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 […]
Medicare Prior Authorization Expansion- What Does It Mean for You? By Chuck Humphrey, B.A., CAC, CACO, CADS, EMT-B* The Time Has Come Unless you are Rip Van Winkle and you’ve been snoozing for a long, long winter’s nap, I’m hoping by now that you are aware that the Centers for Medicare and Medicaid Services (CMS) […]
Take Compliance Seriously- Or…It Will Cost You! In the News Recently, some scary EMS articles have been published. Here are some headlines… Fla. Ambulance company to pay 1.2M in federal whistle-blower lawsuit <Company name redacted> settles Medicare fraud suite for 12.7M Ambulance company owner sentenced to prison for fraud Feds crack down on Medicare ambulance […]
Medicare Prior Authorization- Part II- Impact! Welcome! Thanks for stopping by for Part II of our blog recap of the findings from the recently published interim evaluation report on Medicare Prior Authorization. Last week, we capsulized the findings as published by government contractor Mathematica Policy Research. This week, we will briefly take a look at […]
Why is S. 967 So Important to the Ambulance Industry? Part III Three weeks ago, we began the first of four consecutive blog posts dedicated to helping us all understand the importance of Senate Bill 967 entitled the “Medicare Ambulance Access, Fraud Prevention and Reform Act of 2017.” In that opening post, we explained that […]
H.R. 2 and You Last Week Last week Congress passed the “Medicare Access and CHIP Reauthorization Act of 2015.” The Bill, H.R. 2, contained an important provision for the ambulance industry and it passed on the brink of allowing the Medicare ground ambulance bonus payments to expire. The extension effected by H.R. 2 allows them to […]
One Last Look at Ambulance Billing in 2014- What’s Next? You Deserve a Break! We’re going to make this our last blog post for 2014. You deserve a break! But before we sign-off to celebrate the season, we thought we’d take a moment to reflect on the year that’s been just one last time. Let’s […]
