tci ED Coding & Reimbursement Alert - 2019 Issue 4

ED News: CMS Unveils New Payment Model for Emergent Patients

Under the five-year model, ambulances can take emergency patients directly to their doctors’ offices. Emergency departments could end up seeing fewer patients arrive via ambulance, thanks to a CMS model that will pilot a new options for transporting Medicare patients who call 911. Background: On Feb. 14, CMS released its Emergency Triage, Treat, and Transport Model, also known as ET3. Under the voluntary five-year payment model, ambulance teams will get to decide how to treat patients who call 911. After triaging patients, EMS staff can still take them to the emergency department if they feel it’s the best...

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