Medicare
Turning frustration into action as the end of ET3 puts a wrench in treatment in place, alternate destinations
Agencies and government officials must evaluate performance expectations and funding to determine appropriate EMS delivery models
Learn more about how much can be recouped from suspended payments and how to take advantage of the appeal process
Bipartisan group says plan could eliminate access for veterans, cause some air services to close
Legislation focuses on extending Medicare coverage for ambulance services
New model would improve resource use and reduce patient, hospital costs
The FAIR Health report also found that ALS services were required more often between 2018-2022 than BLS services
The current number of interventions was a factor in ending the model at the end of 2023
A city spokesman emphasized the expected cost savings from moving the former workers to a Medicare Advantage plan
26 unions voted against the move to remove traditional Medicare as an option
The legislation also delays a 4% Medicare cut until 2025 and extends many telehealth reimbursement waivers and flexibilities
The 2% urban, 3% rural and 22.6% super rural additions for ground ambulance services are about to expire
Three outdated paradigms holding EMS back
The private rates remain below those for the Miami-Dade Fire Rescue Department
“The cost of actually providing services has really outpaced the reimbursement receipt,” said Linda Frederiksen, executive director for MEDIC
Before mulling your “raise,” Page, Wolfberg & Wirth says to recall that a bill to “renew the ambulance fee schedule bonus payments” may pass
San Diego’s EMS service is now adding cover letters to clarify that forms requiring patient signatures for insurance reimbursements are not bills
GMR’s Brian Henricksen joins Rob Lawrence for a frank discussion on operational deficits
Submitted ground emergency medical transportation services should be only for covered services for Medicaid beneficiaries
Medicaid ALS reimbursement would increase from $300 to $400 per trip, and BLS would increase from $180 to $325 per trip
Officials at both the federal and state level said AMR often billed Medicare and Medicaid for advanced service when it provided basic service
“The government isn’t paying its fair share to make sure that we can appropriately compensate the EMTs and paramedics,” said ISSA President Chris Vandenberg
Without the postponed due date, the 2023 recommendations could have resembled guidance from 2002
In his ruling, the judge said the Biden administration did not follow federal law for the negotiation process between providers and health insurers
The cost to patients for ALS ground ambulance services increased 23% from an average $1,042 in 2017 to $1,277 in 2020
As a result, ambulance services will wind up with a 5.1% raise in 2022, according to Page, Wolfberg & Wirth
If lawmakers do not act, payments will be reduced by 4%
The court order says the Centers for Medicare & Medicaid had no clear authority to enact the mandate for providers that participate in the government programs
Depending on Congress, 2022 could see the largest annual increase since 1990
