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Author: Amanda Riordan

Amanda Riordan serves as the Vice President of Membership of the American Ambulance Association. She joined AAA as Director of Membership in May of 2015. She has 15+ years of progressive experience in non-profit operations, membership development, marketing, operations, and credentialing.

EMS Profiles | Meet Brett Zingarelli

Written by Amanda Riordan on October 5, 2023. Posted in EMS Profiles.

Brett Zingarelli
Lieutenant
Saint Francis EMS
Wilmington, Delaware

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How did you come to be in EMS?

My grandfather passed away from cancer when I was 12 and I wanted to find a way to help people. EMS was the first way I found to help at a young age.

What do you love about working in EMS?

Every day is different. No matter what happens I know that I’ve affected someone’s life for the better when the shift is over.

Do you have any advice for someone considering becoming an EMT or Paramedic?

There is no other feeling in this world like helping other people. If you come in and do your best every day is rewarding.

Anything else you’d like to say?

There is a place for everyone in EMS. Follow your passions and you will find the career rewarding.

EMS Profiles | Meet Rosetta Scott

Written by Amanda Riordan on October 2, 2023. Posted in EMS Profiles.

Rosetta Scott, NREMT
Emergency Medical Technician
Saint Francis Hospital EMS
Wilmington, Delaware

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How did you come to be in EMS?

My father suffered a heart attack at home and as I waited for 911, it felt like forever. I decided I never again wanted to be without the knowledge of how to help others.

What do you like about working in EMS?

I love the opportunity to interact with diversity in our communities. It is an honor to help people of various populations.

Do you have any advice for someone considering becoming an EMT or Paramedic?

My advice to future EMS professionals is to be easy with yourself and continue to ask questions. Never stop learning, even after you earn your certification.

EMS Profiles | Meet Jarlicia Islandriana Scott

Written by Amanda Riordan on September 29, 2023. Posted in EMS Profiles.

Jarlicia Islandriana Scott
Paramedic
Pafford Emergency Medical Services
Clarksdale, MS

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How did you come to be in EMS?

I found myself searching for a career in the healthcare field and discovered a local EMT training program. I didn’t know much about EMS at the time I applied. As I got deeper into it, I became more and more interested.  I enrolled in the Paramedic program to further my career and continue my education.

What do you love about working in EMS?

What I love about working in EMS is the thrill and the excitement—the whole experience. I love the fact that I can tell people outside of the profession that I’m a Paramedic.

Do you have any advice for someone considering becoming an EMT or Paramedic?

Treat each and every patient as if they were your family member.

Anything else you’d like to say?

EMS is a fun and challenging career. It has its moments but every call makes you greater. My primary goal is to provide patients with excellent pre-hospital care.

EMS Profiles | Meet Jameson Fernandez

Written by Amanda Riordan on September 23, 2023. Posted in EMS Profiles.

Jameson Fernandez
Emergency Medical Technician
Cataldo Ambulance
Somerville, Massachusetts

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How did you come to be in EMS?

The light and sirens going by first caught my attention as a young child. That love only grew as I got older. I would watch and ask for all things that had to do with first responding. I loved it all, and imagined serving as police, fire or EMS when I got older. Over time during these growing years I eliminated fire and law enforcement as just not for me. EMS was the winner across the board.

I found myself at the age where I asked, ‘Self, what do you want to do?’ and, ‘What is the career of my dreams?’

The answer was EMS.

What do you love about working in EMS?

What I love about EMS is there is literally never a dull moment! Nothing day is the same, no call will ever be the same. EMS and standing orders are always evolving and trending up. We are always there when you need us.

Do you have any advice for someone considering becoming an EMT or Paramedic?

My advice is to go for it! Buckle up and enjoy one of the most rewarding career paths that can simply not be duplicated in other professions.

I recommend EMS for the skillset development. It hits such a wide variety of life lessons in just one shift. As an EMT, you’ll see the do’s and don’ts to life as a whole, and it gives you the ability to help people from the community.

You are continually educated and truly the sky is the limit in emergency medical services. Being an EMT opens so many doors in so many directions in the medical field. You can start EMS like me from fleet maintenance, where I learned about the vehicles, to a chair car, to communications and dispatch, to the road as an emergency first responder, and then on to an EMT certification. The future is full of next steps, and I’ve already done a lot. You can even get your advanced EMT, then your Paramedic then do a bridge program and go into nursing. The possibilities are endless and attainable.

Anything else you’d like to say?

EMS is the way to go. Get started!

PBS NewsHour | The No Surprises Act left out ground ambulances. Here’s what’s happening now

Written by Amanda Riordan on August 24, 2023. Posted in Advocacy Priorities, Balance Billing, News, Press, Private Insurance.

Thank you to American Ambulance Association Secretary @WayneJurecki for standing up for patients and #EMS providers. @NewsHour #SupportEMS #GAPBAC #AlwaysOpen #NotJustaRide https://t.co/L982QAYr3X @EMS1 @jemsconnect @UKROBL1 @AIMHI_MIH @EMSWorldOFCL

— AmericanAmbulanceAsc (@amerambassoc) August 24, 2023

 

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2023 Stars of Life Nominations Are OPEN!

Written by Amanda Riordan on August 10, 2023. Posted in Stars of Life.

Honor YOUR Stars in Washington, DC

The American Ambulance Association’s Stars of Life program celebrates the contributions of ambulance professionals who have gone above and beyond the call of duty in service to their communities or the EMS profession.

Recognize the unsung heroes at your ambulance service—nominate EMTs, Paramedics, Dispatchers, and other EMS professionals for this year’s class of Stars. Stars and their guests, accompanied by executive hosts, are celebrated in a series of events in our nation’s capital.

Stars of Life honors the contributions of these heroes while shining light on the critical role EMS plays in our healthcare infrastructure.

Nominate a Star of Life
American Ambulance Association
Stars of Life 2023
November 6–8, 2023
Intercontinental Wharf | Washington, DCNominations close October 10, but early nomination is suggested as space is limited.

Eligibility—Who Are Our Stars?

All employees of ambulance services are eligible for nomination for the AAA Stars of Life program. All nominees are recognized as Stars. Examples of individuals commonly nominated include:

  • State-level Star of Life or other award program recipient
  • Employee of the year
  • On-duty or off-duty services above and beyond the call of duty such as special rescue or setting of significant records
  • Notable community contributions such as volunteer work, local leadership, partnerships with other organizations or agencies
  • Significant community distinction or honors related to ambulance, public safety, public health or health care services
  • Consistent services record which exemplifies your ambulance operation’s mission

Please note that we encourage individuals being honored poshumously to be recognized through the National EMS Memorial Service.

2023 Registration Rates

Registration opens in July, and closes October 10. Late submissions cannot be accomodated.

  • Stars – $549 member / $1098 non-member (+$150 after October 1)
  • Hosts – $549 member / $1098 non-member (+$150 after October 1)
  • Guests – $549 member / $1098 non-member (+$150 after October 1)
  • Banquet Only – $199 member / $398 non-member
Stars of Life Cancellation & Refund Policy

Cancellations received in writing at hello@ambulance.org by September 1, 2023 will be refunded less a 25% penalty. Cancellations received from September 2 to October 1, 2023 will be subject to a 50% cancellation fee.  No refunds will be issued after October 2, 2023. No refunds will be issued for no-shows.

Recognize Women Living Legends

Vanguards honor women leaders with 35+ years of extraordinary service to mobile healthcare.Nominate a Vanguard!››
Download 2023 Photo Slide PDF››

Know a Rising Advocacy Leader?

Nominations are also open for the AAA EMSNext leadership and education program focused on nurturing a new generation of EMS association and policy leaders.

Learn More››

Facebook
Twitter
Link
LinkedIn
Copyright © 2023 American Ambulance Association, All rights reserved.

2023 Stars of Life Nominations Are OPEN!

Written by Amanda Riordan on July 17, 2023. Posted in Stars of Life.

Honor YOUR Stars in Washington, DC

The American Ambulance Association’s Stars of Life program celebrates the contributions of ambulance professionals who have gone above and beyond the call of duty in service to their communities or the EMS profession.

Recognize the unsung heroes at your ambulance service—nominate EMTs, Paramedics, Dispatchers, and other EMS professionals for this year’s class of Stars. Stars and their guests, accompanied by executive hosts, are celebrated in a series of events in our nation’s capital.

Stars of Life honors the contributions of these heroes while shining light on the critical role EMS plays in our healthcare infrastructure.

Nominate a Star of Life
American Ambulance Association
Stars of Life 2023
November 6–8, 2023
Intercontinental Wharf | Washington, DC

Nominations close October 10, but early nomination is suggested as space is limited.

Eligibility—Who Are Our Stars?

All employees of ambulance services are eligible for nomination for the AAA Stars of Life program. All nominees are recognized as Stars. Examples of individuals commonly nominated include:

  • State-level Star of Life or other award program recipient
  • Employee of the year
  • On-duty or off-duty services above and beyond the call of duty such as special rescue or setting of significant records
  • Notable community contributions such as volunteer work, local leadership, partnerships with other organizations or agencies
  • Significant community distinction or honors related to ambulance, public safety, public health or health care services
  • Consistent services record which exemplifies your ambulance operation’s mission

Please note that we encourage individuals being honored poshumously to be recognized through the National EMS Memorial Service.

2023 Registration Rates

Registration opens in July, and closes October 10. Late submissions cannot be accomodated.

  • Stars – $549 member / $1098 non-member (+$150 after October 1)
  • Hosts – $549 member / $1098 non-member (+$150 after October 1)
  • Guests – $549 member / $1098 non-member (+$150 after October 1)
  • Banquet Only – $199 member / $398 non-member
Stars of Life Cancellation & Refund Policy

Cancellations received in writing at hello@ambulance.org by September 1, 2023 will be refunded less a 25% penalty. Cancellations received from September 2 to October 1, 2023 will be subject to a 50% cancellation fee.  No refunds will be issued after October 2, 2023. No refunds will be issued for no-shows.

Recognize Women Living Legends

Vanguards honor women leaders with 35+ years of extraordinary service to mobile healthcare.Nominate a Vanguard!››
Download 2023 Photo Slide PDF››

Know a Rising Advocacy Leader?

Nominations are also open for the AAA EMSNext leadership and education program focused on nurturing a new generation of EMS association and policy leaders.

Learn More››

Facebook
Twitter
Link
LinkedIn
Copyright © 2023 American Ambulance Association, All rights reserved.

2024 EMSNext Nominations Now Open!

Written by Amanda Riordan on July 6, 2023. Posted in 40 Under 40, AAA HQ, Annual Conference & Tradeshow, Awards.

EMSNext Nominations Due January 1, 2024!

Know a wonderful rising leader you’d like to recognize as the future of EMS? Nominations are open for EMSNext (formerly Mobile Healthcare 40 Under 40)!

Selection Process & Criteria

2023 EMSNext Honorees

Honorees will be selected based ONLY on the information provided in the nomination form below. Nominees should have contributed to their organization, state ambulance association, AAA, other professional associations, and/or the EMS profession in an extraordinary way beyond faithful completion of job duties. Please be sure to include detail about the nominee’s impact to date and future promise.

Please note that nominees must be under 40 in the year of nomination OR from a diverse background. No specific job role or title is required for consideration.

EMSNext Program Description

EMSNext is a recognition and development program of the American Ambulance Association. The goal of this program is to recognize up-and-coming leaders within EMS and support them in building their networks and leadership skills and encouraging them to get involved in the next level of EMS leadership. This program is a way for organizations to fully engage their rising leaders through company-sponsored travel and participation in additional learning and networking events throughout the year. Program participation includes:

    • Complimentary conference registration for the 2024 AAA Annual Conference & Tradeshow (April 22-24 in Nashville, Tennessee)
    • Recognition of the EMSNext recipients during the Conference
    • Mentor pairing and additional professional development opportunities
    • Encouraged to attend AAA Board Meetings throughout the year
    • Encouraged to attend another AAA event with our leaders in 2024

AAA’s Commitment to Diversity, Equity, and Inclusion

Updated in August 2022

Caring for People—Together.
The American Ambulance Association board and its members are committed to providing high-quality healthcare to every patient regardless of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and/or on the basis of differing ability. We dedicate time, thought, and resources to fostering diversity, equity, inclusion, and mutual respect within the Emergency Medical Services workforce and leadership. Together, we save and sustain the lives of community members.

2024 Vanguard Nominations Open Through January 1

Written by Amanda Riordan on July 6, 2023. Posted in AAA HQ, Annual Conference & Tradeshow, News, Press.

Nominations Are Due January 1, 2024!

Recognize woman leaders with at least 35 years of service in EMS! Nominations are open for the second annual American Ambulance Association Vanguard Awards! The Vanguards honor those who blazed the trail for fellow women EMS professionals.

The Vanguards are presented in collaboration with our colleagues from Women in Emergency Services (WiES), a newly-founded organization dedicated to supporting and advancing women’s careers in the emergency services industry through empowerment, networking, mentorship, and education.

2023 American Ambulance Association Vanguard Awards

Selection Process & Criteria

To submit a 2024 Vanguard nomination, please complete the form below before January 1, 2024.

Honorees will be selected based ONLY on the information provided in their nomination form. Nominees should have contributed to their organization, state ambulance association, AAA, other professional associations, and/or the EMS profession in an extraordinary way beyond faithful completion of job duties. Please be sure to include detail about the nominee’s impact to date.

Please note that nominees must be women with 35+ years of service in the EMS industry. No specific job role or title is required for consideration.

Recognition

Honorees will be recognized at the American Ambulance Association President’s Reception award ceremony, and will be recognized on the AAA and WiEMS websites and social media platforms. Winners will also receive complimentary registration to the AAA Annual Conference & Trade Show.

2024 AAA Annual Conference & Trade Show
Gaylord Opryland
April 22–24, 2024
Nashville, TN

2024 Annual Conference Speakers Wanted!

Written by Amanda Riordan on July 6, 2023. Posted in AAA HQ, Annual Conference & Tradeshow.

Photos from AAA 2023

Written by Amanda Riordan on July 5, 2023. Posted in 40 Under 40, Annual Conference & Tradeshow, Awards, Vanguard Award.

Check out photos from the American Ambulance Association 2023 Annual Conference & Trade Show, including the Vanguard and EMSNext Awards, on Facebook!

View & Share Photos

All Clear Foundation Names Mike Taigman Chairman of the Board

Written by Amanda Riordan on May 2, 2023. Posted in AAA HQ, Employee Wellness, Human Resources, News, Press.

This appointment demonstrates its commitment to serving those in emergency services with the wellness resources they need, when they need them, free of charge

Denver, Colorado, USA – All Clear Foundation (ACF), a national 501c3 nonprofit dedicated to improving the wellbeing and longevity of Emergency Responders, including Healthcare Workers, and their families, has appointed Mike Taigman Chairman of the Board.

“My life’s purpose–for my entire life–has been to recognize suffering in all its forms and do something about it. All Clear Foundation’s mission is in complete alignment with that passion,” says Taigman. “I am humbled and excited by this opportunity.”

A Proven Track Record

Taigman brings a wealth of experience to this role. He spent decades on the streets of Denver as a paramedic, honing his “people first” approach. The author of more than 600 articles in professional journals, Taigman is a recognized expert in the areas of quality improvement, data science, leadership, and EMS. He serves as adjunct faculty at University of Maryland, Baltimore County and UCSF, and he is the Improvement Guide at FirstWatch, a data analytics firm dedicated to quality improvement in public safety.

“We are thrilled to have Mike on board,” says Rhonda Kelly, the foundation’s Executive Director. “His passion for improving quality of life among Emergency Responders is sincere and his track record is unparalleled. We appreciate his focus on the full spectrum of wellness supports from proactive education to crisis intervention.  And we are very excited about his commitment to utilizing evidence-based practices to drive improvement.”

ACF relies upon the power of strategic partnerships to affect change and appreciates Taigman’s extensive experience building and growing partnerships in the Responder wellness world. In addition to facilitating development of EMS Agenda 2050, a vision EMS 20 years into the future, he is the author of Super-Charge Your Stress Management in the Age of COVID and is regular faculty at the Institute for Healthcare Improvement.

 

A Vision Forward

Among his top priorities, Taigman looks forward to ensuring the sustainability of All Clear’s mission. “My hope is to support the ongoing mission and build sustainable support and funding for the foundation so we can continue this important work,” says Taigman. “There’s so much evidence that being involved in emergency services and healthcare takes a toll on the folks doing the job.”

“All Clear Foundation has pulled together an ecosystem of resources that is unmatched and provides them free of charge to Emergency Responders, their agencies, and their families. Securing reliable support for these efforts is essential and ongoing.”

A Clear Need

The need is there. One study found Emergency Responders suffer from depression and PTSD at five times the rate of the general population. Among the many challenges inherent in the work are frequent trauma exposure, rotating shift schedules, limited agency support, amplified stress on the family and other relationships, and physical injury.

“Too many Emergency Responders have paid for their service with their lives, either in quality or longevity,” says Director Kelly. “The barriers of shame, stigma, lack of local resources, and lack of finances have kept many from accessing the supports they deserve and need. This is where All Clear Foundation steps in. Built by Responders, for Responders, we are here to help across the domains of wellness: mental, emotional, physical, social, and spiritual.”

Supporting First Responders

All Clear Foundation provides an array of easily accessible and navigable wellness solutions at no cost to agencies or participants. ResponderStrong, its mental health initiative, has had a significant impact nationally and continues to grow with hybrid-format educational content and digital tools. Partners organizations include Global Medical Response, FirstNet-Built with AT&T, Abbott Nutrition, The Center for Relationship Education, IndyCar, IPSDI, Sigma Tactical Wellness, and NERPSC.

“The work All Clear and its partner organizations provide is saving lives,” says Taigman. “But, beyond that, it’s making Emergency Responders happier, healthier, and more resilient. This is good news for all of us.”

 

###

ABOUT FIRSTWATCH

Since 1998, FirstWatch has been helping EMS agencies monitor real-time situational awareness, operational performance, clinical quality and performance improvement measures, as well as health surveillance, bioterrorism or other potentially concerning incidents. FirstWatch is designed to aggregate data from your agency’s CAD, ePCR, ProQA, RMS, Hospital ED, Billing and Phone system into a single, automated real-time view. For more information, visit www.firstwatch.net.

ABOUT ALL CLEAR FOUNDATION

Through assessing community wellness needs, priorities, and barriers, All Clear Foundation, a 501c3 public charity, leverages the power of strategic partnerships to create easily accessible and navigable systems of wellness solutions, improving the wellbeing and longevity of those who serve our communities. In 2019, ACF was founded by Global Medical Response as an autonomous public charity designed to serve and benefit the national Emergency Responder community. As one of the largest employers of Public Safety personnel in the U.S., GMR believes it has a duty to support the overall wellness of all Responders nationally. All Clear Foundation’s mission is to improve the overall wellbeing and longevity of those who serve our communities in times of need. We believe that healthy emergency responders contribute to healthier communities. For more information, visit www.allclearfoundation.org.

For more information, please contact Crawford Coates at ccoates@firstwatch.net.

GAPBAC | First Meeting May 2 & 3

Written by Amanda Riordan on April 28, 2023. Posted in Advocacy Priorities, Balance Billing, Reimbursement.

This content is for AAA members only.

Please either Log In or Join!

2023 Vanguard Award Winners Announced

Written by Amanda Riordan on March 30, 2023. Posted in AAA HQ, Annual Conference & Tradeshow, Awards, Vanguard Award.

FOR IMMEDIATE RELEASE

Contact:
Amanda Riordan
Vice President, Membership
ariordan@ambulance.org

American Ambulance Association Announces Inaugural Vanguard Award Winners

Washington D.C. – The American Ambulance Association (AAA) is proud to announce the winners of the inaugural Vanguard Awards. The Vanguards honor those who blazed the trail for fellow women EMS professionals, and the 23 winners represent a diverse group of dedicated individuals who have made significant contributions to mobile healthcare.

“We are thrilled to recognize these trailblazers who have paved the way for women in EMS,” said Randy Strozyk, President of AAA. “Their dedication, perseverance, and commitment to excellence have not only elevated their own careers but have also helped to advance the entire profession.”

Lori Burns | National Vice President of Learning, Global Medical Response | Denver, Colorado
Denise Carson | President, Med-Tech EMS | Morrilton, Arkansas
Sherry Carson | President, Monticello Ambulance Service, Inc. | Monticello, Arkansas
Diana Cataldo | Founder/Treasurer, Cataldo Ambulance Service, Inc | Middleton, Massachusetts
Cindy Elbert | President, Cindy Elbert Insurance Services, Inc. | Peoria, Arizona
Linda Frederiksen | Executive Director, MEDIC EMS | Davenport, Iowa
Dia Gainor | Executive Director, National Association of EMS Officials (NASEMSO) | Falls Church, Virginia
Debby Gault | Retired/Consultant, AMR | Waterford, Wisconsin
Dr. Marianne Gausche-Hill | Medical Director, Los Angeles County EMS Agency | Santa Fe Springs, California
Blanche Hill | Co-Founder, Superior Air-Ground Ambulance Service, Inc. | Elmhurst, Illinois
Kristine Kern | Paramedic Professor, San Jacinto College | San Jacinto, Texas
Susan Long | Vice President, Emergency Medical Services, Allina Health EMS | St. Paul, Minnesota
Tracey Loscar | Deputy Director, MatSu Borough EMS | Palmer, Alaska
Pam McBeath | President/ CEO, Balentine Ambulance Service Inc. | Shreveport, Louisiana
Susan McHenry | EMS Director (Retired), State of Virginia | Highlands Ranch, Colorado (Honored Posthumously)
Carol Meyer | Director, Government Relations, McCormick Ambulance | Compton, California
Carol Pafford | Vice President Emeritus, Pafford Medical Services | Hope, Arkansas
Jamie Pafford-Gresham | President/CEO, Pafford Medical Services | Hope, Arkansas
Helen Pierson | Chief Executive Officer, Medic Ambulance | Vallejo, California
Julie Rose | Director of Policy & Advocacy, Superior Air-Ground Ambulance Service, Inc. | Ashtabula, Ohio
Lauren Rubinson | Founder and CEO, MedEx Ambulance Service | Skokie, Illinois
Janet Smith | Owner and President, On Assignment | San Diego, California
Debbie Vass | Chief Administrative Officer, Sunstar Paramedics | Largo, Florida

The Vanguard Awards are presented in collaboration with Women in Emergency Services (WiES), a newly-founded organization dedicated to supporting and advancing women’s careers in the emergency services industry through empowerment, networking, mentorship, and education.

The winners will receive complimentary registration to the American Ambulance Association Annual Conference & Trade Show in Las Vegas on June 26-28, 2023. They will also be recognized at the President’s Reception on the evening of June 27, and their profiles will be featured on the AAA website and social media.

“The Vanguard Awards celebrate the accomplishments of women who have broken down barriers and opened doors for future generations,” said Strozyk. “We are proud to honor their legacy.”

About the American Ambulance Association

The American Ambulance Association safeguards the future of mobile healthcare through advocacy, thought leadership, and education. AAA advances sustainable EMS policy, empowering its members to serve their communities with high-quality on-demand healthcare. For more than 40 years, AAA has proudly represented those who care for people first.

3/16 | CMS Ambulance Open Door Forum

Written by Amanda Riordan on March 8, 2023. Posted in Regulatory.

The next CMS Ambulance Open Door Forum scheduled for:

Thursday, March 16, 2023
2:00pm-3:00pm PM Eastern Time (ET);

This call will be Conference Call Only.
To participate by phone:
Dial: 1-888-455-1397 & Reference Conference Passcode: 4325849

Conference Leaders: Jill Darling, Maria Durham

**This Agenda is Subject to Change**
I. Opening Remarks
Chair- Maria Durham, Director, Division of Data Analysis and Market Based Pricing
Moderator – Jill Darling (Office of Communications)

II. Announcements & Updates
• Medicare Ground Ambulance Data Collection System
(GADCS): Top 5 Tips for Selected Organizations in Year 1, 2, 3, and 4
Slide presentation will be available on CMS’ Ambulances
Services Center website: https://www.cms.gov/medicare/ambulance-fee-schedule-zipcode-files/ambulance-events
Please see the following information regarding COVID-19
PHE Updated Guidance for Ambulance Organizations:
Public Health Emergency (PHE) 1135 Waivers: Updated
Guidance for Providers

III. Open Q&A
**DATE IS SUBJECT TO CHANGE**
Next Ambulance Open Door Forum: TBA
ODF email: AMBULANCEODF@cms.hhs.gov

———————————————————————
This Open Door Forum is open to everyone, but if you are a member of the Press,
you may listen in but please refrain from asking questions during the Q & A portion of
the call. If you have inquiries, please contact CMS at Press@cms.hhs.gov. Thank
you.

Open Door Participation Instructions:
This call will be Conference Call Only.
To participate by phone:
Dial: 1-888-455-1397 & Reference Conference Passcode: 4325849

Persons participating by phone do not need to RSVP. TTY Communications Relay
Services are available for the Hearing Impaired. For TTY services dial 7-1-1 or 1-
800-855-2880. A Relay Communications Assistant will help.
Instant Replay: 1-800-814-6745; Conference Passcode: No Passcode needed
Instant Replay is an audio recording of this call that can be accessed by dialing 1-
800-814-6745 and entering the Conference Passcode beginning 1 hours after the call
has ended. The recording is available until March 18, 2023, 11:59PM ET.
For ODF schedule updates and E-Mailing List registration, visit our website at
http://www.cms.gov/OpenDoorForums/.
Were you unable to attend the recent Ambulance ODF call? We encourage you to
visit our CMS Podcasts and Transcript webpage where you can listen and view the
most recent Ambulance ODF call. The audio and transcript will be posted to:
https://www.cms.gov/Outreach-andEducation/Outreach/OpenDoorForums/PodcastAndTranscripts.html.
CMS provides free auxiliary aids and services including information in accessible
formats. Click here for more information. This will point partners to our CMS.gov
version of the “Accessibility & Nondiscrimination notice” page. Thank you.

This Week’s Savvik Deals

Written by Amanda Riordan on February 8, 2023. Posted in AAA HQ, News, Operations.

Apply for this Grant!
Shop TKK
Cost Collection is coming. Is your organization prepared?

Join the workshop and stay tuned for more!

The Cost Collection workshops are coming to

  • St. Charles, MO – February 8th 2023
  • Little Rock, AR – February 9th, 2023
  • Oklahoma City, OK – February 15th, 2023
  • Myrtle Beach, SC – March 1st, 2023
  • Wilmington, NC – March 8th, 2023
  • North Canton, OH – March 25th, 2023
We’ll see you there!
Register for a Webinar
Request FREE Access to the Amber Software
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About us
Savvik is a non-profit formed to reduce financial impact within the Public Safety industry. Our mission is to provide members with a mechanism to achieve cost reductions – valuing quality supplies and equipment for members at the industry’s best prices.
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CMS Webinar on Addressing Healthcare Inequities

Written by Amanda Riordan on January 18, 2023. Posted in Regulatory.

From: Centers for Medicare & Medicaid Services
Date: January 18, 2023 at 8:01:13 AM EST

CMS Logo
Measure Development Education
& Outreach Series Announcement

2023 CMS MMS Public Webinars

From Data to Action: How CMS and its Stakeholders are Addressing

Inequities in Healthcare

The Centers for Medicare & Medicaid Services (CMS) is pleased to invite the public to attend the upcoming webinar “From Data to Action: How CMS and its Stakeholders are

Addressing Inequities in Healthcare.” Join us for a discussion of the CMS Health Equity Framework and how key stakeholders are leveraging changes in data science and quality measurement to drive progress toward more equitable care for all.

  • Tuesday, February 28, 2023, from 3 – 4:00 p.m. (ET) (Register here)
  • Wednesday, March 8, 2023, from 12 – 1:00 p.m. (ET) (Register here)

Have questions? Please contact MMSSupport@battelle.org.

Contact MMS Support
Have questions about the Measure Management process? We’re here to help!
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DOJ OJP | Law Enforcement Congressional Badge of Bravery

Written by Amanda Riordan on December 28, 2022. Posted in News.

Learn More or Nominate Now

Every day, federal, state, and local law enforcement officers engage in exceptional acts of bravery while in the line of duty. Often, such acts place the officers involved at personal risk of injury or result in their sustaining a physical injury. To honor these acts of bravery, Congress passed the Law Enforcement Congressional Badge of Bravery Act of 2008 (Public Law 110-298), creating the Federal Law Enforcement Congressional Badge of Bravery and the State and Local Law Enforcement Congressional Badge of Bravery. The act establishes an award to honor exceptional acts of bravery in the line of duty by federal, state, and local law enforcement officers. The medals are awarded annually by the U.S. Attorney General and are presented by the recipients’ Congressional representatives.

To meet the definition of an act of bravery, nominees for the Congressional Badge of Bravery must have either:

  1. Sustained a physical injury while engaged in the lawful duties of the individual, and performing an act characterized as bravery by the agency head who makes the nomination, and being at personal risk; or
  2. Although not injured, performed an act characterized as bravery by the agency head who makes the nomination that placed the individual at risk of serious physical injury or death.

Nominating a Law Enforcement Officer to Receive the Congressional Badge of Bravery

The submitting of nominations is by/at the direction of law enforcement agency heads to the Department of Justice, Office of Justice Programs, Bureau of Justice Assistance. Nominations are considered by either the Federal Law Enforcement Congressional Badge of Bravery Board or the State and Local Law Enforcement Congressional Badge of Bravery Board, which submit their recommendations to the U.S. Attorney General.

The opening date for nominations is on or about December 15 of each year. When the nomination period is open, all nominations must be submitted through the online Congressional Badge of Bravery Nomination System.

PLEASE NOTE: The background of Congressional Badge of Bravery nominees may be reviewed as part of the selection process. Agency heads must submit nominations through the online Congressional Badge of Bravery Nomination System.

More Information

  • Congressional Badge of Bravery Frequently Asked Questions
  • Template for CBOB applications
  • Illustrations of the CBOB federal and state and local medals
  • For more information about the Congressional Badge of Bravery, please email AskCBOB@usdoj.gov.
  • Law Enforcement Congressional Badge of Bravery Brochure
  • To learn about other law enforcement and crime prevention initiatives, subscribe to NewsFromBJA.
  • Gregory Joy, BJA Policy Advisor, and CBOB Program Administrator: Gregory.Joy@usdoj.gov

Learn More or Nominate Now

CMS | CY 2023 Medicare Physician Fee Schedule Final Rule

Written by Amanda Riordan on November 1, 2022. Posted in Regulatory.

From CMS on November 1, 2022

Fact sheet

Calendar Year (CY) 2023 Medicare Physician Fee Schedule Final Rule

  • Medicare Parts A & B
  • Physicians
  • Policy

On November 01, 2022, the Centers for Medicare & Medicaid Services (CMS) issued a final rule that includes updates and policy changes for Medicare payments under the Physician Fee Schedule (PFS), and other Medicare Part B issues, effective on or after January 1, 2023.

The calendar year (CY) 2023 PFS final rule is one of several rules that reflect a broader Administration-wide strategy to create a more equitable health care system that results in better accessibility, quality, affordability, and innovation.

Background on the Physician Fee Schedule

Since 1992, Medicare payment has been made under the PFS for the services of physicians and other billing professionals. Physicians’ services paid under the PFS are furnished in various settings, including physician offices, hospitals, ambulatory surgical centers (ASCs), skilled nursing facilities and other post-acute care settings, hospices, outpatient dialysis facilities,

clinical laboratories, and beneficiaries’ homes. Payment is also made to several types of suppliers for technical services, most often in settings for which no institutional payment is made.

For most services furnished in a physician’s office, Medicare makes payment to physicians and other professionals at a single rate based on the full range of resources involved in furnishing the service. In contrast, PFS rates paid to physicians and other billing practitioners in facility settings, such as a hospital outpatient department (HOPD) or an ASC, reflect only the portion of the resources typically incurred by the practitioner in the course of furnishing the service.

For many diagnostic tests and a limited number of other services under the PFS, separate payment may be made for the professional and technical components of services. The technical component is frequently billed by suppliers, like independent diagnostic testing facilities and radiation treatment centers, while the professional component is billed by the physician or practitioner.

Payments are based on the relative resources typically used to furnish the service. Relative value units (RVUs) are applied to each service for work, practice expense, and malpractice expense. These RVUs become payment rates through the application of a conversion factor. Geographic adjusters (geographic practice cost index) are also applied to the total RVUs to account for variation in practice costs by geographic area. Payment rates are calculated to include an overall payment update specified by statute.

CY 2023 PFS Ratesetting and Conversion Factor

CMS is finalizing a series of standard technical proposals involving practice expense, including the implementation of the second year of the clinical labor pricing update. We also included a comment solicitation seeking public input as we develop a more consistent, predictable approach to incorporating new data in setting PFS rates. Per statutory requirements, we are also updating the data that we use to develop the geographic practice cost indices (GPCIs) and malpractice RVUs.

With the budget neutrality adjustments, which are required by law to ensure payment rates for individual services don’t result in changes to estimated Medicare spending, the required statutory update to the conversion factor for CY 2023 of 0%, and the expiration of the 3% supplemental increase to PFS payments for CY 2022, the final CY 2023 PFS conversion factor is $33.06, a decrease of $1.55 to the CY 2022 PFS conversion factor of $34.61.

Evaluation and Management (E/M) Visits

As part of the ongoing updates to E/M visit codes and related coding guidelines that are intended to reduce administrative burden, the AMA CPT Editorial Panel approved revised coding and updated guidelines for Other E/M visits, effective January 1, 2023. Similar to the approach we finalized in the CY 2021 PFS final rule for office/outpatient E/M visit coding and documentation, we finalized and adopted most of these AMA CPT changes in coding and documentation for Other E/M visits (which include hospital inpatient, hospital observation, emergency department, nursing facility, home or residence services, and cognitive impairment assessment) effective January 1, 2023. This revised coding and documentation framework includes CPT code definition changes (revisions to the Other E/M code descriptors), including:

  • New descriptor times (where relevant).
  • Revised interpretive guidelines for levels of medical decision making.
  • Choice of medical decision making or time to select code level (except for a few families like emergency department visits and cognitive impairment assessment, which are not timed services).
  • Eliminated use of history and exam to determine code level (instead there would be a requirement for a medically appropriate history and exam).

We finalized the proposal to maintain the current billing policies that apply to the E/Ms while we consider potential revisions that might be necessary in future rulemaking. We also finalized creation of Medicare-specific coding for payment of Other E/M prolonged services, similar to what CMS adopted in CY 2021 for payment of Office/Outpatient prolonged services. These services will be reported with three separate Medicare-specific G codes.

Split (or Shared) E/M Visits

For CY 2023, we finalized  a year-long delay of the split (or shared) visits policy we  established in rulemaking for 2022.  This policy determines which professional should bill for a shared visit by defining the “substantive portion,” of the service as more than half of the total time. Therefore, for CY 2023, as in CY 2022, the substantive portion of a visit is comprised of any of the following elements:

  • History.
  • Performing a physical exam.
  • Medical Decision Making.
  • Spending time (more than half of the total time spent by the practitioner who bills the visit).

As finalized, clinicians who furnish split (or shared) visits will continue to have a choice of history, or physical exam, or medical decision making, or more than half of the total practitioner time spent to define the “substantive portion” instead of using total time to determine the substantive portion, until CY 2024.

Telehealth Services

For CY 2023, we are finalizing a number of policies related to Medicare telehealth services, including making several services that are temporarily available as telehealth services for the PHE available at least through CY 2023 in order to allow additional time for the collection of data that may support their inclusion as permanent additions to the Medicare Telehealth Services List. We finalized our proposal to extend the duration of time that services are temporarily included on the telehealth services list during the PHE for at least a period of 151 days following the end of the PHE, in alignment with the Consolidated Appropriations Act, 2022 (CAA, 2022).

We confirmed our intention to implement the telehealth provisions in sections 301 through 305 of the CAA, 2022, via program instruction or other subregulatory guidance to ensure a smooth transition after the end of the PHE. These policies, such as allowing telehealth services to be furnished in any geographic area and in any originating site setting (including the beneficiary’s home); allowing certain services to be furnished via audio-only telecommunications systems; and allowing physical therapists, occupational therapists, speech-language pathologists, and audiologists to furnish telehealth services, will remain in place during the PHE for 151 days after the PHE ends. The CAA, 2022, also delays the in-person visit requirements for mental health services furnished via telehealth until 152 days after the end of the PHE.

We finalized the proposal to allow physicians and practitioners to continue to bill with the place of service (POS) indicator that would have been reported had the service been furnished in-person.  These claims will require the modifier “95” to identify them as services furnished as telehealth services. Claims can continue to be billed with the place of service code that would be used if the telehealth service had been furnished in-person through the later of the end of CY 2023 or end of the year in which the PHE ends.

The Telehealth Originating Site Facility Fee has been updated for CY 2023, which can be found with the list of Medicare Telehealth List of Services at the following website:  https://www.cms.gov/Medicare/Medicare-General-Information/Telehealth/Telehealth-Codes

Behavioral Health Services 

In light of the current needs among Medicare beneficiaries for improved access to behavioral health services, CMS has considered regulatory revisions that may help to reduce existing barriers and make greater use of the services of behavioral health professionals, such as licensed professional counselors (LPCs) and Licensed Marriage and Family Therapists (LMFTs). Therefore, CMS is finalizing the proposal to add an exception to the direct supervision requirement under our “incident to” regulation at 42 CFR 410.26 to allow behavioral health services to be provided under the general supervision of a physician or non-physician practitioner (NPP), rather than under direct supervision, when these services or supplies are furnished by auxiliary personnel, such as LPCs and LMFTs, incident to the services of a physician (or NPP). CMS is also clarifying that any service furnished primarily for the diagnosis and treatment of a mental health or substance use disorder can be furnished by auxiliary personnel under the general supervision of a physician or NPP who is authorized to furnish and  bill for services provided incident to their own professional services. CMS believes that this change will facilitate access and extend the reach of behavioral health services. Finally, CMS  indicated in the final rule that we intend to address payment for new codes that describe caregiver behavioral management training in CY 2024 rulemaking.

In the 2022 CMS Behavioral Health Strategy (https://www.cms.gov/cms-behavioral-health-strategy), CMS included a goal to improve access to, and quality of, mental health care services and included an objective to “increase detection, effective management, and/or recovery of mental health conditions through coordination and integration between primary and specialty care providers.” In CY 2017 and 2018 PFS rulemaking, CMS received comments that initiating visit services for behavioral health integration (BHI) should include in-depth psychological evaluations delivered by a clinical psychologist (CP), and that CMS should consider allowing professionals who were not eligible to report the approved initiating visit codes to Medicare to serve as a primary hub for BHI services. Considering the increased needs for mental health services and feedback we have received, we are finalizing our proposal to create a new General BHI code describing a service personally performed by CPs or clinical social workers (CSWs) to account for monthly care integration where the mental health services furnished by a CP or CSW are serving as the focal point of care integration. CMS is also finalizing the proposal to allow a psychiatric diagnostic evaluation to serve as the initiating visit for the new general BHI service.

Chronic Pain Management and Treatment Services 

We finalized new HCPCS codes, G3002 and G3003, and valuation for chronic pain management and treatment services (CPM) for CY 2023. We believe the CPM HCPCS codes will improve payment accuracy for these services, prompt more practitioners to welcome Medicare beneficiaries with chronic pain into their practices, and encourage practitioners already treating Medicare beneficiaries who have chronic pain to spend the time to help them manage their condition within a trusting, supportive, and ongoing care partnership.

The finalized codes include a bundle of services furnished during a month that we believe to be the starting point for holistic chronic pain care, aligned with similar bundled services in Medicare, such as those furnished to people with suspected dementia or substance use disorders. We have finalized the CPM codes to include the following elements in the code descriptor: diagnosis; assessment and monitoring; administration of a validated pain rating scale or tool; the development, implementation, revision, and/or maintenance of a person-centered care plan that includes strengths, goals, clinical needs and desired outcomes; overall treatment management; facilitation and coordination of any necessary behavioral health treatment; medication management; pain and health literacy counseling; any necessary chronic pain related crisis care; and ongoing communication and coordination between relevant practitioners furnishing care, such as physical and occupational therapy, complementary and integrative care approaches, and community-based care, as appropriate.

Opioid Treatment Programs (OTPs)

In order to stabilize the price for methadone for CY 2023 and subsequent years, CMS is finalizing the proposal to revise our methodology for pricing the drug component of the methadone weekly bundle and the add-on code for take-home supplies of methadone. As proposed, CMS will base the payment amount for the drug component of HCPCS codes G2067 and G2078 for CY 2023 and subsequent years on the payment amount for methadone in CY 2021 and update this amount annually to account for inflation using the PPI for Pharmaceuticals for Human Use (Prescription).

Additionally, based on the severity of needs of the patient population diagnosed with opioid use disorder (OUD) and receiving services in the OTP setting, CMS is finalizing the proposal to modify the payment rate for the non-drug component of the bundled payments for episodes of care to base the rate for individual therapy on a crosswalk to a code describing a 45-minute session, rather than the current crosswalk to a code describing a 30-minute session. This will increase overall payments for medication-assisted treatment and other treatments for OUD, recognizing the longer therapy sessions that are usually required.

CMS is also finalizing the proposal to allow the OTP intake add-on code to be furnished via two-way audio-video communications technology when billed for the initiation of treatment with buprenorphine, to the extent that the use of audio-video telecommunications technology to initiate treatment with buprenorphine is authorized by the Drug Enforcement Administration (DEA) and Substance Abuse and Mental Health Services Administration (SAMHSA) at the time the service is furnished. CMS is also finalizing the proposal to permit the use of audio-only communication technology to initiate treatment with buprenorphine in cases where audio-video technology is not available to the beneficiary, and all other applicable requirements are met.

Additionally, CMS is allowing periodic assessments to be furnished audio-only when video is not available for the duration of CY 2023, to the extent that it is authorized by SAMSHA and DEA at the time the service is furnished.

Additionally, CMS is clarifying that OTPs can bill Medicare for medically reasonable and necessary services furnished via mobile units in accordance with SAMHSA and DEA guidance. CMS is finalizing the proposal that locality adjustments for services furnished via mobile units would be applied as if the service were furnished at the physical location of the OTP registered with DEA and certified by SAMHSA.

Audiology Services

CMS finalized a policy to allow beneficiaries direct access to an audiologist without an order from a physician or NPP for non-acute hearing conditions.  The finalized policy will use a new modifier ─ instead of using a new HCPCS G-code as we proposed ─ because we were persuaded by the commenters that a modifier would allow for better accuracy of reporting and reduce burden for audiologist. The service(s) can be billed using the codes audiologists already use with the new modifier, and include only those personally furnished by the audiologist. The finalized direct access policy will allow beneficiaries to receive care for non-acute hearing assessments that are unrelated to disequilibrium, hearing aids, or examinations for the purpose of prescribing, fitting, or changing hearing aids.  This modification in our finalized policy necessitates multiple changes to our claims processing systems, which will take some time to fully operationalize, but audiologists may use modifier AB, along with the finalized list of 36 CPT codes, for dates of service on and after January 1, 2023.

CMS finalized the proposal to permit audiologists to bill for this direct access (without a physician or practitioner order) once every 12 months per beneficiary.  Medically reasonable and necessary tests ordered by a physician or other practitioner and personally provided by audiologists will not be affected by the direct access policy, including the modifier and frequency limitation.

Dental and Oral Health Services

Medicare payment for dental services is generally precluded by statute.  However, Medicare currently pays for dental services in a limited number of circumstances, specifically when that service is an integral part of specific treatment of a beneficiary’s primary medical condition. Some examples include reconstruction of the jaw following fracture or injury, tooth extractions done in preparation for radiation treatment for cancer involving the jaw, or oral exams preceding kidney transplantation. CMS proposed to clarify and codify certain aspects of the current Medicare fee-for-services payment policies for dental services. CMS also proposed and sought comment on payment for other dental services that were inextricably linked to, and substantially related and integral to, the clinical success of, an otherwise covered medical service, such as dental exams and necessary treatments prior to organ transplants, cardiac valve replacements, and valvuloplasty procedures. Effective for CY 2023, CMS 1) finalized our proposal to clarify and codify certain aspects of the current Medicare FFS payment policies for dental services when that service is an integral part of specific treatment of a beneficiary’s primary medical condition, and 2) other clinical scenarios under which Medicare Part A and Part B payment can be made for dental services, such as dental exams and necessary treatments prior to, or contemporaneously with, organ transplants, cardiac valve replacements, and valvuloplasty procedures. We are also finalizing payment for dental exams and necessary treatments prior to the treatment for head and neck cancers starting in CY 2024, and finalizing a process in CY 2023 to review and consider public recommendations for Medicare payment for dental service in other potentially analogous clinical scenarios. Finally, we are working to address commenters’ thoughtful feedback and questions regarding the operational aspects of billing and claims processing for these services.

Skin Substitutes

CMS proposed several changes to the policies for skin substitute products to streamline the coding, billing, and payment rules and to establish consistency with these products across the various settings. Specifically, CMS proposed to change the terminology of skin substitutes to ‘wound care management products’, and to treat and pay for these products as incident to supplies under the PFS beginning on January 1, 2024.  After reviewing comments on the proposals, we understand that it would be beneficial to provide interested parties more opportunity to comment on the specific details of changes in coding and payment mechanisms prior to finalizing a specific date when the transition to more appropriate and consistent payment and coding for these products will be completed. We plan to conduct a Town Hall in early CY 2023 with interested parties to address commenters’ concerns as well as discuss potential approaches to the methodology for payment of skin substitute products under the PFS. We will take into account the comments we received in response to CY 2023 rulemaking and feedback received in association with the Town Hall in order to strengthen proposed policies for skin substitutes in future rulemaking.

Colorectal Cancer Screening

For CY 2023, we are finalizing, as proposed, two updates to expand our Medicare coverage policies for colorectal cancer screening in order to align with recent United States Preventive Services Task Force and professional society recommendations. First, we are expanding Medicare coverage for certain colorectal cancer screening tests by reducing the minimum age payment and coverage limitation from 50 to 45 years. Second, we are expanding the regulatory definition of colorectal cancer screening tests to include a complete colorectal cancer screening, where a follow-on screening colonoscopy after a Medicare covered non-invasive stool-based colorectal cancer screening test returns a positive result. A functional outcome of our policy for a complete colorectal cancer screening will be that, for most beneficiaries, cost sharing will not apply for either the initial stool-based test or the follow-on colonoscopy. Both of these policies reflect our desire to expand access to quality care and to improve health outcomes for patients through prevention and early detection services, as well as through effective treatments. Our revised colorectal cancer screening policies directly advance our health equity goals by promoting access for much needed cancer prevention and early detection in rural communities and communities of color that are especially impacted by the incidence of colorectal cancer. Our policies also directly support President Biden’s Cancer Moonshot Goal to cut the death rate from cancer by at least 50 percent over the next 25 years and addresses his recent proclamation of March 2022 as National Colorectal Cancer Awareness Month.

Requiring Manufacturers of Certain Single-Dose Container or Single-Use Package Drugs to Provide Refunds with Respect to Discarded Amounts

Section 90004 of the Infrastructure Investment and Jobs Act (Pub. L. 117-9, November 15, 2021) amended section 1847A of the Act adding provisions that require manufacturers to provide a refund to CMS for certain discarded amounts from a refundable single-dose container or single-use package drug. The refund amount is the amount of discarded drug that exceeds an applicable percentage, which is required to be at least 10%, of total allowed charges for the drug in a given calendar quarter. The proposals to implement section 90004 of the Infrastructure Act included: how discarded amounts of drugs are determined; a definition of which drugs are subject to refunds (and exclusions); when and how often CMS will notify manufacturers of refunds; when and how often payment of refunds from manufacturers to CMS is required; refund calculation methodology (including applicable percentages); a dispute resolution process; and enforcement provisions. This refund applies to refundable single-dose container or single-use package drugs beginning January 1, 2023.

CMS is finalizing as proposed the definition of a refundable single-dose container or single-use package drug as a drug or biological for which payment is made under Part B and that is furnished from a single-dose container or single-use package. CMS is finalizing exclusions to this definition as required by statute for drugs that are either radiopharmaceuticals or imaging agents, drugs that require filtration during the drug preparation process, and drugs approved on or after the date of enactment of the Infrastructure Act (that is, November 15, 2021) for which payment under Part B has been made for fewer than 18 months.

For drugs with unique circumstances, CMS solicited comment on whether an increased applicable percentage would be appropriate for drug that is reconstituted with a hydrogel and administered via ureteral catheter or nephrostomy tube into the kidneys; in this circumstance, there is substantial amount of reconstituted hydrogel that adheres to the vial wall during preparation and not able to be extracted from the vial for administration. Based on comments received, CMS is finalizing an increased applicable percentage of 35 percent for this drug.

CMS also solicited comments on whether there are other drugs with unique circumstances that may warrant an increase in the applicable percentage.  As a result of public comments, CMS plans to collect additional information about drugs that may have unique circumstances along with what increased applicable percentages might be appropriate for each circumstance.  CMS will revisit additional increased applicable percentages through future notice and comment rulemaking.

CMS is finalizing requirements for the use of the JW modifier, for reporting discarded amounts of drugs, and the JZ modifier, for attesting that there were no discarded amounts. CMS is finalizing that providers will be required to report the JW modifier beginning January 1, 2023 and the JZ modifier no later than July 1, 2023 in all outpatient settings. In the proposed rule, CMS proposed that an initial invoice for the refund to be sent to manufacturers in October 2023.  However, we believe it would be beneficial to create system efficiencies related to the reconciliation and invoicing system of the discarded drug refunds and the new inflation rebate programs under the Inflation Reduction Act, and so we are not finalizing the timing of the initial report to manufacturers or date by which the first refund payments are due. We are, however, finalizing that we will issue a preliminary report on estimated discarded drug amounts based on claims from the first two calendar quarters of 2023 no later than December 31, 2023 and will revisit the timing of the first report in future rulemaking.

Preventive Vaccine Administration Services

In this rule, CMS finalized refinements to the payment amount for preventive vaccine administration under the Medicare Part B vaccine benefit, which includes the influenza, pneumococcal, hepatitis B, and COVID-19 vaccine and their administration. CMS finalized the proposal to annually update the payment amount for vaccine administration services based upon the increase in the MEI, and to adjust for the geographic locality based upon the geographic adjustment factor (GAF) for the PFS locality in which the preventive vaccine is administered. CMS also finalized the proposal to continue the additional payment for at-home COVID-19 vaccinations for CY 2023.

Additionally, in light of the distinction between a PHE declared under section 319 of the Public Health Service Act (PHS Act) and an Emergency Use Authorization (EUA) declaration under section 564 of the Food, Drug, and Cosmetic Act (FD&C Act), and the possibility that they will not terminate at precisely the same time, CMS is clarifying the policies finalized in the CY 2022 PFS final rule regarding the administration of COVID-19 vaccine and monoclonal antibody products, to reflect that those policies will continue through the end of the calendar year in which the EUA declaration for drugs and biological products is terminated. Lastly, CMS is finalizing the proposal to  permanently cover and pay for covered monoclonal antibody products used as pre-exposure prophylaxis for prevention of COVID-19 under the Medicare Part B vaccine benefit.

Updated Medicare Economic Index (MEI) for CY 2023

We proposed to rebase and revise the MEI for CY 2023 and solicited comments regarding the future use of the 2017-based MEI weights in PFS ratesetting and the GPCIs. The proposed method for determining the 2017-based MEI relies on estimating base year expenses from publicly available data from the U.S. Census Bureau NAICS 6211 Offices of Physicians. The proposed methodology allows for the use of data that are more reflective of current market conditions of physician ownership practices, rather than only reflecting costs for self-employed physicians, and also would allow for the MEI to be updated on a more regular basis since the proposed data sources are updated and published on a regular basis.

Finalizing the use of the 2017-based MEI cost weights to set PFS rates would not change overall spending on PFS services, but would result in significant distributional changes to payments among PFS services across specialties and geographies. In consideration of our ongoing efforts to update the PFS payment rates with more predictability and transparency, and in the interest of ensuring payment stability, we proposed not to use the updated MEI cost share weights to set PFS payment rates for CY 2023. However, we solicited comments on the potential use of the proposed updated MEI cost share weights to calibrate payment rates and update the GPCI under the PFS in the future.

We finalized the proposed rebasing and revising of the 2017-based MEI with some technical revisions to the proposed method based on public comments.  The final CY 2023 MEI update is 3.8 percent based on the most recent historical data available. As noted above, the rebased and revised MEI weights were not used in CY 2023 PFS ratesetting.

Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs)

Chronic Pain Management and Behavioral Health Services

We are finalizing the addition of chronic pain management and behavioral health integration services to the RHC and FQHC specific general care management HCPCS code, G0511, which aligns with changes made under the PFS for CY 2023. Since the requirements for the chronic pain management and behavioral health integration services are similar to the requirements for the general care management services furnished by RHCs and FQHCs (which are the current services for which RHCs and FQHCs can use HCPCS code G0511) the payment rate for HCPCS code G0511 will continue to be the average of the national non-facility PFS payment rates for the RHC and FQHC care management and general behavioral health codes (CPT codes 99484, 99487, 99490, and 99491) and PCM codes (CPT codes 99424 and 99425) Payment will be updated annually based on the PFS amounts for these codes, which is how these updates are made currently.

Telehealth Services

We announced that we are implementing the telehealth provisions in the Consolidated Appropriations Act, 2022 (CAA, 2022) via program instruction or other subregulatory guidance to ensure a smooth transition after the end of the PHE. The CAA, 2022 extends certain flexibilities in place during the PHE for 151 days after the PHE ends, including allowing payment for RHCs and FQHCs for furnishing telehealth services as distant site practitioners (though note that mental health visits can be furnished virtually on a permanent basis) under the payment methodology established for the PHE, allowing telehealth services to be furnished in any geographic area and in any originating site setting, including the beneficiary’s home, and allowing certain services to be furnished via audio-only telecommunications systems. The CAA, 2022 also delays the in-person visit requirements for mental health visits via telecommunications technology, including those furnished by RHCs and FQHCs, until 152 days after the end of the PHE.

Conforming Technical Changes to the In-Person Requirements for Mental Health Visits

We finalized conforming regulatory text changes in accordance with section 304 of the CAA, 2022 to amend paragraph (b)(3) of 42 CFR 405.2463, “What constitutes a visit,” and paragraph (d) of 42 CFR 2469, “FQHC supplemental payments,” to include the delay of the in-person requirements for mental health visits furnished by RHCs and FQHCs through telecommunication technology under Medicare until the 152nd day after the COVID-19 PHE ends.

Specified Provider-Based RHC Payment Limit Per-Visit

Subsequent to the publication of the CY 2022 PFS final rule, which implemented changes to the RHC payment limit as required by the Consolidated Appropriations Act, 2021, interested parties requested clarification regarding the timing of cost reports used to set the RHC payment limit. We finalized the clarification that a 12-consecutive month cost report should be used to establish a specified provider-based RHC’s payment limit per visit. We believe 12-consecutive months of cost report data accurately reflects the costs of providing RHC services and will establish a more accurate base from which the payment limits will be updated going forward.

Clinical Laboratory Fee Schedule (CLFS):

In accordance with section 4(b) of the Protecting Medicare and American Farmers from Sequester Cuts Act, we are finalizing certain conforming changes to the data reporting and payment requirements at 42 CFR part 414, subpart G. Specifically, we are finalizing revisions to § 414.502 to update the definitions of both the “data collection period” and “data reporting period,” specifying that for the data reporting period of January 1, 2023 through March 31, 2023, the data collection period is January 1, 2019 through June 30, 2019. We are also finalizing revisions to § 414.504(a)(1) to indicate that initially, data reporting begins January 1, 2017 and is required every 3 years beginning January 2023. In addition, we are finalizing conforming changes to our requirements for the phase-in of payment reductions to reflect the amendments in section 4(b) of this law. Specifically, we are finalizing revisions to § 414.507(d) to indicate that for CY 2022, payment may not be reduced by more than 0% as compared to the amount established for CY 2021, and for CYs 2023 through 2025, payment may not be reduced by more than 15% as compared to the amount established for the preceding year.

Additionally, after consideration of public comments and further analysis, we are finalizing an increase to the nominal fee for specimen collection based on the Consumer Price Index for all Urban Consumers (CPI-U).  Therefore, for CY 2023, the general specimen collection fee will increase from $3 to $8.574 and as required by PAMA, we will increase this amount by $2 for those specimens collected from a Medicare beneficiary in a SNF or by a laboratory on behalf of an HHA, which will result in a $10.57 specimen collection fee for those beneficiaries . In addition, we are finalizing a policy to update this fee amount annually by the percent change in the CPI-U.  We are also finalizing our proposals to codify and clarify various laboratory specimen collection fee policies in § 414.523(a)(1). This is because the policies implementing the statutory requirements under section 1833(h)(3)(A) of the Act for the laboratory specimen collection fee, which are currently described in the Medicare Claims Processing Manual Pub. 100-04, chapter 16, § 60.1., did not have corresponding regulations text and some of the manual guidance is no longer applicable.

Lastly, in light of questions we have received from interested parties, we are finalizing as proposed to codify in our regulations, and make certain modifications and clarifications to, the Medicare CLFS travel allowance policies. We are finalizing the addition of § 414.523(a)(2) “Payment for travel allowance” to reflect the requirements for the travel allowance for specimen collection. Specifically, in accordance with section 1833(h)(3)(B) of the Act, we are finalizing to include in our regulations the following requirements for the travel allowance methodology: (1) a general requirement, (2) travel allowance basis requirements, and (3) travel allowance amount requirements.

Medicare Ground Ambulance Data Collection System

CMS is finalizing a series of changes to the Medicare Ground Ambulance Data Collection System. First, we are finalizing our proposal to update our regulations at § 414.626(d)(1) and (e)(2) to provide the necessary flexibility to specify how ground ambulance organizations should submit the hardship exemption requests and informal review requests, including to our web-based portal once that portal is operational. Second, we are finalizing our proposed changes and additional clarifications  to the Medicare Ground Ambulance Data Collection Instrument. The changes and clarifications aim to reduce burden on respondents, improve data quality, or both. We grouped  these changes and clarifications into four broad categories: editorial changes for clarity and consistency; updates to reflect the web-based system; clarifications responding to feedback from questions from interested parties and testing; and typos and technical corrections.

Origin and Destination Requirements Under the Ambulance Fee Schedule

CMS is finalizing our interim final policy (85 FR 19276) that the expanded list of covered destinations for ground ambulance transports was for the duration of the COVID-19 PHE only.  These destinations include, but are not limited to, any location that is an alternative site determined to be part of a hospital, critical access hospital(CAH)or skilled nursing facility (SNF), community mental health centers, Federally qualified health centers, rural health clinics, physician offices, urgent care facilities, ambulatory surgical centers, any location furnishing dialysis services outside of an end-stage renal disease (ESRD) facility when an ESRD facility is not available, and the beneficiary’s home.

When the COVID-19 PHE ends, our regulations will reflect the long-standing ambulance services coverage for the following destinations only: hospital; CAH; SNF; beneficiary’s home; and dialysis facility for an ESRD patient who requires dialysis. In addition to these long-standing covered destinations, rural emergency hospitals (REH) will also be an allowed destination, in accordance with the Consolidated Appropriations Act, 2021, effective with services on or after January 1, 2023.

For a fact sheet on the CY 2023 Quality Payment Program changes, please visit (clicking link downloads zip file): https://qpp-cm-prod-content.s3.amazonaws.com/uploads/2136/2023%20Quality%20Payment%20Program%20Final%20Rule%20Resources.zip

For a fact sheet on the Medicare Shared Savings Program changes, please visit:  https://www.cms.gov/newsroom/fact-sheets/calendar-year-cy-2023-medicare-physician-fee-schedule-final-rule-medicare-shared-savings-program

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CMS Ambulance Open Door Forum scheduled for Thursday, August 18

Written by Amanda Riordan on August 15, 2022. Posted in Regulatory.

CMS Open Door Forum
The next CMS Ambulance Open Door Forum scheduled for:

Date:  Thursday, August 18, 2022

Start Time:  2:00pm-3:00pm PM Eastern Time (ET);

Please dial-in at least 15 minutes before call start time.

Conference Leaders: Jill Darling, Maria Durham

**This Agenda is Subject to Change**

  1. Opening Remarks

Chair- Maria Durham, Director, Division of Data Analysis and Market Based Pricing

Moderator – Jill Darling (Office of Communications)

  1. Announcements & Updates
  1. Medicare Ground Ambulance Data Collection System: Proposed Changes in the CY 2023 Physician Fee Schedule (PFS) Proposed Rule

Slide presentation is available at: https://www.cms.gov/Center/Provider-Type/Ambulances-Services-Center, under Spotlights, Upcoming Events

2. CY 2023 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical  Center (ASC) Payment System Proposed Rule: https://www.federalregister.gov/documents/2022/07/26/2022-15372/medicare-program-hospital-outpatient-prospective-payment-and-ambulatory-surgical-center-payment

Proposals Regarding Rural Emergency Hospitals Ambulance Services

III. Open Q&A

**DATE IS SUBJECT TO CHANGE**

Next Ambulance Open Door Forum: TBA

ODF email: AMBULANCEODF@cms.hhs.gov

———————————————————————

This Open Door Forum is open to everyone, but if you are a member of the Press, you may listen in but please refrain from asking questions during the Q & A portion of the call. If you have inquiries, please contact CMS at Press@cms.hhs.gov. Thank you.

Open Door Participation Instructions:

This call will be Conference Call Only.

To participate by phone:

Dial: 1-888-455-1397 & Reference Conference Passcode: 5109694

Persons participating by phone do not need to RSVP. TTY Communications Relay Services are available for the Hearing Impaired.  For TTY services dial 7-1-1 or 1-800-855-2880. A Relay Communications Assistant will help.

Instant Replay: 1- 866-469-7806; Conference Passcode: No Passcode needed

Instant Replay is an audio recording of this call that can be accessed by dialing 1-866-469-7806 and entering the Conference Passcode beginning 1 hours after the call has ended. The recording is available until August 20, 2022, 11:59PM ET.

For ODF schedule updates and E-Mailing List registration, visit our website at http://www.cms.gov/OpenDoorForums/.

Were you unable to attend the recent Ambulance ODF call? We encourage you to visit our CMS Podcasts and Transcript webpage where you can listen and view the most recent Ambulance ODF call. The audio and transcript will be posted to: https://www.cms.gov/Outreach-and-Education/Outreach/OpenDoorForums/PodcastAndTranscripts.html.

CMS provides free auxiliary aids and services including information in accessible formats. Click here for more information. This will point partners to our CMS.gov version of the “Accessibility & Nondiscrimination notice” page. Thank you.

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