Ambulances Services Center

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Ambulance Fee Schedule: Calendar Year (CY) 2023 Ambulance Inflation Factor & Productivity Adjustment

The Ambulance Inflation Factor for CY 2023 is 8.7%. For more information, see the instruction to your Medicare Administrative Contractor (PDF).

2 Calendar Year (CY) 2023 Final Rules About Ambulance Services:

CY 2023 Physician Fee Schedule (PFS) final rule: https://www.federalregister.gov/public-inspection/2022-23873/medicare-and-medicaid-programs-cy-2023-payment-policies-under-the-physician-fee-schedule-and-other

CMS finalized a series of changes to the Medicare Ground Ambulance Data Collection System. First, we updated our regulations at § 414.626(d)(1) and (e)(2) to provide the necessary flexibility to specify how ground ambulance organizations should submit the hardship exemption requests and informal review requests, including to our web-based portal once that portal is operational. Second, we  finalized further changes and clarifications to the Medicare Ground Ambulance Data Collection Instrument.

CY 2023 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center final rule: https://www.federalregister.gov/public-inspection/2022-23918/medicare-program-hospital-outpatient-prospective-payment-and-ambulatory-surgical-center-payment

CMS finalized its proposals to include REHs as a covered origin and destination for ambulance transport under the Ambulance Fee Schedule and that a REH that owns and operates an ambulance transportation may enroll in Medicare as an ambulance provider and receive payment under the Ambulance Fee Schedule if all coverage and payment requirements are met.

Updated Information on the Medicare Ground Ambulance Data Collection System (GADCS):

CMS has posted the following documents:

  1. GADCS User Guide that walks you through the GADCS. 
  2. Lists of Year 3 and Year 4 selected ground ambulance organizations. These organizations will receive notification letters via email and regular mail from their Medicare Administrative Contractor (MAC) starting in December 2022.
  3. Revised Medicare Ground Ambulance Data Collection Instrument which includes the changes that were finalized in the CY 2023 PFS Final Rule.
  4. Revised Facilities and Vehicle Templates.  We revised the templates that we presented on our August 4, 2022 webinar.
  5. A copy of the Hardship Exemption Request Form.
  6. Revised GADCS Frequently Asked Questions (FAQ) document.

  7. Ground Ambulance Industry Trends, 2017– 2020 Report: Analysis of Medicare Fee-for-Service Claims.


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Medicare Ground Ambulance Data Collection System  

Effective January 1, 2020-2024, CMS will select ground ambulance providers and suppliers to participate in the Medicare Ground Ambulance Data Collection System (GADCS). Get more Medicare GADCS information and resources.


 


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Page Last Modified:
11/07/2022 11:50 AM