Ambulance Cost Collection Rule Summary
The proposed rule sets the foundation for the data collection system for ground ambulances. It proposes a stratified random sample method, that is very similar to the one the AAA proposed via the work we commissioned through The Moran Company. We are working through the stratification categories, which are slightly different than those we identified.
CMS also proposes the cost and revenue data elements it plans to use. There are some details in the proposed rule text and others will be in the proposed tool that will be posted the CMS website today.
CMS also proposes the collection period and penalties for failing to report.
While the data collection provision was the key component for ground ambulance services, CMS also proposed changes to the PCS requirement sought by the AAA. CMS is proposing to reference the PCS also as non-physician certification agreements. The agency is further proposing to clarify that the focus is on the certification of the medical necessity provisions and the form of the certification statement is not prescribed. As part of the non-physician statement, CMS is proposing expanding the staff of you may sign the statement when an attending physician is unable to sign.