On May 26, the AAA sent a letter to HHS Secretary Alex Azar and CMS Administrator Seema Verma, requesting improvements to the Medicare Accelerated and Advance Payment (MAAP) Programs. The nation’s response to the COVID-19 pandemic is putting an increased financial strain on emergency medical services, and ground ambulance service providers and suppliers already faced significant funding challenges. The suggested improvements include: Extending the interim period prior to the date repayment begins from four months to at least 12 months; Reducing the amount that is withheld during the repayment period from one hundred percent (100%) of the Medicare payment to not more than twenty-five percent (25%); Extending the date on which interest first begins to accrue from 210 days to at least 2 years (preferably 3 years); Reduce the interest rate that would be applicable after that date from the current 9.625 percent to a rate of no more than 2%; and Reopen the MAAP to allow EMS agencies that did not request a Medicare advance prior to April 26, 2020 to request an advance. The AAA believes the improvements to the MAAP discussed above would provide short-term financial relief to ambulance service providers and suppliers nationwide and allow us...
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…)
Take Action for Permanent Medicare Ambulance Relief Ask your Senators and Representatives to Support Medicare Ambulance Relief! The temporary Medicare ambulance increases of 2% urban, 3% rural and 22.6% to the base rate in super rural areas are scheduled to expire on December 31 of this year. That is just one month away! Please write your members of Congress today in support of a 5-year extension of the increases. Writing to your members of Congress only takes 2 clicks, follow these simple steps: 1. Enter contact information below (required by Congressional offices) and click “Submit” 2. On the next page you’ll see the letter to your Representative (Message 1) and the letter(s) to your Senators (Message 2) – click “Submit Messages” Feel free to personalize your letter(s) before submitting them. Over the past 15 years, the AAA has lead efforts on Capitol Hill to establish the increases and ensure they do not expire. Thanks to the work of our champions and supporters on Capitol Hill, there are provisions in both the House and Senate for a five-year extension of the Medicare ambulance increases. However, passage of these provisions is in no way certain. Your members of Congress need to hear that the (more…)
Senate Committee Releases Draft Package with 5-year Ambulance Extender The Senate Finance Committee has released a discussion draft of its Medicare provider extender package. A five-year extension of the temporary Medicare ambulance add-ons and a modified version of the cost data collection provision from the Medicare Ambulance Access, Fraud Prevention and Reform Act (S. 967) are included in the package. The ambulance provisions being part of the package marks significant progress in the Senate toward a long-term extension of the add-ons and a model cost data collection system. A five-year extension of the 2% urban and 3% increases and the super rural bonus payment would provide approximately $1 billion in desperately needed Medicare relief for our industry. Having the increases in place for five years would give ambulance service suppliers and providers greater funding stability and help with long-term budgeting. There are now proposals in both the House and Senate with Committee backing which reflect a five-year extension of the add-ons. The five-year extension reflects the efforts of our champions in the Senate on S. 967. The cost data collection system is also from S. 967 with modifications. Instead of a random sampling of ambulance service providers and suppliers a (more…)
House Committee Passes Medicare Ambulance Relief Bill On Wednesday, the House Ways and Means Committee voted out favorably an amendment in the nature of a substitute to the Comprehensive Operations, Sustainability, ant Transport Act of 2017 (HR 3729) by Congressman Nunes (R-CA) and Sewell (D-AL). H.R. 3729 would extend for five years the Medicare ambulance add-on payments of 2% urban, 3% rural and the super rural bonus. The legislation would also implement cost reporting for ambulance service suppliers. H.R. 3729 is a revised version of the Ambulance Medicare Budget and Operations Act (HR 3236)introduced by Congressmen Nunes (R-CA), Upton (R-MI) and Welch (D-VT). While the AAA supports H.R. 3236, there were several changes made in H.R. 3729 that are concerning to the AAA. In particular, the addition of an offset which would implement an additional 13%* cut to BLS nonemergency transports to and from dialysis centers and a change in the penalty for not filing a time, complete and accurate cost report. The AAA has therefore taken a neutral position on H.R. 3729 as we work with the House Ways and Means Committee and Congressmen Nunes and Sewell on modifications to the bill. This week, AAA Board Members and Volunteer Leaders were in DC and met with both sponsors (more…)
Take Action for Extending Medicare Ambulance Relief Ask your Representatives to Support H.R. 3236 – The Ambulance Medicare Budget and Operations Act of 2017 The current 33-month extension of the Medicare add-on payments is set to expire at the end of December 2017. Losing these add-on payments would be a devastating blow to ambulance services across the country. It is crucial that the payments be extended as we push for a long-term solution. H.R. 3236 introduced by Reps. Nunes, Upton, and Welch would extend the current temporary Medicare add-ons for five years. More details about the Bill can be found below. Let your Representative know that you support H.R. 3236 — Here are three quick and easy ways to get involved! Writing to your members of Congress only takes 2 clicks, follow these simple steps: 1. Enter contact information below (required by Congressional offices) and click “Submit” 2. On the next page you’ll see the letter to your Representative (Message 1) and the letter(s) to your Senators (Message 2) – click “Submit Messages” Feel free to personalize your letter(s) before submitting them. Active on Social Media? Tweet at your Representative asking for their support of H.R. 3236! Authorize Your Account Enter Contact Information Tweet! (Tweet will be (more…)
Take Action for Permanent Medicare Ambulance Relief Ask your Senators to Support S.967 – 2017 Medicare Ambulance Access, Fraud Prevention, and Reform Act The current 33-month extension of the Medicare add-on payments is set to expire at the end of December 2017. Losing these add-on payments would be a devastating blow to ambulance services across the country. It is crucial that the payments be made permanent as we push for a long-term solution. More details about the Bill can be found below. Let your Senators know that you support S. 967 — Here are three quick and easy ways to get involved! Writing to your members of Congress only takes 2 clicks, follow these simple steps: 1. Enter contact information below (required by Congressional offices) and click “Submit” 2. On the next page you’ll see the letter(s) to your Senators – click “Submit Messages” Active on Social Media? Tweet at your Senators asking for their support of S. 967! Authorize Your Account Enter Contact Information Tweet! (Tweet will be auto-generated with your Senators tagged) Know your Senators’ Twitter accounts already? Tweet: “#ambulance svs in your state need you, @[your Senators]! Please co-sponsor S. 967 to help us continue to provide quality #EMS!” Post on Facebook why S. 967 is important! (more…)
Medicare Ambulance Relief and Reform The top legislative priority this year for the American Ambulance Association is to extend, or hopefully make permanent, the temporary Medicare ambulance add-on payments. The temporary increases of 2% urban, 3% rural and the super rural bonus expire at the end of this year. The 2% urban and 3% rural increases have been in place since 2008 and the super rural bonus payment since 2004. While the AAA and our members have been successful in getting the payments extended numerous times, 2017 is not a typical year and we need everyone to be prepared to help push to make the increases permanent or extended for the longest possible duration. The other top priorities for the AAA are for the Centers for Medicare and Medicaid Services (CMS) to recognize ambulance services more like providers of medical services instead of merely suppliers of transportation. In addition, it is critical that Congress direct CMS to collect cost data from ambulance service providers using a method, which will result in usable and meaningful data from everyone, but also not be overly burdensome on extremely low volume providers. Finally, Congress needs to target fraud and abuse with the transport of...
CMS held its latest Ambulance Open Door Forum on April 22. It started with the following two announcements: – H.R. 2 was signed into law extending the temporary ambulance adjustments through December 31, 2017. The adjustments are 2% (urban pick-ups), 3% (rural) and 22.6% (super rural). – For free standing facilities, use the “P” modifier if the facility is not part of the hospital and use “H” if it is hospital-based. Following these announcements, there was a Question and Answer period. Most of the questions were not answered on the call and the caller was asked to submit their questions to CMS, or was told to ask their Medicare Administrative Contractor or was told to appeal the denied claim referenced in their question. A few were answered, as follows: