2019 On Demand Webinars

Utilization Metrics & Service Volume 1

Presented By: Rebecca Williamson, Angie McLain, & Scott Moore
Recorded: January 15, 2019
$50 for Members | $100 for Non-Members (price included with Gold and Silver ACE Subscription packages)

Understanding the cost per transport depends upon some quantification of utilization. Currently there are some utilization metrics available to the industry but they are calculated using different and inconsistently defined data. When evaluating payment policies such as the rural and super-rural add-on payments, the ability to have a standardized measure of utilization will be very useful. In this webinar, faculty will discuss standardization of utilization metrics and what your service needs to consider in order to calculate this important metric correctly for future payment models. Purchase►

 NAAC approved for 1 CEU.

Allowable vs Non-Allowable Costs and Cost Allocations

Presented By: Angie McLain, Asbel Montes, Scott Moore
Recorded: January 29, 2019

$50 for Members | $100 for Non-Members (price included with Gold and Silver ACE Subscription packages)

The cost data survey will be a summary of ambulance supplier activities for a calendar or fiscal year. The cost data survey could be the basis for future rate setting and will provide lawmakers data to make policy decisions. It is important for ambulance suppliers to understand the Center for Medicare and Medicaid Services’ current rules for allowable versus non-allowable cost and how identifying appropriate cost centers created prior to the start of the cost data survey will be the key to success for capturing appropriate cost data for your organization.
In this webinar, participants will:
• Discover the importance of structuring cost allocation within your organization.
• Learn how to start identifying allowable cost versus non-allowable cost within your organization.
• Learn how CMS currently defines reasonable cost.
• Discover how you must use cost principles to allocate for allowable cost, indirect or direct.
• Begin to understand how cost is allocated based on specific cost objectives or cost centers.
• Learn how allocating cost must support reasonable cost for patient care.
• Gain an understanding of accrual-based accounting utilized for reporting cost data and how it relates to allowable cost.
• Expand your knowledge on CMS current standards on allocating cost, and why it’s important to get it correct prior to submitting your first cost data survey.

Purchase►

 

NAAC approved for 1 CEU.

Volunteer Labor

Presented By: Scott Moore
Recorded: February 6, 2019
$50 for Members | $100 for Non-Members (price included with Gold and Silver ACE Subscription packages

Correctly calculating volunteer labor is one of the more difficult aspects of ambulance cost data collection. With varying costs associated with volunteer labor (insurance, per diems, etc.), the volunteer labor variable is significant. During this webinar, faculty will review the finer details associated with volunteer labor including a standard calculation that can be used as an FTE placeholder, so service’s true costs are reflected. Purchase►

NAAC approved for 1 CEU.

 

Tools for Billing Services and Other Vendors

Presented By: Aaron Director
Recorded: March 6, 2019
$99 for Members | $198 for Non-Members (price included with Gold and Silver ACE Subscription packages

As we get closer to new data collection requirements taking effect across the ambulance service community, the American Ambulance Association has been developing tools and information to make it easier for services of all sizes and types to report. One such tool, a web-based reporting system, will be including robust integration for billing services and other vendors serving the community.

In this webinar, we’ll talk about the web tool being developed, and share some ideas for partnering with vendors to create an integrated, seamless tool for your customers to use your system with our toolset. Combined, you can offer your customers a much more painless way to meet new reporting requirements – effectively adding to your value proposition. This session is ideal for vendors that serve the ambulance community. Purchase►

NAAC approved for 1 CEU.

 

Utilization Metrics & Service Volume II

Presented by: Asbel Montes, Angie McLain, and Scott Moore
Recorded: March 19, 2019
$99 for Members | $198 for Non-Members (price included with Gold and Silver ACE Subscription packages)

Building on the knowledge of Part 1 in this series, Part 2 will explore why it is critical that the utilization metrics and service volume information collected be accurate, concise and standardized across all ambulance suppliers. This webinar will dig deeper into understanding the “why” behind the importance that the elements involved in utilization and service volumes is critical to permanency of the current add-on payments and future reimbursement enhancements surround urban, rural, and super-rural transportation.

This webinar will explore:
• The historical perspective and federally mandated requirements for CMS to collect utilization data.
• Why it’s important to know the square coverage miles of your service segmented by urban, rural, and super-rural.
• The importance of how local and state laws impact cost based upon service volume and utilization.
• Methodologies and formulas other Medicare reimbursed healthcare providers must furnish as part of their industry Medicare Cost Reports.
• Why mileage by service level should be included in understanding service volume in any cost data collection tool.
• Why standardized definitions are critical when reporting costs in the data collection tool.
Purchase►

 

NAAC approved for 1 CEU.

 

How to Allocate Your Costs of Readiness

Presented by: Scott Moore, Rebecca Williamson, Angie McLain, and Asbel Montes
Recorded: April 11, 2019
$99 for Members | $198 for Non-Members (price included with Gold and Silver ACE Subscription packages)

Readiness cost needs to be allocated to accurately characterize the cost of operations. The flexibility that the separate identification of readiness cost allows for is the potential differential allocation of those costs to different levels or types of service. During this Webinar the faculty will review cost categories that assist with calculating the cost of readiness and how these calculations could be used to adjust the payment structure for ambulance services.Purchase►

NAAC approved for 1 CEU.

 

2019 Accounting Manual: An Introduction

Presented By: Aaron Director
Recorded: April 18, 2019
$99 for Members | $198 for Non-Members (price included with Gold and Silver ACE Subscription packages)

New data collection mandates are only months away – and when they take effect, ambulance service costs and revenues will get more attention than ever before. To help increase consistency across the industry, the American Ambulance Association has developed an accounting manual. This document includes and describes a unified chart of accounts to ease reporting, along with some helpful definitions and tips for services of all sizes. In this webinar, we’ll provide an introduction to the manual, share what we do and don’t yet know about financial reporting requirements, and discuss ways to use the manual to ease this transition into the new reporting world. Whether you’re a part-time bookkeeper in a small service or a member of a large multi-state financial team, this session is for you! (Green eyeshade optional.) Purchase►

 

2019 Medicare Update


Presented By: Brian Werfel & Rebecca Williamson
Recorded
April 30, 2019
$99 for Members | $198 for Non-Members (price included with Gold and Silver ACE Subscription packages)

Please join A.A.A. Medicare Consultant Brian S. Werfel and Medicare Regulatory Workgroup Committee Chairwoman Rebecca Williamson for a discussion of the latest news affecting Medicare’s reimbursement of ambulance services.  Topics will include an overview of the new cost data collection process, new Medicare Beneficiary Identifiers (MBIs), the new SNF Consolidated Billing edits, the new ET3 pilot program for reimbursement of ambulance transportation to alternative treatment destinations and treatment at the scene, and much more.  The session will include a Q&A period where attendees will have the opportunity to ask any questions they may have. Purchase► 

NAAC approved for 1 CEU.

 

Overtime Update—Upcoming Changes to the FLSA


Presented by: Scott Moore, Esq.
Recorded: May 14, 2019

$99 for Members | $198 for Non-Members

The United States Department of Labor has finally published the proposed changes to the overtime provisions of the Fair Labor Standards Act (FLSA) that will impact more than one million American workers. Under the proposed changes, many currently exempt employees will now be eligible to earn overtime pay for overtime hours worked. Employers have known that changes to the FLSA was coming after the Obama administration had proposed the first significant changes to the overtime provisions of the FLSA back in 2015. These proposed changes were enjoined by a 5th Circuit Court judge who cited that the USDOL had exceeded its authority when it proposed these amendments. Under the updated proposed rule, the USDOL has pulled back on several of the original changes and will finally implement the amended rules in a later this year. The majority of EMS employees are already paid premium pay for overtime hours. However, under the new rules there are several categories of employees who will now become eligible to earn overtime pay and EMS employers need to ensure that they are paying these employees appropriately. This webinar will detail the proposed changes to the law and will provide EMS employers the steps that they should take to be prepared when the new rules take effect later this year.Purchase► 

Cost Collection: Finance 101

Presented by: Angie McLain & Scott Moore
Recorded: June 4, 2019 

$99 for Members | $198 for Non-Members (price included with Gold and Silver ACE Subscription packages)

Health care reform is creating new challenges for of all healthcare organizations. The financial aptitude of the organization will be an essential component of its ability to be successful with the upcoming Ambulance Cost Data Collection mandated by Congress to begin in 2020. Ambulance services can no longer isolate all of the financial knowledge to the senior executive or financial staff. EMS organizations must engage all individuals in the financial analyses and decisions, beginning with the organization’s board through to the rank and file providers. Inclusive decision making is the best hope to the high quality and sound decisions that will need to be made to insure success.

During Finance 101, attendees will gain an understanding of ambulance healthcare financial management concepts and how the ambulance industry is unique.

Ambulance Cost Education expert Angie McLain will:

  • Introduce attendees to the basics of healthcare finance
  • Provide relevant information attendees can use in their work environment
  • Provide an understanding of finance that non-financial managers in the ambulance industry need to understand to make informed decisions
  • Frame the uniqueness affecting ambulance healthcare finance for professionals new to the industry
  • Enhance skills for entry level finance professionals and provide resources for information

The webinar is a great opportunity for those who are new to the world of healthcare finance in the ambulance industry. Purchase►

 

 NAAC approved for 1 CEU.

ET3 Update— RFA

Presented by: Brian Werfel, Kathy Lester, Rebecca Williamson, Asbel Montes
Recorded: June 13, 2019 

$99 for Members | $198 for Non-Members

Please join AAA Medicare Consultant Brian S. Werfel, AAA Consultant Kathy Lester, AAA Medicare Regulatory Committee Chair Rebecca Williamson, and AAA Payment Reform Committee Chair Asbel Montes, for a discussion of the latest updates related to the Emergency Triage, Treat, and Transport Model (ET3). ET3 is a voluntary 5-year pilot program, under which CMS will test two new payment models for EMS agencies that respond to 911 calls:(1) a payment model that will permit Medicare reimbursement for transportation to treatment destinations other than a hospital and (2) a payment model where Medicare will reimburse for treatment at the scene (rendered in conjunction with a qualified health care practitioner) without a transport. CMS recently released a preview of the Request for Application (RFA), which will be used by EMS agencies to apply for participation in the ET3 model. This document provided a good deal of new information on the contemplated operation of the ET3 model

Topics that will be discussed on the webinar include: the new eligibility criteria for participation, the application process for participation, the revised rates to be paid under the model, performance requirements, and much more. The session will
conclude with a Q&A period. Purchase► 

ET3 RFA Review and Q&A

Presented by: Kathy Lester
Recorded: August 27, 2019

FREE for AAA Members | $99.00 for Non-Members

Join AAA Counsel, Kathy Lester, as she reviews the newly opened RFA for CMMI’s new ET3 pilot program. This 30 minute presentation will be followed by a Q&A for members to ask questions regarding the program and its application process. Purchase► 

Fundamentals of Revenue Calculations

Presented by: Asbel Montes, Angie McLain, & Rebecca Williamson
Recorded: September 20, 2019 |

$99 for Members | $198 for Non-Members (price included with Gold and Silver ACE Subscription packages)

This webinar will provide the attendee with three core fundamentals surrounding revenue calculations:

1. Ambulance transportation revenue and the complexity around payers and categories
2. Non-ambulance transportation revenue and how to categorize it appropriately
3. Ambulance revenue and how it relates to CMS cost data collection and reporting.

As safety net providers, cost data collection will allow the ambulance industry to begin reporting revenues and other elements that will assist in bad debt recovery that other healthcare entities currently have the ability to recover from federal and state programs. This seminar will explore how to begin setting up your systems to report these revenues and other elements correctly to ensure accuracy of the data reported for future payment reform. Purchase►

 NAAC approved for 1 CEU. 

Fundamentals of Cost Calculations

Presented by: Asbel Montes, Angie McLain, & Rebecca Williamson
Recorded:
 October 16, 2019
$99 for Members | $198 for Non-Members (price included with Gold and Silver ACE Subscription packages)

This webinar will provide the attendee with the core fundamentals surrounding cost calculations for ambulance services including:

* Cash vs. Accrual accounting and what is required by Medicare
* The differences in direct and indirect costs and how to report each category
* The importance of correctly calculating labor costs
* How equipment, consumables, and supply costs are reported and ideas for how to best begin collecting this information
* How EMS industry standards may not always align with CMS definitions and what to do when they don’t

Cost data collection will allow the ambulance industry to being aligning EMS-specific costs with other elements to help streamline and standardize accounting and financial management practices. This webinar will explore how to begin collecting essential data and how to report costs that may not have been segregated prior to this requirement. Correctly collecting and reporting costs will help ensure the accuracy of the data that is received by CMS and in turn, provide valuable information for payment reform.  Purchase►

 NAAC approved for 1 CEU. 


2018 On Demand Webinars

Sexual Harassment Reboot

Presented By: Scott Moore, Esq.
Recorded: January 24, 2018
$50 for Members | $100 for Non-Members

Despite 40 years or anti-harassment legislation and employer education, there has not been any real progress made at preventing harassment in the workplace. The fact is, organizations that tolerate sexual and other harassment in the workplace will have more of it. If you ask the average employee if they have attended any sexual or anti-harassment educational program during their employment, they will say they “watched a video” when they got hired many years ago and that is it. The message employers send to their workforce “you watch this video so we avoid liability, not to change your behavior.” Sexual harassment education needs to change. In this webinar, we will discuss how to best focus your anti-harassment education efforts – what works and what doesn’t. Purchase►

Understanding the CMS Low Volume Settlement Option

Presented By: Brian Werfel, Esq. and Rebecca Williamson
Recorded: February 1, 2018
$50 for Members | $100 for Non-Members

NAAC approved for 1 CEU.

In November 2017, the Centers for Medicare and Medicaid Services announced that it would be launching a new initiative to help alleviate some of the appeals backlog at the Administrative Law Judge level. Titled the “Low Volume Settlement Option,” this initiative would permit ambulance providers and suppliers to settle eligible claims pending appeal at the ALJ level for 62% of the net approved allowed amount. This provides an alternative to the current multi-year wait for an ALJ hearing. On January 9, 2018, CMS announced additional details for this plan. Please join AAA Medicare Consultant Brian S. Werfel and Medicare Regulatory Committee Chair Rebecca Williamson for a discussion of this new settlement option, and its potential benefits to the ambulance industry. Purchase►

Cybersecurity, Top 10 Considerations in Healthcare and How to Address Them

Presented By: Rebecca Rakoski, Esq.; Matthew Streger, Esq.; Margaret Keavney, Esq.
Recorded: February 7, 2018
$50 for Members | $100 for Non-Members

What is the biggest issue facing the healthcare industry today? Cybersecurity. Just recently we have seen a stolen laptop with unencrypted PHI which led to a $2.5 million OCR penalty, pacemakers that needed a patch to prevent hacking and ransomware,and the UK’s National Health System get shut down after a ransomware attack. We face an unprecedented number of attacks like these every day and unlike other threats that are more sporadic, cybersecurity is a daily threat. Twenty-four hours a day, seven days a week. And while no one can predict with any certainty what lies ahead, the evidence is clear – cybersecurity is a concern that is here to stay.

With nearly 43% of all cyber attacks being focused on small business, the size of the company has little to do with the frequency of the incidents. Moreover, the ramifications of a breach can be far reaching, costly and time consuming. And while no industry is immune from attacks, which industry collects the most alluring type of data to hackers? Healthcare. Organizations that collect healthcare related data are the number one target for hackers. Why? Cyber experts universally agree that what is the most alluring to cybercriminals is large amounts of coordinated and collated data and that is precisely what is collected in healthcare related industries.

This presentation will go through the top 10 considerations for healthcare related organizations in cybersecurity and how to address those considerations. We will provide an overview of how an organization can evaluate their systems and protocols to decide whether these systems are “secure” enough and what is “secure” enough? The presentation will review “best practices” in cybersecurity and touch on information governance, breach response, and the significance of the extensive state and federal breach notification requirements. We will review the HIPAA security rule and the impact of the HITECH Act on covered entities and business associates. Finally, we will discuss the importance in incorporating cybersecurity in a way that organically fits your business needs and workflow. Purchase►

The European Union’s General Data Protection Regulation: Its Impact on U.S. Healthcare and What You Need to Know

Presented By: Jordan Fischer, Esq.; Margaret Keavney, Esq.
Recorded: March 6. 2018
$50 for Members | $100 for Non-Members

With the forthcoming European Union’s General Data Protection Regulation (“GDPR”), that takes effect this year on May 25, 2018, the collection, processing, storage, and use of data related to a European Union data subject is set to drastically change. Any entity that processes data related to an EU data subject will be required to comply with the granular technological and legal requirements laid out in the GDPR. Those organizations will also be required to take precautionary steps to ensure that any relevant data is properly stored, transferred, and accessed in a compliant and secure manner.

This presentation will discuss the global impact of the GDPR on the collection, processing, and storage of health-related data. The GDPR specifically creates heightened requirements sensitive data, such as health, biometric, and genetic data. This “sensitive” data requires extra precautions on the part of the data controller and any data processor. The GDPR is creating a new framework for companies to use to create a more robust and secure data management systems that protects the privacy of personal information. It is important for any healthcare provider, include those providing ambulance services, in the United States, to understand the impact and application of the GDPR, in light of the requirements laid out in HIPAA and the HiTech Act, related to data and security. Purchase►

Transition to New Medicare Cards: CMS’s Plan and Strategies for Your Service

Presented By: Brian Werfel, Esq.
Recorded: March 21, 2018
$50 for Members | $100 for Non-Members

The Medicare Access and CHIP Reauthorization Act of 2015 requires the Centers for Medicare and Medicaid Services to remove beneficiaries’ social security numbers from their Medicare cards by April 2019. To implement this mandate, CMS will start mailing new Medicare cards to all Medicare beneficiaries starting in April 2018. The new cards will feature a new Medicare Beneficiary Identifier (MBI), in lieu of the current social security number-based Health Insurance Claim Numbers (HICNs).

Join AAA Medicare Consultant Brian S. Werfel, Esq. for a discussion of the new MBIs. This webinar will discuss CMS’s strategy for transitioning to MBIs. Topics will include CMS’s current plan for issuing new Medicare cards to beneficiaries, the transition period for submitting Medicare claims, and the resources that CMS will make available to health care providers to ensure that they have updated information for all of their patients. We will also discuss some strategies you can use in your operation to make the transition go as smoothly as possible. The webinar will conclude with a Question and Answer period. Purchase►

Strategic Employee Benefit Programs

Presented By: Scott Moore, Esq.
Recorded: April 11, 2018
$50 for Members | $100 for Non-Members

SHRM certified for 1 PDC.

Next to payroll, employee benefits are the largest expense for any EMS organization. Every year, employers face steep employee healthcare premium increases forcing them to change plan designs, benefit offerings, and employee contributions in an effort to curb the unsustainable medical premium trend. Increasingly, employers are having to focus more resources towards educating their employees on the importance having a personal benefits plan and for participating in wellness programs, health savings accounts, and other supplemental benefits. Employees can no longer think about employee benefits once a year at open enrollment. This webinar will cover some of the newer benefits strategies being utilized and discuss how employers can create a benefits communication plan that will engage employees. Purchase►

2018 Medicare Update

Presented By: Brian Werfel, Esq.
Recorded: May 16, 2018
$50 for Members | $100 for Non-Members

NAAC approved for 1 CEU.

Join AAA Medicare Consultant, Brian Werfel, Esq., for an invaluable overview of the latest issues affecting Medicare’s coverage of ambulance services. Topics will include the most recent Medicare payment data, the new safe harbors to the antikickback statutes, and an overview of CMS’s ongoing enforcement activities. The webinar will conclude with a Q&A session. Purchase►

Understanding and Reducing Turnover in the Private EMS Industry

Presented By: Dr. Dennis Doverspike, Scott Moore, Greg Lawton
Recorded: July 12, 2018
$50 for Members | $100 for Non-Members

This year, the American Ambulance Association partnered with Avesta to conduct our first annual, survey of employee turnover in the private EMS industry. The was the first comprehensive study of this size and scope. The study 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 reason for turnover at nearly every organizational level within the EMS Industry. At the very least, this study provides us with a true benchmark for defining job-specific voluntary and involuntary turnover percentages.

One thing is clear, when turnover is high, private EMS leaders are faced with increased costs associated with recruiting, selecting, and training replacements. Proactive reduction of turnover will reduce costs and have a positive effect on productivity, morale, and customer/patient satisfaction. This report serves as a crucial first step in understanding and reducing employee turnover in the private EMS industry. We look forward to working with every member of the AAA to identify meaningful turnover reduction strategies. Join authors, Dr. Dennis Doverspike, Scott Moore, and Greg Lawton for a webinar discussing the importance of the study, the results, and its impact for the future. Purchase►

Ambulance Cost Data: Sample Chart of Accounts

Recorded: October 2, 2018
Speaker: Aaron Director

With ambulance cost data collection legislation in place and reporting requirements coming ever closer, the AAA has been working on a variety of tools and systems to ease the process for services of all sizes and types. One component is a chart of accounts that can be used operationally or as a crosswalk tool to assist in meeting the reporting burden. After collecting source information from services nationwide, we have compiled a draft and are seeking review and comment. This session is oriented toward comptrollers, bookkeepers – the person in your organization who handles the books. We will provide a brief background, review the draft chart, and then frame some questions and areas for feedback. Your participation will help improve this tool for everyone. View webinar►

Innovative Wellness Plans

Presented By: Scott Moore, Esq.
Recorded: October 18, 2018
$50 for Members | $100 for Non-Members

Over the last decade, many employers have adopted wellness plans with the goals of improving employee health and lowering insurance premiums. Many employers have found low participation by their employees and little meaningful impact on employee health or insurance premiums. During this session we will discuss the evolution of employee wellness plans and what the latest research suggests changes employee health. The latest trends in employee wellness are leveraging technology and artificial intelligence (AI) to drive participation and results. Purchase►

855 Form: Best Practices

Presented By: Scott Moore, Angie McLain
Recorded: November 27, 2018
$50 for Members | $100 for Non-Members

CMS may use the 855 Form to determine which provider category your service best belongs in. Errors in the 855 Form can cause data to be skewed and/or your service’s data to be included in the wrong category. Join our panel of experts, including Rebecca Williamson, Angie McLain, and Scott Moore, as they review the form to help you determine the best way to complete and update your 855 Form. Purchase►

NAAC approved for 1 CEU.

 

Employment Branding

Presented By: Scott Moore, Esq.
Recorded: December 6, 2018 
$50 for Members | $100 for Non-Members

EMS organizations around the country are struggling to find and retain employees. Many argue that the relative low wages are the primary reason for the shortage of available staff. However, according to the Corporation for National & Community Service, volunteerism is at the highest level in 30 years. Overwhelmingly, the research suggests that wages are not the principal driver of how an employee chooses their employer. All EMS agencies perform work that has great intrinsic meaning and purpose. To be an employer of choice, a leadership team must create an employment brand that highlights their organizational culture. This is more than a mission statement or a tagline. This session is intended to highlight the elements an employment brand that drives results. Attendees will leave with take-away resources that they can utilize to either begin or fine tune an employment brand that yields results. Purchase►

Single vs. Multiple NPIs: Challenges & Opportunities

Presented By: Asbel Montes, Rebecca Williamson, Aaron Director
Recorded: December 11, 2018
$50 for Members | $100 for Non-Members

NAAC approved for 1 CEU.

 

Do you have multiple NPIs? Should you? How to allocate portions of revenue and costs by NPI will be part of the cost collection system. This webinar will review the challenges and opportunities related to multiple NPIs. Learn from the experts, including Asbel Montes, Rebecca Williamson, and Aaron Director, the best way to provide accurate data with multiple NPIs and begin to answer questions on your service’s NPI differentials. Purchase►