EMS Billing and Reimbursement

Resources and Issues

• Medicare Fee Schedule - Notice.  This is the proposed rule, published in the Federal Register, for payment of ambulance services, fee schedules, and revision to physician certification requirements for coverage of non-emergency ambulance services.  The document also includes the implementation plan and dates.  Comments must be received by the Health Care Financing Administration no later than 5pm on November 13, 2000.
• S.2600 - The Critical Access Hospital Enhancement Act of 2000
  A Bill to amend title XVIII of the Social Security Act to make enhancements to the critical access hospital program under the medicare program.
• S.2735 - The Health Care Access and Rural Equality Act of 2000
  A Bill to promote access to health care services in rural areas.
• S.2858 - The Medicare Access to Ambulance Services Act of 2000
  A Bill to amend title XVIII of the Social Security Act to ensure adequate payment rates for ambulance services, to apply a prudent layperson standard to the determination of medical necessity for emergency ambulance services, and to recognize the additional costs of providing ambulance services in rural areas.
• S.2987 - The Rural Health Care in the 21st Century Act of 2000
  A Bill to amend title XVIII of the Social Security Act to promote access to health care services in rural areas and for other purposes.  

Links

• The CMS Medicare Learning Network webpage now includes fee schedule implementation issues.
• Centers for Medicare and Medicaid Services (CMS). This organization was formerly known as the Heath Care Financing Administration (HCFA).
• Government Accounting Office
• Tom Scott's web page
  Scott Consulting is devoting its practice to assisting Emergency Medical Service and non-emergency transport services with understanding and implementing the New Medicare Fee Schedule for Ambulance Services.
• TASC - The Technical Assistance and Services Center for the Rural Hospital Flexibility Program.

Grant writing

• Funding and Grant Writing resources.

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