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Be Diligent. Be Resourceful. Be Prepared for the Medicare Ground Ambulance Cost Data Collection
November 23, 2020 @ 3:30 pm - 5:00 pm
Speakers: James Dachos (PCG) and Matt Zavadsky (MedStar)
With the Bipartisan Budget Act of 2018, the Centers for Medicare and Medicaid Services (CMS) is requiring that all providers of ground ambulance services collect and report expenditures, revenues, utilization, and other departmental statistics. This data will be collected over a year period, with every provider being selected once. While some of the data points are like what is collected for the Texas Ambulance Supplemental Payment Program (ASPP) cost report, the Medicare cost survey requires significantly more detail. This collected data will be used to assess current payment rates and inform future reimbursement rates. In November 2019, CMS selected 2,600 ambulance providers to complete the Medicare Cost Survey this year, with 183 of these providers being in the state of Texas. Within the CMS cost survey collection notice they state the following: “Failure to sufficiently submit the required information will result in a 10 percent reduction to payments under the Ambulance Fee Schedule (AFS) for one year” (CMS, 2019). Precise and complete cost data collection is critical to the establishment of adequate future rates. In this presentation, Associate Manger James Dachos from Public Consulting Group will explore the process for completing the Medicare Cost Survey, the data needed for the survey, and the potential impact on future rates for ambulance providers. In addition, he will be answering any questions associated with the Medicare Cost Survey.