Webinar Materials & FAQ: Claims Guidance for COVID-19

Webinar: How to Best Document and Track Claims Related to COVID-19 Recorded: Thursday, March 26th | 12:00pm Eastern View On-Demand Recording View PPT Slides FAQ of unanswered webinar questions: Is the idea that the ET3 model will be pushed to all ambulance companies or only previously selected participants? The request into CMS and leadership during the declared public health emergency is to allow all ambulance providers and suppliers to transport patients or treat in place based upon the concepts outlined in the Emergency Triage, Treatment and Transport model as defined by CMMI’s release last year. While we wait for finalization of the ET3 protocols, will billing be allowed retroactively? If CMS follows other waiver provisions that they have been approving, then we would expect the waiver to be retroactive. However, that will be clearly identified when and if the final waiver is approved. Asbel spoke about Telehealth medical necessity, which we assume applies to the QHP.  Neither CMS nor the MAC has provided any guidance regarding MN guidance for the ambulance that is facilitating the telehealth.  CMS ET3 FAQ provides a non-answer. Can you advise? You will need to understand the nuances around telehealth and what Medicare requires as a (more…)

2019 Avesta Private EMS Turnover Study

Once again, this year, the American Ambulance Association partnered with Avesta to conduct our annual survey of employee turnover in the private EMS industry. As a valued member of the association, it is our pleasure to share it with you today. Download the Avesta 2019 EMS Employee Turnover Study The survey was conducted and managed by the Center for Organizational Research at The University of Akron. The purpose of the study was to better quantify and understand the reasons for employee turnover at nearly every organizational level within EMS. At the very least, this study provides us with a continuing benchmark for defining job-specific voluntary and involuntary turnover percentages. While no survey is perfect, our goal is to continue to analyze staff turnover and its impact on the private industry.  One thing is clear: when turnover is high, private EMS leaders are faced with increased costs associated with recruiting, selecting, and training replacements. Proactive minimization of turnover will reduce costs and have a positive effect on productivity, morale, and customer/patient satisfaction. This report continues to serve as a crucial step in understanding and reducing employee turnover in the private EMS industry. We look forward to working with every member of...

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President’s Perspective April 2019

Dear Fellow AAA Members, Spring is in full bloom in Washington, D.C., and the American Ambulance Association is hard at work in our nation’s capital advocating for mobile healthcare providers. I am pleased to share with you several updates from your association. Advocacy Progress The AAA continues to forge ahead advocating for the legislative and regulatory priorities of our membership. Earlier this month, more than forty AAA volunteer leaders and members came to Washington, D.C., meeting with more than 100 congressional offices to advocate for Medicare policies and improved claims processing by the Department of Veterans Affairs for emergency ambulance services. (View photos on Facebook.) The AAA has also taken an active role in responding to potentially harmful “surprise billing” legislation. The AAA has been urging Members of Congress to recognize the unique and essential nature of emergency ambulance services and ambulance interfacility mobile healthcare transports. Ambulance service suppliers and providers are already heavily regulated at the local level and struggle with receiving adequate reimbursement. The Congress should protect patient access to ground ambulance services and continue to allow us to balance bill. The AAA is working closely with CMS and the RAND corporation on the development of the ambulance (more…)

RFP: Cost Collection SME/Project Director

Request for Proposals: Subject Matter Expert (SME)/ Project Director Ambulance Cost Data Collection Due April 20, 2019 Overview The American Ambulance Association (AAA) invites proposals from qualified interested parties (individual and teams) for the purpose of directing the Ambulance Cost Data Project as a Subject Matter Expert (SME). Introduction As part of the extension of the Ambulance Medicare Add on payments, legislation passed on February 9, 2018, the Congress mandated that ambulance services provide cost data. General requirements of the legislation include the following: Requires notice-and-comment rulemaking May use a cost survey Collect (1) cost; (2) revenue; (3) utilization; and (4) other information determined appropriate by the Secretary Include information: (1) needed to evaluate the extent to which costs are related to payment rates; (2) on the utilization of capital equipment and ambulance capacity; and (3) on different types of ground ambulance services furnished in different geographic locations and low population density areas May revise the system over time Select a representative sample of providers and suppliers from whom to collect data Determined based on the type of providers and suppliers and the geographic locations May not be request same provider or supplier to submit data in two consecutive years Those (more…)

Update on Government Shutdown and Sequestration

As the government shutdown drags on the negative impacts continue to grow. If the shutdown continues through January 24, 2019, which is looking likely at this point, current law will require the Trump Administration to cut about $839 million from non-exempt federal benefit programs to avoid increasing the deficit. This is a result of the “PAYGO” (pay as you go) law which requires spending increases or tax cuts to be offset with cuts to programs or additional revenue to avoid increasing the deficit. As the largest nonexempt benefit program, it is likely that Medicare would experience the worst of these cuts through sequestration. While the Trump Administration has not yet issued a sequestration order, there is a distinct possibility that one could be issued if the shutdown continues much longer. A sequestration order would mean an additional across the board cut to all Medicare providers, including ambulance services. Ambulance service providers are still feeling the impact of the 2% sequestration cut that has been in effect the past few years. Any new cuts would likely start out being targeted at administrative tasks which could slow payments to providers. Temporary cuts would be expensive for the administration to facilitate and is...

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HHS Releases Communication Checklist to Aid First Responders

HHS Releases Checklist to Aid First Responders in Communicating Effectively with Patients The U.S. Department of Health and Human Services (HHS) Office of Civil Rights (OCR) has released a plain language checklist that is intended to aid First Responders during emergencies that involve individuals with Limited English Proficiency (LEP) and communications related disabilities. The AAA issued numerous articles to its members in 2016 about the newly published requirements for all healthcare providers, including EMS agencies, under the nondiscrimination provisions of the Affordable Care Act (ACA) Section 1557. The requirements are intended to prevent discrimination in the provision of healthcare and ensure that all individuals can meaningfully participate in their healthcare treatment, including those patients with LEP and other communications related disabilities. The announcement yesterday is intended to provide additional resources for healthcare providers to ensure compliance with the ACA Section 1557. The checklist includes numerous recommendations and action steps that EMS agencies can utilize to ensure that they are serving all members of a community in a meaningful way. These recommendations include conducting research about the communities by accessing U.S. Census Bureau data, engaging Centers for Independent Living and local assistance groups, and by preparing emergency messaging that can be...

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Request for Proposals—SME/Project Director

American Ambulance Association Request for Proposals SME/ Project Director Ambulance Cost Data Collection November 2018 Overview The American Ambulance Association (AAA) invites proposals from qualified interested parties (individual and teams) for the purpose of directing the Ambulance Cost Data Project as a Subject Matter Expert (SME). Introduction As part of the extension of the Ambulance Medicare Add on payments, legislation passed on February 9, 2018, the Congress mandated that ambulance services provide cost data.  General requirements of the legislation include the following: Requires notice-and-comment rulemaking May use a cost survey Collect (1) cost; (2) revenue; (3) utilization; and (4) other information determined appropriate by the Secretary Include information: (1) needed to evaluate the extent to which costs are related to payment rates; (2) on the utilization of capital equipment and ambulance capacity; and (3) on different types of ground ambulance services furnished in different geographic locations and low population density areas May revise the system over time Select a representative sample of providers and suppliers from whom to collect data Determined based on the type of providers and suppliers and the geographic locations May not be request same provider or supplier to submit data in two consecutive years A selected...

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