Maximizing Incentives in EMS: Treatment in Place, Alternative Destinations, and Navigating Balance Billing Challenges

This webinar presented by Public Consulting Group (PCG) will explore how EMS agencies can leverage emerging opportunities in Treatment in Place (TIP) and Alternative Destination of Care programs to enhance service delivery and financial sustainability. Attendees will gain insights on the latest CMS guidance (P22) and learn how states are working within the CMS framework (SMD 23-006) to enable reimbursements for EMS providers delivering these critical services. Additionally, we'll address the challenge of balance billing in Treat No Transport (TNT) cases, discussing best practices for managing private payer coverage gaps and reducing the financial burden on patients. Join us for an in-depth discussion on aligning EMS services with evolving reimbursement landscapes and policy incentives.

Key Takeaways:

• Understanding CMS Policy Frameworks: Gain a clear understanding of CMS’s P22 guidelines and the implications of SMD 23-006 on state-level EMS reimbursements, with specific insights into which services qualify and how to navigate these frameworks effectively.
• Maximizing TIP and Alternative Destination Incentives: Learn actionable strategies for implementing Treatment in Place and Alternative Destination programs, including best practices for securing state reimbursements and ensuring program sustainability.
• Addressing Balance Billing in TNT: Explore the complexities of ambulance balance billing in Treat No Transport cases and discover approaches to mitigate financial risks for patients when private insurers do not cover TNT services.