Congress Passes Ambulance Medicare Add-Ons

  It is my pleasure to share with you that—just minutes ago—Congress passed the 5 year extension of the Medicare ambulance add-ons. The extension was part of the two-year budget deal reached by congressional leaders and passed by the Senate early this morning and then shortly thereafter by the House. The ambulance provisions in the final deal differ from the provisions passed earlier this week by the House in one key area – the collection of ambulance cost data. This means that we are truly in the endzone of the add-on payment extension process. While we ask your continued patience as we jump through one last procedural hoop, I am confident that the add-ons will be back in effect as soon as the President signs the legislation. In today’s deeply divided political climate, I am proud of what we have accomplished through collaboration as an association and industry. Here are the specifics of the final package: 5 year extension of the ambulance Medicare add-ons through December 31, 2022, retroactive to January 1, 2018. AAA’s preferred method of Cost data collection that provides flexibility to the Secretary of HHS in developing the system. Consultation with the industry is required so that it (more…)

House Passes Ambulance Medicare Add-Ons

Moments ago, the U.S. House of Representatives passed legislation which includes a five-year extension of the Medicare ambulance add-ons. The House voted 245 to 182 to pass a Continuing Resolution (CR) to fund the federal government beyond the current expiration date of February 8. The CR included a package of Medicare provider extenders including an extension of the temporary Medicare ambulance add-ons. The ambulance provisions in the CR include the following: A five-year extension of the temporary Medicare ambulance increases of 2% urban and 3% rural to base and mileage rates and 22.6% to the base rate in super rural areas. The extension would be retroactive to January 1, 2018 and expire on December 31, 2022. The requirement for ambulance service suppliers to submit cost reports. The language is based on H.R. 3729 as reported by the House Ways and Means Committee but with new language providing the CMS Administrator with the discretion to apply a payment suspension or overpayment as the penalty for suppliers that do not submit timely, accurate and complete data after the initial two years. To offset the cost of the add-ons extension, a further reduction of 13% in Medicare reimbursement for BLS non-emergency transports to (more…)

New Medicare Card Project CMS ODF Follow Up

CMS’s Office of Information Technology (OIT) held its special Open Door Forum on the New Medicare Card Project on Tuesday, February 6 at 2:00 PM Eastern. Following the CMS call, AAA AAA Medicare Consultant, Brian Werfel, Esq.; and AAA Medicare Regulatory Committee Chair, Rebecca Williamson hosted a debrief and Q & A. Slides from today’s presentation are now available: View the Slides

IRS Notice 1036

The Internal Revenue Service has released Notice 1036, which updates the income-tax withholding tables for 2018 reflecting changes made by the tax reform legislation enacted last month. This is the first in a series of steps that IRS will take to help improve the accuracy of withholding following major changes made by the new tax law. If you have a payroll service, they should be ensuring that your organization is using the correct withholding tables.  Employers should be using these new tax withholding amounts as soon as possible but no later than February 15, 2018.  If you need assistance with ensuring that your organization is utilizing the appropriate withholding schedule....

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CMS ODF and Follow Up Call Cancelled

CMS’s Office of Information Technology (OIT) will hold a special Open Door Forum on the New Medicare Card Project on Tuesday, January 23 at 2:00 PM Eastern. If you plan to attend, please dial in at least 15 minutes before the call. Following the CMS call, AAA Senior Vice President of Government Affairs, Tristan North, will moderate a Q&A call for members. To answer your questions, AAA Medicare Consultant, Brian Werfel, Esq.; AAA Medicare Regulatory Committee Chair, Rebecca Williamson; and AAA Medicare Regulatory Vice-Chair, Angie (Lehman) McLain will be on the line.  

Add-Ons Update & Impact of Partial Government Shutdown

Call To Action:  Ambulance Add-Ons Update & Impact of Partial Government Shutdown Congress is heading toward a possible partial shutdown of the federal government without taking action on our expired Medicare add-on payments. While the AAA and other industry stakeholders have pressed hard for Congress to immediately pass a five-year extension of the ambulance add-ons, our message is not being heard loud enough amongst all the other noise. We need you to contact your members of Congress today in support of extending the 2% urban, 3% rural and 22.6% super rural increases! Last night, the House of Representatives mostly along party lines passed a Continuing Resolution to fund the federal government through February 16. The fate of the bill in the Senate is uncertain. If Congress does not pass by midnight tonight a measure extending funding for the federal government, there will be a partial government shutdown. The AAA had pushed for Congress to attach a Medicare provider extender package including a five-year extension of the ambulance add-ons to the Continuing Resolution.  Since the extender package was not included in the Resolution, we are pressing Congress to consider a separate extenders only package including the five-year ambulance extension or attach (more…)

OSHA Updates & Reminders 2018

It is important that employers remember that they must post a copy of their OSHA Form 300A which is a summary of workplace injuries starting February 1, 2018 through April 30, 2018.  The OSHA Form 300A is a summary of all job-related injuries and illnesses that occurred in an employer’s workplace during 2017.  If a company recorded no injuries or illnesses in 2018, the employer must enter “zero” on the total line. The form must be signed and certified by a company executive. The OSHA Form 300A Injury Summary must be displayed in a common area where notices to employees are usually posted.  In addition to posting these reports in the workplace, covered employers will have to electronically report their injury data on the Injury Tracking Application (ITA) by July 1, 2018. Also, a reminder to employers who are subject to OSHA or to those who operate in a state with an OSHA approved state level plan, the penalty amounts for OSHA violations are increasing effective January 2, 2018.  In accordance with the Federal Civil Penalties Inflation Adjustment Act Improvements Act of 2015, the Department of Labor is required to adjust penalties for inflation each year. New penalties for willful...

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AAA Spearheads Medicare Provider Extension Letter

AAA Spearheads Medicare Provider Letter Supporting Add-ons Extension The AAA spearheaded a letter by a coalition of Medicare providers urging congressional leaders to pass a Medicare provider extender package by January 19. This is part of the AAA’s ongoing efforts to ensure that the Medicare ambulance add-ons are extended as soon as possible. Many thanks to John Jonas and the team at Akin Gump for taking the lead on reaching out to other Medicare provider organizations. The AAA was able to secure the support of twenty organizations on the letter and the letter has been to congressional leaders as well as all congressional offices. The organizations that singed on to the letter are: American Ambulance Association (AAA) American Health Care Association (AHCA) American Medical Rehabilitation Providers Association (AMRPA) American Physical Therapy Association (APTA) American Occupational Therapy Association (AOTA) Association of Critical Care Transport (ACCT) Brain Injury Association of America Christopher & Dana Reeve Foundation Emergency Department Practice Management Association Falling Forward Foundation Focus on Therapeutic Outcomes, Inc. (FOTO) National Association for Home Care & Hospice National Association for the Support of Long Term Care (NASL) National Association of Emergency Medical Service Physicians National Center for Assisted Living National Rural Health Association (NRHA) (more…)