Palmetto GBA Releases Results of Second Quarter Review

Palmetto GBA Releases Results of Second Quarter Review Emergency and Non-Emergency Palmetto GBA, the Medicare Administrative Contractor (MAC) for Railroad Medicare, nationwide, and Part A/B MAC for the States of West Virginia, Virginia, North and South Carolina has released the results of a widespread review of Advanced Life Support ambulance services which was conducted during […]

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Payment Reductions Loom for Dialysis Transports

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 […]

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Proposed Rule Tightens the Screw for Ambulance

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 […]

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Uncovering Medicaid—The Other Entitlement

Uncovering Medicaid—The Other Entitlement Not Just Medicare For as long as we’ve been around the ambulance billing scene, everyone has hung on every word that comes from the Centers for Medicare and Medicaid Services (CMS) pertaining to Medicare. But note the name of the agency . . . it not only contains the word “Medicare” […]

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Railroad Medicare Releases Results of Ambulance Claim Review

Railroad Medicare Releases Results of Ambulance Claim Review The Study A little over a week ago, Palmetto GBA, the Medicare Administrative Contractor (MAC) for the Railroad Medicare program, issued the findings derived from a review of incoming ambulance claims they completed between October and December 2012. Palmetto GBA’s Medical Review (MR) department completed what they […]

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Sequestration Update

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 […]

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Sequester Could Have Negative Impact on Ambulance Medicare Payments

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 […]

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Medicare Revalidation – Why?

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 […]

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Medicare Revalidation in Full Swing for Ambulance

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 […]

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