Who's A Member l Member Benefits l Contact Us
CMS indicated that this delay was necessary to prevent implementation of a negative update (i.e., a cut) to the physician fee schedule that was scheduled to take effect January 1, 2014. However, the passage of the Pathway for SGR Reform Act of 2013 delayed the implementation of that payment reduction through March 31, 2014. CMS indicated the most recent delay was intended to give Congress time to pass additional legislation that would further delay these cuts.
While the announcement did not specifically mention a delay in the processing of Medicare ambulance claims, the temporary adjustments for ground ambulance (urban (2%), rural (3%), and the super-rural bonus) are also currently scheduled to expire on March 31, 2014. Therefore, ambulance services should be aware that this delay may also impact the processing of ambulance claims.
IV bags continue to be on a nationwide shortage. To make matters worse, this week Baxter cancelled all existing backorders and reduced their allocation quantities. "These two action steps by Baxter will have a notable negative impact on what is already an extremely strained supply chain", according to Stacey Barksdale Price, Product Manager of IV Therapy and Pharmaceuticals at Bound Tree Medical, the nation's largest EMS product dirstributor.
To listen to an EMS to the Point audio interview with Stacey Barksdale Price regarding the ongoing IV fluids and EMS pharmaceutical backorder problem, click here.
With this year’s Rate Survey, the Committee also added a chart showing the status of crossover payments for dual-eligible patients (i.e., beneficiaries with both Medicare and Medicaid).
Federal Medicaid monies are distributed to each State, and each State is responsible for establishing a Medicaid rate paid for modes of transportation to cover its insured beneficiaries, to include ambulance transportation.
Below is a chart showing Wisconsin’s Medicaid ambulance rate and that of surrounding states from AAA's Medicaid Rate Survey.
PAAW also completed a webcast interview in advance of the AAA State Medicaid Rate Survey being announced. To listen to the interview with Tristan North, Senior Vice President of Government Affairs for the AAA in Washington DC, click here.
AAA members may log-in to view the 2014 State Medicaid Rate Survey by clicking here.
Source: American Ambulance Association
The slowdown has already started at Ford, where a V-10 engine commodity problem has curtailed the availability of Econoline 6.8L vans and cutaways so far this year. Many ambulance manufacturers are reporting they are virtually out of both models, and that new chassis will be scarce for the foreseeable future.
The shortage will escalate in June, when Ford cutaway (Type III) production is shut down for 6 weeks due to a plant modification. In addition, the venerable Econoline van, long the workhorse of our industry, will be completely discontinued at that same time. It will be replaced by the new Ford Transit as part of Ford’s global plan.
Industry sources state that the Transit startup in a new Ford plant will be slower than planned, and that the gas powered Transit vans with the required ambulance package are not expected to be available until early calendar 2015. Diesel powered Transit vans may be available slightly earlier.
GM is also making some moves that will affect the supply of their ambulance chassis in 2014. A start up of production for a new mid-size pickup in the same GM plant that produces the G series vans and cutaways will reduce the production of those models by approximately 50% in the second half of calendar 2014. GM does not have any significant changes in their ambulance chassis models scheduled in the short term.
Supplies of Ford F cab chassis, Sprinter, International, Freightliner and Ram ambulance chassis appear to be normal, and no shortage is anticipated in those models at this time.
Source: American Ambulance Association
Important renewal dates to remember for 2014-2016:
November 1, 2013 through June 30, 2014 is the standard renewal period.
July 1, 2014 through December 31, 2014 is the late renewal period.
January 1, 2015 through June 30, 2016 is the reinstatement period.
A license or certification that has been expired for two years or more may only be reinstated by successful completion of the initial education, training and examination requirements.
2014-2016, renewal instructions by provider level
2014-2016, First Responder Renewal Instructions
2014-2016, EMT Basic Renewal Instructions
2014-2016, EMT Intermediate Technician /AEMT Renewal Instructions
2014-2016, EMT Intermediate Renewal Instructions
2014-2016, EMT Paramedic Renewal Instructions
2014-2016, EMT Paramedic with Critical Care Endorsement Renewal Instructions
To listen to the webcast, click here.
Since 2009, more than 900 leaders across the nation have participated in the Academy, many from Wisconsin during the past couple of years.
Each level is a 15-hour, two-day program presented on consecutive days in comfortable settings that invite participation and openness. Class size is limited and the sessions are engaging, lively and participatory.
Each course is two-days and costs only $40 - inclusive of both days. Meals and refreshments are included. Please note that the levels need to be taken in order. The previous level is a prerequisite for the next.
Register on-line at: https://charge.wisc.edu/ruralhealth/workshops.asp Level One
March 15-16, 2014
Marshfield Fire and Rescue Dept., Marshfield, WI Level One
April 24-25, 2014
Green County EMS, Monroe, WI Level Two
April 26-27, 2014
Green County EMS, Monroe, WI Level Three
July 26-27, 2014
Lemonweir Valley Phone Company, Camp Douglas, WI Level Four
August 16-17, 2014
Three Bears Lodge, Warrens, WI
For additional information or if you have a question, contact: Kathryn Miller, Program Manager, Rural Hospitals & Clinics Program, Wisconsin Office of Rural Health, Phone: 608-261-1891.
Home l Stars of Life l Midwest EMS Expo l EMS Live Podcast l Business Partners l Job Board l Site Map l Contact Us
© 2005–2018 Professional Ambulance Association of Wisconsin, Inc. All Rights Reserved.
Professional Ambulance Association of Wisconsin, Inc.c/o AAA | 1420 New York Ave NW | 5th Floor | Washington, DC 20005
April 25-26, 2019 | Bloomington, MN