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Save the Medicare Ambulance Add-On Payments

The Medicare Ambulance Add-On Payments, an important supplemental reimbursement source from Medicare, expired on January 1. Prior to their expiration, the payments provided an additional 2%, 3% or 22.6% payment for transportation of Medicare patients from urban, rural and super-rural zip codes. Congressional action is needed to restore the add-on payments.

The IAFC needs your help in urging Congress to pass the Comprehensive Operations, Sustainability, and Transport Act (H.R. 3729). This bipartisan legislation would reauthorize the add-on payments for five years as well as create a cost-reporting system that’s important for improving the Medicare Ambulance Fee Schedule.

Log onto the IAFC’s Legislative Action Center to urge your members of Congress to restore the add-on payments!

IAFC members should use only the IAFC’s Legislative Action Center to contact their members of Congress. Some third-party billing companies have sent fire departments and other clients a link to another association’s online action center. Using this link may result in sending a letter of support for a related bill that the IAFC and other national fire and EMS organizations are opposed to.


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