Prior Authorization for Dialysis Ambulance Transports: What You Need to Know for 2022
January 14, 2022 | 2:00pm EST | Free to Members | Presented by Brian Werfel
On January 18, 2022, the Centers for Medicare and Medicaid Services (CMS) will expand the Prior Authorization Model for Repetitive, Scheduled Non-Emergency Ambulance Transportation (RSNAT) to those states located in MAC Jurisdictions E and J. The affected states are Alabama, California, Georgia, Hawaii, Nevada, and Tennessee, and the U.S. Territories of American Samoa, Guam, and the Northern Marianas Islands. Under the RSNAT Model, prior authorization will be required for all non-emergency ground ambulance transports furnished by Part B ambulance suppliers on a repetitive basis (i.e., situations where the patient requires transportation three or more times for the same service over a set period of time). Please join A.A.A. Medicare Consultant Brian S. Werfel, Esq. for a discussion on how the RSNAT Model will impact the provision of repetitive ambulance transports in these states and territories. In this webinar, we will discuss the process for applying for prior authorization, the basic documentation requirements, and the impact of approvals or rejections on your Medicare reimbursements. Brian will also discuss some of the key lessons learned from providers that have been operating under the RSNAT Model for the past several years, and provide tips on how to minimize the potential disruption to your organization. The session will conclude with a Q&A period for attendees to ask any questions they may have.