Quick Takes: Cost of Readiness

News
There is a widespread recognition in the industry that reimbursement doesn't fully take into account the costs of service readiness. But until 2020, we haven't had data to support that understanding. The new cost data collection requirements give us that opportunity IF we are able to gather and report readiness data effectively and accurately. As part of our Quick Takes series, we talk about these issues and give some things to think about in your service right away. [video mp4="https://ambulancereports.org/wp-content/uploads/2019/04/QTreadiness.mp4"]
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Quick Takes: Crosswalking

News
With the release of the new accounting manual, a new tool is available for preparing your service for the new cost reporting (and for getting better financial metrics). As part of our Quick Takes series, we provide a bit of background, and share a helpful process with the new manual: crosswalking. [video mp4="https://ambulancereports.org/wp-content/uploads/2019/04/QTcrosswalk.mp4"]
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Quick Takes: The Role Of Service Mix

News
The data collection that launches in less than 10 months will include a wide variety of elements. Service area and service mix may seem like minor pieces of the collection, but they play a big role in analysis of utilization. As part of our Quick Takes series, we identify some questions you should be able to answer about YOUR service in order to be ready. [video mp4="https://ambulancereports.org/wp-content/uploads/2019/03/qtutil2.mp4"]
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Quick Takes: Accounting for Volunteers

Uncategorized
In a new era of CMS data collection efforts, the distinctions between volunteers and paid staff are important to understand - not only for determining allowable costs, but also for arriving at meaningful utilization data. As part of our Quick Takes series, we talk about some things to consider. [video mp4="https://ambulancereports.org/wp-content/uploads/2019/02/QTvols.mp4"]
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Quick Takes: Allowable vs. Non-Allowable Costs

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In a new era of CMS data collection efforts, it is critical to understand the distinctions between allowable and non-allowable costs in the context of Medicare reimbursement. As part of our Quick Takes series, here's an overview of some of the issues involved. [video mp4="https://ambulancereports.org/wp-content/uploads/2019/01/QTallowable.mp4"]
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Quick Takes: Medicare Utilization Basics

News
Medicare Utilization and Service Volume data will be key in the upcoming CMS data collection efforts. As part of our Quick Takes series, here's a review of some basics, as well as a look at some limitations of the current system. [video mp4="https://ambulancereports.org/wp-content/uploads/2019/01/QTmedutil.mp4"]
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Quick Takes: A Bit of Context

News
We get questions regularly about why data collection is here, why it's important, and why anybody should care. As part of our Quick Takes series, here's a brief bit of context to help fill in some gaps! [video mp4="https://ambulancereports.org/wp-content/uploads/2018/12/QTbg.mp4"]
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Quick Takes: Dimension Compression

News
Huh? What's dimension compression - and what does it have to do with booking expenditures? As part of our Quick Takes series, here's a brief overview with some examples! [video mp4="https://ambulancereports.org/wp-content/uploads/sites/6/2018/11/QTdimcomp.mp4"]
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Quick Takes: NPIs

News
As part of our new Quick Takes series, here's a brief discussion about the issues around having single or multiple NPIs under the new data collection requirements. Interested in taking a deeper dive into this topic? Learn from our panel of experts during the webinar Single vs. Multiple NPIs: Challenges and Opportunities on Tuesday, December 11th. [video mp4="https://ambulancereports.org/wp-content/uploads/sites/6/2018/10/QTnpis.mp4"]
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CMS Launches Outreach Effort to Ambulance Providers & Suppliers

CMS Launches Outreach Effort to Ambulance Providers & Suppliers

News, Uncategorized
As part of the Bipartisan Budget Act of 2018 (BBA 2018), the Congress instructed CMS to develop a cost collection system to collect cost and revenue data related to the provision of ambulance services. Ambulance services are defined by federal law to include all levels of emergency and non-emergency services.  CMS is in the first phase of this process. The Congress instructed the Agency to engage with stakeholders before specifying through notice and comment rulemaking the data collection system. By law, CMS is required to specify the final system by December 31, 2019. CMS must also identify the first group of providers and suppliers selected for the first representative sample by that date as well. It appears that the goal is to have the contractor develop a proposal before the…
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Chart of Accounts Review Started

Chart of Accounts Review Started

News
Earlier this week, the American Ambulance Association kicked off the new season of the data collection webinar series with a free session - an overview of a draft chart of accounts for ambulance services. This chart is intended to help services meet the upcoming reporting requirements, while standardizing definitions across the industry to aid in consistent reporting. With nearly five hundred registrants, the webinar was a tremendous success, and as a follow-up, the draft chart of accounts was sent to each registered person. Moving forward, the next step is to collect feedback from the wide variety of providers who were on the call (and those who watched the recording later). We'll be collecting that feedback over the coming days, and hope to have a revised and refined product available later…
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Annual Conference Pre-Con Slides

Annual Conference Pre-Con Slides

News
At the recent 2018 AAA Annual Conference, several members of our team presented on the current state of the ambulance cost data collection legislation, regulations, and implementation. Here are the slides from the presentation: Annual2018PreconSlides
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California, Here We Come!

California, Here We Come!

News
Coming up on September 25-28, the California Ambulance Association will be holding their 2018 Annual Convention - and we'll be there! Come hear from our Cost Data Collection experts on the current regulatory situation, and what you need to do to start preparing your service NOW. You'll come away with a short series of to-do items to determine your readiness and move things ahead. We'll see you there!
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AAA PreCon Workshop on Mandatory Cost Data Collection

AAA PreCon Workshop on Mandatory Cost Data Collection

News
AAA is excited to announce that this year we will be holding a full day pre-conference workshop at the AAA Annual Conference & Trade Show! Join industry experts Rebecca Williamson, Angie McLain, Asbel Montes, Kathy Lester, Scott Moore, and Brian Werfel to learn what the new cost data collection mandates will require and how you and your service can get ahead of the game and prepare for these changes. Mandatory Cost Data Collection: When Is It Happening & How to Prepare September 5, 2018 | 9:00 AM - 4:00 PM | MGM Grand, Las Vegas $75 for Annual Conference attendees | $250 workshop-only 2018 federal legislation expanded Medicare cost reporting to ambulance services, although with some important differences from other Medicare reporters. Failure to meet these new reporting requirements could…
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Ambulance Cost Data Collection is Coming

Ambulance Cost Data Collection is Coming

News
Although the most prominent ambulance provision passed in the Bipartisan Budget Act of 2018 (H.R. 1892) was the five-year extension of the Medicare add-ons, the Act also included important language directing the Centers for Medicare and Medicaid Services (CMS) to collect cost and other financial data from ambulance service suppliers and providers. This week, an editorial from AAA Senior Vice President of Government Affairs Tristan North was featured in the June issue of JEMS's "EMS Insider". Read the full article►
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Overview of The Moran Company Recommendations on Ambulance Cost Collection System

Overview of The Moran Company Recommendations on Ambulance Cost Collection System

News
Overview of The Moran Company Recommendations on Ambulance Cost Collection System  From 2012 – 2014, The Moran Company developed, through a three-phase project, recommendations about how the Medicare program could collect costs associated with providing ambulance services. Consistent as well with the findings of the Congressionally mandated report on ambulance cost reporting/cost collection, The Moran Company determined that Medicare cost reporting would not be appropriate, result in the submission of accurate data, or solve the historic problem of under-reporting by the industry. Instead, The Moran Company recommended a “hybrid” model that relies on the data elements and accounting methods used in Medicare cost reporting and collects this information in a two-step process to ensure that the unique and varied business structures and their cost differences are appropriately captured. Step 1:  Collect…
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Moran Company Report

News
In 2012, the AAA engaged The Moran Company, a DC-based health care analytics firm, to determine the most appropriate way for the Centers for Medicare and Medicaid Services (CMS) to collect cost data from ambulance service suppliers and providers. Due to the high percentage of small ambulance service suppliers and the different types of ambulance service providers and suppliers, The Moran Company determined sending a tailored cost survey to a representative sampling of the industry was the best way for CMS to obtain the cost data. The Moran Company issued its findings in a report in April 2014. In February 2018, Congress passed language directing CMS to collect ambulance cost data along with the 5-year extension of the Medicare ambulance add-ons as part of the Bipartisan Budget Act of 2018…
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Collecting Data for the Future

Collecting Data for the Future

News, Uncategorized
Collecting Data for the Future:  Understanding the New Statutory Cost Collection Requirement By Kathy Lester, JD, MPH, Lester Health Law PLLC On February 9, the President signed into law the Bipartisan Budget Act of 2018 which thankfully included a five-year extension of the ambulance add-ons.  Along with the add-ons extension, the Congress included language requiring the Centers for Medicare and Medicaid Services (CMS) to develop and implement a new cost data collection system for ambulance service providers and suppliers.  While cost collection may sound difficult, the process outlined in the new authority strikes the appropriate balance and will minimize the burden on ambulance service providers and suppliers, while allowing the federal government to collect meaningful data that can be used to address the inadequate reimbursement rates and modernize Medicare ambulance…
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Overview of The Moran Company Recommendations on Ambulance Cost Collection System

Overview of The Moran Company Recommendations on Ambulance Cost Collection System

News, Uncategorized
Overview of The Moran Company Recommendations on Ambulance Cost Collection System  From 2012 – 2014, The Moran Company developed, through a three-phase project, recommendations about how the Medicare program could collect costs associated with providing ambulance services. Consistent as well with the findings of the Congressionally mandated report on ambulance cost reporting/cost collection, The Moran Company determined that Medicare cost reporting would not be appropriate, result in the submission of accurate data, or solve the historic problem of under-reporting by the industry. Instead, The Moran Company recommended a “hybrid” model that relies on the data elements and accounting methods used in Medicare cost reporting and collects this information in a two-step process to ensure that the unique and varied business structures and their cost differences are appropriately captured. Step 1:  Collect…
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