Sixteen Texas EMS Agencies Selected for Medicare’s ET3 Program

The Centers for Medicare and Medicaid Services (CMS) announced on February 27, 2020, that 16 Texas EMS agencies were selected to participate in CMS’s new Emergency Triage, Treat and Transport (ET3) program. CMS announced the model on February 14, 2019. According to CMS: “Emergency Triage, Treat, and Transport (ET3) is a voluntary, five-year payment model […]

Texas HHSC’s Response to TEMSA’s ET3 Request

The Texas Health and Human Services Commission (HHSC) submitted its interest in Medicare’s new Emergency Triage, Treat, and Transport (ET3) program in a letter dated September 17, 2019. The Centers for Medicare and Medicaid Services (CMS) recently asked state Medicaid programs to indicate their willingness to work with the new program. The Texas EMS Alliance […]

Medicare Announces Emergency Triage, Treat and Transport (ET3) Model

The Centers for Medicare and Medicaid Services (CMS) announced the ET3 model earlier today. Per CMS: Emergency Triage, Treat, and Transport (ET3) is a voluntary, five-year payment model that will provide greater flexibility to ambulance care teams to address emergency health care needs of Medicare beneficiaries following a 911 call. Under the ET3 model, the […]

Texas Exempt from Medicare’s Latest Ambulance Moratorium

The Centers for Medicare and Medicaid Services (CMS) extended the moratorium on the new enrollment of non-emergency ambulance services in Pennsylvania and New Jersey for another six months in a July 30 announcement (applicable July 29, 2018). However, Texas was not included in the announcement for ambulance services. The following is a timeline that explains […]

CMS Listening Session on Ambulance Data Collection

The Centers for Medicare and Medicaid Services (CMS) will hold a listening session on June 28, 2018 to discuss the ambulance data collection program, which was created by the Bipartisan Budget Act of 2018. Ambulance coding expert Brian Werfel will discuss the program at the Texas EMS Alliance’s annual conference, EMS EVOLUTION 2018. Click here […]

CMS Releases Guidance for Dialysis Transport Cuts

Click here to review Congress’ February budget bill, which extended Medicare’s ambulance add-on payments. The add-ons were offset by future cost reporting and cuts to dialysis transports. Brian Werfel will cover the topic as part of his billing and coding course at EMS EVOLUTION 2018 on Tuesday, June 19. The Centers for Medicare and Medicaid […]

CMS Implements Cycle 2 Revalidation Program

Earlier this week, CMS announced the Cycle 2 Revalidation Program. The American Ambulance Association provided an analysis by Brian Werfel. TEMSA members can check their e-mail newsletter to learn more details.

ICD-10 Grace Period Announced by AMA and CMS

Today, the American Medical Association and Centers for Medicare and Medicaid Services (CMS) announced that providers will have a one-year grace period once ICD-10 goes into effect on October 1, 2015.  This will allow providers to still be reimbursed if their coding error is within the broad family of the correct code.