RSNAT Prior Authorizations and the PCS

RSNAT Prior Authorizations and the PCS

RSNAT Prior Authorizations and the PCS by Rebecca Illig, QMC Compliance Manager In 2014… In 2014 CMS initiated a Repetitive Scheduled Non-Emergency Ambulance Transportation (RSNAT) prior authorization demonstration program for certain states. These included South Carolina, New Jersey, and Pennsylvania. The program was expanded in December of 2015 by CMS to include Delaware, the District […]

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AIF Announced For Calendar Year 2022

AIF Announced for the Calendar Year 2022

AIF Announced for the Calendar Year 2022 By Chuck Humphrey, B.A., EMT-B, CAC, CADS* Second Largest Increase Ever! The Centers for Medicare and Medicaid Services announced that the Ambulance Inflation Factor (AIF) for 2022 is 5.1%. The increase will be applied to the national Medicare Ambulance Fee Schedule with payments made on claims with a […]

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Transported For Higher Level Of Care

Transported for HIGHER Level of Care

Transported for HIGHER Level of Care By Katie Harrison and Chuck Humphrey, QMC Compliance Team If we had a dollar… Here in our QMC billing office, if we had a dollar for every time we have opened a patient care report (PCR) to read the documentation of an ambulance transport from one facility to another […]

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AIF Announced For Calendar Year 2021

AIF Announced for Calendar Year 2021

AIF Announced for Calendar Year 2021 Christmas-like Anticipation Do you remember what it was like when you were a kid and Christmas was right around the corner? You probably couldn’t wait for the big day when Santa would bring you that awesome new bicycle, video game or Barbie doll, right? Well, if you’re an ambulance […]

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2018 Ambulance Payment Data Released

2018 Ambulance Payment Data Released

2018 Ambulance Payment Data Released AAA Capsule Thanks to the American Ambulance Association’s efforts to keep all of us in the ambulance industry informed the Association has compiled and released the ambulance 2018 Medicare Payment Data Report to all AAA members. The report was compiled and posted using payment data derived from the “Early Edition” […]

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AIF Announced For Calendar Year 2020

AIF Announced for Calendar Year 2020

AIF Announced for Calendar Year 2020 R4407CP What is R4407CP? The identifier number on the tail section of an aircraft, perhaps? Good guess…but no! R4407CP is the Change Request Transmittal Number released just a few days ago announcing the Ambulance Inflation Factor (AIF) for 2020. The AIF is an important piece of the formula to […]

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CMS Cost Data Collection Picture Becomes Clearer

CMS Cost Data Collection Picture Becomes Clearer

CMS Cost Data Collection Picture Becomes Clearer Puzzle Pieces Line Up! After several weeks of dissecting the upcoming Federal Cost Data Collection mandate, the puzzle pieces of this new requirement are starting to line up to create a picture of what’s to come. We continue to monitor the clarifications as shared by the Centers for […]

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