidable. From trauma trips to non-emergency transports, ambulance providers face a multitude of hurdles when trying to identify, verify and bill the correct […]

The post Medicaid Replacement Plans appeared first on American Ambulance Association.

CMS has issued an MLN Ambulance Transports Booklet. The booklet (36 pages) can be downloaded here. One section of the Booklet that you might want to keep handy involves Free-Standing Emergency Departments. Specifically, […]

The post CMS – MLN Ambulance Transports Booklet appeared first on American Ambulance Association.

Talking Medicare with Brian S. Werfel, AAA Medicare Consultant Over the past few weeks, we have received emails from ambulance providers across the country reporting that UnitedHealthCare (UHC) has started […]

The post UnitedHealthCare Denials for ALS-2 Claims appeared first on American Ambulance Association.

Over the past week, multiple members have contacted the American Ambulance Association to report that they have received a letter from the Centers for Medicare and Medicaid Services (CMS) related […]

The post CMS Letter Regarding Merit-Based Incentive Payment System appeared first on American Ambulance Association.

The post HHS Letter to Governors on Medicaid Changes appeared first on American Ambulance Association.

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 […]

The post Administration’s Proposed Rule on Marketplace Stabilization appeared first on American Ambulance Association.

The post The Future of Prior Authorization appeared first on American Ambulance Association.

This is a critical year for the legislative efforts of the American Ambulance Association and our members.  First and foremost, our temporary Medicare ambulance increases expire at the end of […]

The post Medicare Relief and Reform Letter by President Postma appeared first on American Ambulance Association.

In March 2011, the Centers for Medicare and Medicaid Services (CMS) implemented a revised process for processing the enrollment of new Medicare providers and suppliers. This revised process also applied […]

The post GAO Report on Revised Provider Enrollment Screening Process appeared first on American Ambulance Association.

2015 Medicare Payment Data Offers Evidence of Nationwide Crackdown on Non-Emergency Ground Ambulance Transportation; Impact Varies Dramatically by Medicare Administrative Contractor Every year, CMS releases data on aggregate Medicare payments […]

The post 2015 Medicare Data Shows Evident of Crackdown on Non-Emergency Transport appeared first on American Ambulance Association.

Over the past week, we have learned that several ambulance suppliers have received letters from the CMS Supplemental Medical Review Contractor (SMRC), StrategicHealthSolutions, LLC.  These letters indicate that the SMRC […]

The post CMS SMR Contractor Audit Error appeared first on American Ambulance Association.

On October 1, 2016, the Centers for Medicare and Medicaid Services (CMS) updated its list of Medically Unlikely Edits (MUEs). The MEU program is designed to reduce the paid claims […]

The post CMS List of Medically Unlikely Edits for Ambulance Services appeared first on American Ambulance Association.

On August 16, 2016, the HHS Departmental Appeals Board (DAB) issued a decision related to CMS’ authority to revoke a Medicare supplier’s billing privileges.  The DAB is the fourth and […]

The post Findings Patterns Where None Exist appeared first on American Ambulance Association.

“EMS is instrumental to the healthcare fabric of our country. As the healthcare industry continues to innovate, it is imperative to recognize the value that EMS brings to the pre- […]

The post Acadian’s Asbel Montes on Ambulance Payment Reform appeared first on American Ambulance Association.

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 […]

The post CMS Moratoria Update appeared first on American Ambulance Association.

The AAA is pleased to announce the release of its Medicaid Crossover Survey 2016. A companion to its recently released 2016 Medicaid Rate Survey, the 2016 Medicaid Crossover Survey focuses […]

The post 2016 Medicaid Crossover Study appeared first on American Ambulance Association.

Normally this blog focuses on an area of Medicare reimbursement or compliance.  However, this month I want to talk about Medicare’s companion program, Medicaid. When you talk to ambulance providers […]

The post AAA 2016 State Medicaid Ambulance Rate Survey Results Released appeared first on American Ambulance Association.

The post HHS Office of Civil Rights Announces Phase 2 HIPAA Audit Review Program appeared first on American Ambulance Association.

The post CMS Implements Cycle 2 Revalidation Program appeared first on American Ambulance Association.

The post Calculating Excess Mileage appeared first on American Ambulance Association.

Earlier today, AAA representatives participated on an invitation-only stakeholder call in which CMS announced the availability of two new public data sets. The first data set shows through an interactive […]

The post CMS Publishes Medicare Fee-for-Service Provider & Supplier Lists appeared first on American Ambulance Association.

By David M. Werfel, Esq | AAA Medicare Consultant Updated February 16, 2016 Federal law requires that state Medicaid programs cover necessary transportation to and from health care providers in […]

The post Medicaid Waivers to End Coverage of Non-Emergency Transportation appeared first on American Ambulance Association.

The post CMS Issues Final Rule on the Reporting and Return of Medicare Overpayments appeared first on American Ambulance Association.

The post Question of a “Lifetime” appeared first on American Ambulance Association.

The post 2016 AIF: A Step Backward appeared first on American Ambulance Association.

By David M. Werfel, Esq. | Updated November 6, 2015 On November 5, 2015, the Centers for Medicare and Medicaid Services (CMS) conducted its latest Ambulance Open Door Forum.  As […]

The post Summary of CMS Ambulance Open Door Forum of November 5, 2015 appeared first on American Ambulance Association.

The post Member Advisory: CMS Releases the ICD-10 Crosswalk appeared first on American Ambulance Association.

On July 25, 2015, CMS issued a notice extending the temporary moratorium for enrollment of new ambulance suppliers in the Texas counties of Brazoria, Chambers, Fort Bend, Galveston, Harris, Liberty, […]

The post CMS Extends Ambulance Enrollment Moratoria appeared first on American Ambulance Association.