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Add-Ons Renewed, Fee Schedule Released

February 19, 2018 11:41 AM | Amanda Riordan (Administrator)

Thank you to the many FAA members who worked to encourage legislators to renew the ambulance Medicare add-ons. Per the American Ambulance Association (AAA), these were recently extended through 2022, with the following specific provisions:

  • 5 year extension of the ambulance Medicare add-ons through December 31, 2022, retroactive to January 1, 2018.
  • AAA’s preferred method of Cost data collection that provides flexibility to the Secretary of HHS in developing the system. Consultation with the industry is required so that it strikes the appropriate balance between obtaining meaningful data while not overly burdening or onerously penalizing the ambulance services.
  • The penalty for failing to report required data would be a reduction in payment up to 10% for the year following the year in which the data should have been submitted. AAA objected to the house proposed penalty of up to a year of Medicare payments clawback or withholding of payments. A clause is included to wave the penalty in cases of hardship.
  • A “pay-for” for the 5-year extension of the add-ons with a 13% cut to non-emergent dialysis transports – the AAA had objected to the offset and pushed for a cut targeted to just those entities which abuse the dialysis transport benefit. AAA was successful in reducing the initial cut from 22% to 13%. The AAA is actively working on other pay-for options that would replace the 13% cut with something targeting dialysis fraud and abuse.

Additionally, thanks to eagle-eyed FAA member Bryan Andrews for the following information! 

CMS has published an updated fee schedule, and.First Coast Service Option's contractor ID is 09102.  (As of yesterday, it does not appear that FCSO has updated their site.)

CMS Website Ambulance Page