Ambulance Open Door Forum
The Ambulance Open Door Forum (ODF) addresses issues related to the payment, billing, coverage and delivery of services in the ambulance industry. The Ambulance Fee Schedule rules, rural and other ambulance payment enhancements, requirements for ambulance service certification and payment determinations, are just some of the many types of issues addressed within the forum. In addition, discussions differentiating the rules related to provider-based and independent ambulance services are facilitated. Timely announcements and clarifications regarding important rulemaking, agency program initiatives and other related areas are also included in the forums.
**Updated: July 24, 2018 - Special Open Door Forum (SODF): Non-Emergency Ambulance Transportation (NEAT) Templates and Clinical Data Elements (CDEs), Thursday, July 26, 2018 from 2:00-3:00pm Eastern Time. This SODF will allow physicians, provider and supplier professional associations, and/or all other interested parties to provide feedback on the draft Templates and CDEs for NEAT services that are posted on the CMS.gov website. The printable clinical templates and suggested CDEs describe the data elements that CMS believes would be useful in supporting the documentation requirements for coverage of scheduled and repetitive NEAT services, as follows: 1. Order / Physician Certification Statement (PCS) 2. Progress Note 3. Prior Authorization (PA) Request. The NEAT Templates and CDEs will be available on the CMS.gov website just prior to the SODF, and can be accessed through the link below: https://www.cms.gov/Research-Statistics-Data-and-Systems/Computer-Data-and-Systems/Electronic-Clinical-Templates/Other-Benefit-Templates/Other-Templates-Non-Emergency-Ambulance-Transportation.html. Providers and IT vendors can choose whether or not to use the printable clinical templates and/or the suggested CDEs. The suggested CDEs aren't a form, but a tool that IT vendors can integrate into electronic health record (EHR) systems to create prompts to assist providers with their medical record documentation for Medicare purposes. The templates and CDEs are intended to be a helpful guide, but every section may not apply to all types of patients’ services. Providers can choose the information or CDEs that do apply. Once completed by the physician or other practitioner, the resulting documentation would become part of the medical record. To better assist providers in medical record documentation, for Medicare Fee for Service purposes, CMS has developed lists of clinical elements within a printable clinical template. This development will allow EHR vendors to create prompts to assist the practitioner when documenting. These Templates and CDEs for NEAT services are some of the many on the list of topics posted on our website. Feedback and questions on our drafts can be sent to: firstname.lastname@example.org. We look forward to your participation. If you wish to participate, dial: 1-(888)-989-4575 & Conference ID: 3068545. Please see the Downloads section below for the full call announcement. We look forward to your participation. Thank you for your continued interest in the CMS Open Door Forums.
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- National Provider Identifier Standard (NPI)
- Ambulances Services Center
- Prior Authorization of Repetitive Scheduled Non-Emergent Ambulance Transport - Opens in a new window
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- CMS Regional Offices
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