10-22-12 Council Agenda & Packet

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How Payment Rates Are Set Effective January 1,2006, the Ambulance FS was , kMM i-.' fully implemented. Each year, an update is applied to the payment limits for ambulance services that is ,, equal to the percentage increase in the Consumer - Price Index for All Urban Consumers (CPI-U)for the 12-month period ending with June of the previous year. _.. . . Under the Affordable Care Act, Section 1834(1)(3)(6) L ,f ; ,- ' of the Act was amended to apply a productivity f� ti4 adjustment to the update equal to the 10-year moving ° average of changes in economy-wide private nonfarm business multi-factor productivity(MFP) beginning on January 1, 2011. The resulting update percentage . !_ is called the Ambulance Inflation Factor(AIF). For calendar year(CY)2012, the MFP is 1.2 percent and stet ift the CPI-U is 3.6 percent. Under the Affordable Care Act, the CPI-U is reduced by the MFP, even if the reduction results in a negative AIF. Therefore, the AIF for CY 2012 is 2.4 percent. Air Ambulance Services Ground Ambulance,..Services As of January 1, 2006, the total payment amount for air ambulance providers and suppliers is based on Effective January 1, 2006, the total payment amount 100 percent of the national Ambulance FS. Payments for ground ambulance providers and suppliers is for air ambulance services under the Ambulance FS based on 100 percent of the national Ambulance FS. include the following elements: Payments for ground ambulance services under the • A nationally uniform base rate for fixed wing and a Ambulance FS include the following elements: nationally uniform base rate for rotary wing; • A nationally uniform base rate or conversion factor • A GAF for each Ambulance FS locality area(GPCI); for all ground ambulance services; • A nationally uniform loaded mileage rate for each • A numeric value for ambulance services relative to type of air service; and the value of a base level ambulance service called • a relative value unit is assigned to each type of A rural adjustment to the base rate and mileage ground ambulance service; for services furnished for a rural POP. • A geographic adjustment factor(GAF)for each Ambulance FS locality area (geographic practice cost index[GPCI]); • A nationally uniform loaded mileage rates • An additional amount for certain mileage fora ;0, ° rural point-of-pickup(POP); and 44i; •3 Additional payments for certain specified - temporary periods. e=1.- - '' Ft , 1, ! - ' '4- 4100-‘1' ' -51* "."_;"--• * --# : ® Ambulance Fee Schedule -- ' "