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” […]

Read More

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 […]

Read More

Medicare Changes Proposed

Medicare Changes Proposed

Medicare Changes Proposed Last Week Big news hit the ambulance industry’s electronic inboxes last week, when the Centers for Medicare and Medicaid Services (CMS) released the calendar year 2020 Proposed Rule with revisions to Payment Policies under the Physician Fee Schedule including Other Changes to Part B Payment Policies. Two ambulance industry changes were embedded […]

Read More

CMS Announces New ET3 Model

CMS Announces New ET3 Model

CMS Announces New ET3 Model A Valentine from Medicare! The Centers for Medicare and Medicaid Services (CMS) Center for Medicare and Medicaid Innovation (CMMI) sent out a Valentine greeting yesterday announcing a new payment pilot program that the ambulance industry will eventually greet with much love. Using a staged announcement located at a fire house […]

Read More

CMS-Opens-Wider-Window-with-Templates-08-16-2018

CMS Opens Wider Window with Templates

CMS Opens Wider Window with Templates Open Door = Open Window Just a few weeks ago, the Centers for Medicare and Medicaid Services (CMS) opened a wider window for those of us in the ambulance industry to take a look at the future direction for supporting documentation expectations. Part of the Patients Over Paperwork Project, […]

Read More

Ambulance-Industry-Legislation-Update-Blog-06-29-2018

Ambulance Industry Legislation Update

Ambulance Industry Legislation Update In this space… Over a few month we reported in this space about legislation in several States that had the potential to impact the ambulance industry in a big way. Since those posts, there have been some positive developments on a few fronts. Pennsylvania Legislation Passes The new State budget passed […]

Read More

Other-Methods-of-Transportation-are-Contraindicated-Blog-03-23-2018

Other Methods of Transportation are Contraindicated

Other Methods of Transportation are Contraindicated Medical Necessity Defined We talk a lot about Medical Necessity in the ambulance billing office. Medical necessity and Reasonableness are key in determining whether or not an insurance payer is obligated to pay for ambulance transport, especially for Medicare and Medicaid patients. Title XVIII of the Social Security Act […]

Read More

Dissecting-The-Misunderstoods-Blog-02-19-2016.png

Dissecting “The Misunderstoods”- Part II- Billing for SCT

Dissecting “The Misunderstoods”- Part II- Billing for SCT Bloggers note- early last year we posted a popular 2-part series talking about a subject we affectionately called “The Misunderstoods.” Because we periodically field questions about these two levels of service and the complexity of documenting properly to obtain maximum reimbursement, we’re offering up the series again […]

Read More