Preparing for Dialysis Transport Payment Reductions Last Week In our last blog we provided information regarding the announced 10% payment reduction that is being put in place by the Center for Medicare and Medicaid Services (CMS) on all BLS Non-Emergency transports to and from dialysis treatments for patients diagnosed with End Stage Renal Disease (ESRD). […]
Payment Reductions Loom for Dialysis Transports Section 637 Remember “Section 637.” This is the section of the American Taxpayer Relief Act of 2012 that will require the Center for Medicare and Medicaid Services (CMS) to reduce Medicare payments for BLS Non-Emergency ambulance transports nationwide by 10% beginning on October 1, 2013. Non-Emergency, Basic Life Support […]
Proposed Rule Tightens the Screw for Ambulance Feeling Beat Up? CMS published a proposed rule this week which intends to bolster fraud prevention and also limit certain Medicare privileges we’ve grown accustomed to in the ambulance industry. CMS is inviting comments on the proposal now through June 28, 2013. The American Ambulance Association has committed […]
Sequestration Update It Happened… Our last blog warned of the possibility that the “Sequester” was going to hit. If you missed that blog, we provided you with information about the government sequester which, at that point, was still being debated in a standoff between Congress and The White House. Well, March came in like a […]
Sequester Could Have Negative Impact on Ambulance Medicare Payments In the News… Congress and President Obama are in the news again over another game of brinksmanship just two months after narrowly avoiding the drop over the “fiscal cliff.” This time the sequestration process threatens to cut Medicare reimbursements. What is Sequestration? For many years there […]
PCS — Who Can Sign? Signature Focus In our last blog post we visited new rules surrounding repetitive transports and the execution of the Physicians Certification Statement (PCS). This post will primarily focus on how to insure the person signing is correct for the PCS you have obtained. Requirement… Remember Medicare requires that a PCS […]
PCS – Not a Prescription! “Never mimic the PCS . . .” If you’ve ever attended an Enhanced documentation class, you’ll probably remember hearing the caution “Never mimic the PCS in your narrative.” We’ve taught this for years. Now CMS is backing that statement up with their new final rule amending the regulations for schedule, […]
Medicare Revalidation – Why? Why? Since the first day that CMS announced the revalidation process for Medicare, we’ve been asked the same question time after time. Why do we have to do this? Well a simple question begs a not so simple answer. We’ll do our best to provide you answers as we see it […]
Medicare Revalidation in Full Swing for Ambulance What is Revalidation? Just about one year ago we blogged concerning the CMS call for Medicare revalidation. CMS mandated at that time for every Medicare provider/supplier to be subject to revalidation. Basically revalidation is like hitting the reset button with Medicare. CMS is requiring that every provider/supplier provide […]
