Palmetto GBA will hold Repetitive Scheduled Non-Emergent Ambulance Transportation Prior Authorization Demonstration face-to-face workshops in North Carolina for ambulance providers providing repetitive scheduled non-emergent transports to familiarize them with The Centers for Medicare & Medicaid Services (CMS) demonstration currently going on in South Carolina.
These workshops are designed to familiarize providers, whose ambulances are garaged in potential demonstration expansion states, with demonstration requirements including the process of submitting a prior authorization request, billing for repetitive scheduled non-emergent ambulance transports under the repetitive scheduled non-emergent transportation demonstration, as well as common errors identified during the demonstration in South Carolina. Each event will include a question and answer period at the end of the formal presentation.
The purpose of the current prior authorization demonstration is to ensure that beneficiaries continue to receive medically necessary care while reducing expenditures and minimizing the risk of improper payments to protect the Medicare Trust Fund by granting provisional affirmation for a service prior to submission of the claim. Prior authorization allows providers and suppliers to address issues with claims prior to rendering services and to avoid the appeal process.
Prior authorization will not create new clinical documentation requirements. Instead, it will require the same information necessary to support Medicare payment, just earlier in the process.
- Repetitive Scheduled Non-Emergent Ambulance Transportation Demonstration Expansion Regulations
- Documentation Requirements
- Proper Claim Submission
- Q & A
- These workshops will provide insight for new, intermediate or advanced staff; however, we suggest that providers who are new to Medicare or have new staff attend online learning courses for beginners on the Palmetto GBA website. Basic billing and other online educational resources can be found in the Self-Paced Learning section under the Learning and Education link on the left navigation.
- CMS requires that Medicare contractors track all educational activities, which consists of capturing the provider’s six-digit Provider Transaction Access Number (PTAN) and National Provider Identifier (NPI). Please bring this information when attending the workshop.
Registration starts at 10:30 PM.
Event Date(s): 12/07/2015
Event Time: 11:00 AM – 01:00 PM
Location: Wake County EMS Training Center ( ***Please enter through the main entrance)
Wake County Commons Building – Room 100A
4012 Carya Drive
Raleigh, NC 27610