AAA’s goal is to ensure sustainable funding for ground ambulance services by more closely tying Medicare/Medicaid reimbursement rates to actual operating costs. In addition to making permanent the current temporary Medicare increases, we are advocating that Congress change the status of ambulance services from “suppliers” of health-related goods/services to “providers” of health care. Assuming our efforts to move to provider status are successful, ambulance services will then need to begin meeting “Conditions of Participation”—basic standards for health care organizations. One condition will be providing accurate cost data to CMS. The move from supplier to provider is something that could be approved by Congress as part of the Medicare Ambulance Access, Fraud Prevention and Reform Act (S. 377, H.R. 745), and with it would come the immediate need for the ambulance industry to begin sharing cost data in a standardized way. Although no cost reporting methodology has yet been officially designated by the government, AAA worked closely with expert vendors to develop a recommended methodology for ambulance services to report costs that is not overly burdensome. Our recommended method, which has received positive feedback from regulators, asks the government to survey a statistically significant sample of ambulance services each year instead…

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