Government Affairs Update

Government Affairs Update: What We’re Working On The AAA continues to press policy initiatives with Congress and the Administration that are important to our members. While not as high-profile as our successful efforts earlier this year on the five-year extension of the Medicare ambulance add-ons, the AAA is working hard on ambulance legislation and regulations that impact the EMS industry and ambulance services across the country. Here is a snapshot of those current efforts. Over the next month, we will be providing weekly in-depth updates highlighting these issues. Ambulance Cost Data Collection System The AAA was successful in getting our preferred language of an ambulance cost data collection system using a survey and random sample methodology included with the extension of the add-ons in the Bipartisan Budget Act of 2018. However, that was just the first key step in the process. We now need to ensure that CMS gets the details right as the agency develops the structural specifics and data elements for the system. It is critical that the system is designed in a way that ambulance service suppliers and providers will submit the most accurate data possible. The data will ultimately provide the information necessary for Congress, the...

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CMS Issues Proposed Rule for CY2016

Recently, the Centers for Medicare and Medicaid Services (CMS) published a display copy of a proposed rule that makes a number of changes to the Medicare Physician Fee Schedule.  It also makes certain changes to the Medicare Ambulance Fee Schedule. AAA members, read more in this summary by Medicare consultant Brian Werfel. Not yet an AAA member? Learn more about how AAA membership can help you stay up-to-date on critical regulatory and reimbursement issues that impact your ambulance service.

CMS Issues Proposed Rule for Calendar Year 2016

On July 8, 2015, the Centers for Medicare and Medicaid Services (CMS) published a display copy of a proposed rule titled “Medicare Program; Revisions to Payment Policies under the Physician Fee Schedule and Other Revisions to Part B for CY 2016”.  The proposed rule makes a number of changes to the Medicare Physician Fee Schedule.  It also makes certain changes to the Medicare Ambulance Fee Schedule.  These proposed changes are summarized below. CMS is soliciting comments on numerous aspects of the proposed rule.  All comment letters should reference File Code: CMS-1631-P.  To be considered, comments must be submitted on or before the close of business on September 8, 2015. Read the full proposed rule. The proposed rule will appear in the Federal Register on July 15, 2015. Technical Corrections to Reflect Extension of Temporary Adjustments for Ground Ambulance Services Section 203 of the Medicare Access and CHIP Reauthorization Act of 2015 (Pub. L 114-10) provided for an extension of the temporary adjustments for ground ambulance services through December 31, 2017.  CMS is proposing to amend the regulations at 42 C.F.R. §414.610 to reflect this extension. Specifically, CMS is proposing the following changes: Urban/Rural The regulation, 42 C.F.R. 414.610(c)(1)(ii) would be amended...

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