Podcast With PAAW: A Discussion About Ambulance Cost Data Collection

News
In a podcast hosted by Professional Ambulance Association of Wisconsin (PAAW), Maria Bianchi, the Executive Director of the American Ambulance Association discusses ambulance cost data collection. Learn what cost collection is, why it is happening, and why ambulance services across the country should care. Listen to the podcast.   Looking for more ambulance cost data collection content? Visit www.ambulancereports.org. You will find both free resources and paid subscriptions are available to fit your budget and help your service prepare for the future of EMS.
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Quick Takes: Medicare Utilization Basics

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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

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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

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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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Request for Proposals—SME/Project Director

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American Ambulance Association Request for Proposals SME/ Project Director Ambulance Cost Data Collection November 2018 Overview The American Ambulance Association (AAA) invites proposals from qualified interested parties (individual and teams) for the purpose of directing the Ambulance Cost Data Project as a Subject Matter Expert (SME). Introduction As part of the extension of the Ambulance Medicare Add on payments, legislation passed on February 9, 2018, the Congress mandated that ambulance services provide cost data.  General requirements of the legislation include the following: Requires notice-and-comment rulemaking May use a cost survey Collect (1) cost; (2) revenue; (3) utilization; and (4) other information determined appropriate by the Secretary Include information: (1) needed to evaluate the extent to which costs are related to payment rates; (2) on the utilization of capital equipment and…
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Quick Takes: NPIs

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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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Statement on Cost Data Collection for Ambulance Services

Statement on Cost Data Collection for Ambulance Services

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For Immediate Release Contact: Amanda Riordan Phone: 703-615-4492 Email: ariordan@ambulance.org WASHINGTON, DC—On October 17, the International Association of Fire Chiefs (IAFC), International Association of Fire Fighters (IAFF), and The Metropolitan Fire Chiefs Association released a joint statement discouraging fire-based providers from endorsing AAA’s proposed ambulance cost collection methodology. While we regret to learn that they do not believe that our method is appropriate for the segment of providers they represent, we respectfully disagree and invite open dialogue as our previous requests to discuss cost collection with the IAFF and IAFC were declined. The American Ambulance Association membership is composed of ambulance providers of all types and sizes, ranging from non-profit, for-profit, volunteer, hospital-based, county-based, public utility models, and more. We represent 911 ambulance providers in major metropolitan areas, small 911…
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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

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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

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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!

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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

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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

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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

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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

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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

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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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CMS Releases Ambulance Cost Data Collection Report

CMS Releases Ambulance Cost Data Collection Report

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The Centers for Medicare and Medicaid Services (CMS) has released its report on the feasibility of collecting cost data from ambulance service providers.  Under the American Taxpayer Relief Act of 2012, Congress directed CMS to conduct the report entitled “Evaluation of Hospitals’ Ambulance Data on Medicare Cost Reports and Feasibility of Obtaining Cost Data from All Ambulance Providers and Suppliers”. The report can be accessed here. The report states that due to the diverse nature of our industry with a majority of providers being small entities, traditional mandatory ambulance cost reporting is not feasible.  While it does not make a recommendation on a data collection system, the report highlights the work of the AAA with The Moran Company and will be helpful in our push for a survey approach to collecting…
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The Importance of Ambulance Cost Survey Data

The Importance of Ambulance Cost Survey Data

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By Kathy Lester, JD, MPH | Updated November 9, 2015 Tomorrow is in your hands today. This statement is especially true when we think about the evolution of ambulance services. Today, care once reserved for the hospital setting is now delivered at the scene, resulting in better patient outcomes. Yet, despite these advances, the Medicare payment system lags behind. Current rates are based upon a negotiated rulemaking process that did not take the cost of providing services into accounts. While many in the industry strive to further expand the delivery of high-quality care, the inflexibility of the current payment system makes it difficult to compensate the next generation of ambulance service providers appropriately. To prepare for tomorrow, ambulances services must act today. The AAA has taken a leadership role by…
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