relliott
  1. Q.  That the bill language only specifies HCPIC codes for the emergency transport and not the supporting codes, such as mileage and therefore that should not be included in reporting.

 

  1. A.  From member of 911 Ambulance Alliance - The language from the DHCS website: (http://www.dhcs.ca.gov/provgovpart/Pages/GEMTQAF.aspx) is as follows:  “Gross receipts” are defined by statute as “gross payments received as patient care revenue for emergency medical transports, determined on a cash basis of accounting, [and] shall include all payments received as patient care revenue for emergency medical transports billed with billing codes A0429 BLS Emergency, A0427 ALS Emergency, and A0433 ALS2, and any equivalent, predecessor, or successor billing codes [X0030; determined] by [DHCS] and any other ancillary billing codes associated with emergency medical transport[s].

The red text is where the answer can be found. In short, all revenue for transports using those codes, including revenue for ancillary charges (i.e. mileage, O2, night, supplies, etc.) needs to be included.

As for the 2nd issue, providers need to submit their questions to DHCS as soon as possible. GEMTQAF@dhcs.ca.gov

 

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