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CAC Hershey 2022
The Certified Ambulance Coder (CAC) designation is primarily for ambulance billing personnel - anyone involved in the ambulance revenue cycle. This includes those involved in:
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PWW Summary of Final 2015 Ambulance Fee Schedule Rule
Many ZIP Codes Going From Rural to Urban
On November 13, 2014, the Centers for Medicare and Medicaid Services (CMS) issued a Final Rule that updates regulations to account for the ambulance bonuses and changes many ZIP code designations for purposes of Medicare reimbursement. The Rule, “Medicare Program; Revisions to Payment...
HHS Announces Proposed Rule to Enhance Fraud Fighting
On May 9, 2014, the Department of Health and Human Services (HHS) issued a Proposed Rule amending the regulations relating to the Office of Inspector General’s (OIG) exclusion authorities. The OIG has the ability to exclude providers from participation in Federal healthcare programs for activities related to healthcare fraud, patient abuse, and other activities. The Proposed Rule would enhance the...
The NLRB's "Quickie Election" Rules
The National Labor Relations Board (NLRB) recently modified its union election rules and these changes went into effect on April 14, 2015. Commonly referred to as the “quickie election rules,” the new procedures increase administrative burdens for employers and speed up the election process. The bottom line is that employers will have less time to conduct an effective communications program and tackle important issues during a union election.
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Proposed Rule to Increase Fraud and Abuse Penalties
On May 12, 2014, the Department of Health and Human Services (HHS) issued a Proposed Rule that would significantly enhance the Office of the Inspector General’s (OIG) authority to impose civil money penalties (CMPs). The OIG has the ability to impose CMPs on providers who participate in Federal health care programs for various activities related to health care fraud, patient abuse, and...
OIG Discovers $19.9 Million in Ambulance Overpayments
The Office of Inspector General (OIG) just released a report about payments for ambulance transports of patients who reside in a Skilled Nursing Facility (SNF). The OIG audited 100 randomly selected
CMS Finalizes New Fraud Safeguards Including Ambulance Backbilling
#000000;">The Centers for Medicare & Medicaid Services (CMS) just issued a #0000CD;">Final Rule#000000;"> intended to improve CMS’s ability to deny or revoke the enrollment of entities and individuals that pose an integrity risk to the Medicare program. This Rule would also significantly limit ambulance suppliers' ability to...
PWW Article - "Patient Parking" and EMTALA
On July 13, 2006 CMS officials distributed a memo to all state agencies that enforce EMTALA informing them that the act of allowing EMS patients to be “parked” in a hospital hallway could be a violation of EMTALA. To read the memo in its entirety, CLICK HERE.
Patient parking...