Medicare
Three outdated paradigms holding EMS back
GMR’s Brian Henricksen joins Rob Lawrence for a frank discussion on operational deficits
As the winter’s surge of coronavirus cases overwhelmed Los Angeles hospitals, EMTs like Michael Diaz were forced to take previously unthinkable measures
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
One initiative states facilities receiving funds through Medicare or Medicaid will be required to be vaccinated against COVID-19, which likely includes EMS, according to legal scholars
After a successful pilot program in DeKalb County, AMR becomes the largest group included in the CMS ET3 model
The Health and Human Services Department announced $15 million in funding available for states to create and improve response to mental health- and substance use-related crises
Leaders at Gold Cross EMS are looking to raise fees from $1,150 base rate and around $20 per mile to a $1,750 base rate and $28 per mile
Some companies have left the city due to staffing issues that the remaining services say come down to unsustainable reimbursement rates
The waiver is retroactive to March 1, 2020 and allows for reimbursement when patients aren’t transported due to community-wide COVID-19 protocols
If passed, the legislation would extend the 2% urban, 3% rural and the super rural bonus payment for five years
Sen. Catherine Cortez Masto and Rep. Cynthia Axne introduced legislation into the American Rescue Plan
Federal investigators alleged Rural/Metro Corporation collected improper reimbursements over a seven-year period
The funding opportunity aims to reduce inappropriate use of emergency ambulance services and increase efficiency in EMS systems
The 7-minute survey will provide feedback for CMS regarding waivers during the COVID-19 emergency
The bill aims to reimburse ambulance providers who can’t transport some patients due to lack of available hospital beds
Ambulance services initially selected to collect and report data for 2020 and 2021 will now begin collecting data on Jan. 1, 2022
The Centers for Medicare & Medicaid Services reported that the Prior Authorization Model for Repetitive, Scheduled Non-Emergent Ambulance Transport (RSNAT) saved Medicare $650 million over 4 years
The Centers for Medicare & Medicaid Services announced that the first performance period will begin Jan. 1, 2021
The Treasury Department acknowledges defunding the program between August 2016 and May 2020 to cover “delinquent Medicare Secondary Payer debt” owed by various entities within NYC
Acute Care Ambulance Services says it is at risk of closing after payments were suspended due to an allegation of fraud
The bipartisan group of House representatives is calling for agencies to receive reimbursements for treatment-in-place responses and telehealth use
The case is one of the largest Medicare ambulance fraud cases ever prosecuted by the U.S. Department of Justice
Med-1 Interfacility Care Manager Davon Terrell Henderson allegedly billed for fictitious ambulance services using stolen Medicare ID numbers
The Centers for Medicare and Medicaid Services will delay the first round of data collection until 2021
The association says it is prioritizing PPE and testing access and funding in its negotiations at the Capitol
Know what you are agreeing to when you accept CARES Act COVID-19 stimulus funding
The Association of Air Medical Services is seeking federal funding to help air ambulance providers recoup lost revenue during the COVID-19 pandemic
The Centers for Medicare and Medicaid Services allows providers to obtain verbal consent to sign when contamination of a stylus or recording device is of concern
The start of the five-year test period for the Emergency Triage, Treat, and Transport model has been moved due to the COVID-19 pandemic
CMS has relaxed ambulance regulations and rules to assist EMS agencies nationwide during the public health emergency
The Centers for Medicare and Medicaid Services outlined requirements that have been waived to prioritize patient care during the COVID-19 national emergency