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TN EMS Cost & Utilization Reporting Deadline May 31, 2025

On February 24, 2025, TennCare formally requested the CY 2024 EMS Cost & Utilization Report from each EMS provider, due no later than May 31, 2025. In order for this submission to be considered complete, you must:

  • Utilize the current template, version 1.6 (“EMS COST & UTILIZATION REPORT TEMPLATE_v.1.6.xls”) which can be downloaded here: https://myersandstauffer.com/client-portal/tennessee/#toggle-id-5
  • Upload the signed certification on the “Signed Certification” event line in the stat log (Note: the signature must be a “wet” signature, or signed electronically. Typed names in the signature field do NOT qualify as a signature.)
    • If needed, the signed certification event can be added via the drop down menu at the bottom of the stat log
  • Upload both financial and transport support on the Working Trial Balance and Transport Log event lines, respectively

As a reminder, for the CY 2024 TN EMS Cost and Utilization Report submission, you must submit through the TN EMS Web Portal. If you have already registered for the web portal, it is recommended that you verify that you are able to log in at least two weeks prior to the submission due date.

If you have not registered for the web portal, please complete the attached registration form with the required information, including public facing IP address or range of IP addresses (which can be obtained from your IT department or network provider). Upon completion of this form, please email it to TNEMT@mslc.com. Please note that registration processing may take as long as 3-5 business days.

Submissions will not be marked complete until a completed Excel-based Cost & Utilization report, supporting documentation, AND signed certification have been submitted.

Additional resources, such as user guide and FAQ documents can be downloaded here: https://myersandstauffer.com/client-portal/tennessee/#toggle-id-5

Please contact TNEMT@mslc.com should you have any questions.

Thank you,

TN EMT
PH: 800.374.6858
www.myersandstauffer.com
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2025 TASA Legislative Priorities

2025 TASA Legislative Priorities

Link= 2025 TASA Legislative Priorities

  • 1. Ground Ambulance Service Provider Assessment Act – SB747/HB171
      Sponsors- Senator Yager, Ken; Rep. Randy, Jay

          • Extends the ground ambulance service annual assessment to June 30, 2026. Requires the ambulance
            provider to pay an assessment to the bureau no more than 45 days after the day on which the bureau
            issues the ambulance provider notice of the assessment. Allows the office of emergency services to
            provide the bureau with additional data, including reports containing protected health information, as
            needed to ensure the assessment program remains in compliance with state and federal laws.
          • Legislation sunsets each year, extremely successful across TN for the past six years
          • Designed to address specific needs of the ambulance service industry to improve access to TennCare
            patients across Tennessee.
          • Fully funded by ambulance providers and the Federal Government- NO STATE Funds
          • Amendment Summary
            • Senate Health & Welfare Committee amendment 1, Senate Health & Welfare Committee amendment 1,
              House TennCare Subcommittee amendment 1 (003595) rewrites the bill. Present law requires an
              ambulance provider to pay an assessment to the bureau of TennCare no more than 30 business days
              after the day on which the bureau issues the ambulance provider notice of the assessment. Increases
              such time period from 30 business days to 45 calendar days. Requires the office of emergency services to
              provide the commissioner of health with full access to ambulance run reports maintained by the office.
            • Subcommittee Amendments
              • Specifies that the commission of health may provide the bureau of TennCare with ambulance run report
                data and additional requested data, including reports containing protected health information, as
                needed to ensure the assessment program remains in compliance with state and federal laws. Present
                law provides that the ground ambulance provider assessment established by current law terminates on
                June 30, 2025. Extends such assessment until June 30, 2026.
              • Provides $30 million statewide to ambulance providers for emergency TennCare transports
  • 2. Reimbursement for ground-based ambulance services- SB748/HB201
    Sponsors Senator Yager, Ken; Rep. Hicks, Gary

        • Requires the bureau of TennCare to reimburse a public or private ground-based ambulance service that
          bills for transport and has a base of operations in this state that provides a covered emergency service to a
          TennCare recipient at a rate not less than 67.5% of the federal Medicare program’s allowable chare for
          participating providers and 100% of the federal Medicare programs allowable charge for covered
          nonemergency services.
        • Fiscal Note:
          • General Fund FY25-26 & Subsequent years $2,265,800
          • Federal Government expenditures FY25-26 & Subsequent years $4,085,000
        • Non-emergency ambulance services are EXCLUDED from the current Ground Ambulance Service Provider
          Assessment Act due to CMS guidance.
        • Non-emergency TennCare transports are missing out on $229.50 per transport by being excluded from the
          Provider Assessment Act.
        • This would help level the reimbursement for all TennCare ambulance transports and would improve
          availbility of non-emergency ambulance transportation throughout the State

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SFY25 Q2 TennCare Supplemental Payments/Reports

The payment reports for the SFY25 Q2 TennCare supplemental  payments were sent out by email yesterday (2-11-25). TennCare has instructed the MCO’s to make these payments by February 28, 2025.

After sending out the payment notices yesterday, several providers identified a significant decrease in their payment numbers compared to previous quarters. I brought this to the attention of TennCare and they immediately reached out to the MCO’s.

According to TennCare, BlueCare responded saying “Blue had a large number of denied claims during the 4th quarter 2024.  However, there will be an increase of encounters to be submitted in the 1st quarter 2025 submission.”.
 
Based on this information, it appears that there were a large number of claims that did not qualify for the supplemental payment due to denials but are being corrected/resubmitted and should result in a significant increase in qualifying claims for the next reporting quarter (SFY25 Q3).
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GPHS Fire and EMS Program Fundraiser – FDIC

Cecilia leads a progressive Fire and EMS program at GPHS, dedicated to developing the next generation of firefighters and emergency responders. Her students actively engage with local agencies, gaining hands-on experience in fireground operations, 911 centers, and aeromedical services, just to name a few.

Her next major initiative is to take her current cohort of 15 students to the FDIC conference in Indianapolis in April 2025. This experience will provide unparalleled exposure to industry leaders, advanced training, and networking opportunities, reinforcing their commitment to the profession. The total fundraising goal for this effort is approximately $15,000. By supporting this initiative, we can help recruit future students, enhance retention, and foster lifelong careers in fire service through early engagement.

Download the GPHS Fire & EMS Fundraiser Flyer

Learn More:
GPHS Fire & EMS Education Website
GoFundMe Fundraiser

 

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March 19, 2025, for TASA EMS Day on the Hill

TASA EMS Day on the Hill 2025

Link= 2025 TASA Legislative Priorities

TASA EMS Day on the Hill is March 19, 2025, at the Cordell Hull Building in Nashville.

We need every ambulance service in Tennessee to be represented on March 19, 2025Will your service be represented?

Contact your State Representative and State Senator to schedule a meeting to discuss the legislative priorities. CALL OR EMAIL THEM TODAY – DON’T WAIT! use this link to find your representative and senator
Please wear your dress uniform or other appropriate attire representative of your agency.

Our Lobbyist will schedule meetings between the Legislative leadership and the TASA Board.

Prep meeting is the night prior on March 18, 2025 at the Nashville Downtown Doubletree at 1800.

If you would like for a TASA board member to go with you to discuss legislative issues during your meeting with your representative – just ask. If you need additional information or assistance please contact Tim Booher at timothy.booher@gmr.net


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2024 Statewide EMS Staffing Survey

Dear EMS Service Directors,
In 2021, TASA completed their initial Statewide EMS Staffing Survey that assessed the current state of staffing across the state of Tennessee. We all remember that this was during the COVID-19 Pandemic which stretched our systems in unprecedented ways. Since that survey, legislation passed that allows EMS services to utilize the EMS-A (EMS Apprentice) aka Ambulance Operator position and the number of EMS services allowed to have their own service EMT/AEMT programs increased from 15 to 30.

This year we are sending out a follow up survey and TASA is requesting each EMS service to complete the 2024 Statewide EMS Staffing Survey. This follow up survey will allow comparative data to assess current state of staffing across the state of Tennessee. Once the survey information has been compiled and reviewed, TASA will share the results with you. The survey will be open until December 2, 2024.

The Survey Title: 2024 Statewide Tennessee EMS Staffing Survey Data
Survey Link: https://forms.office.com/r/ZFrxWLZMCC

The survey is quick, and questions are the same as the 2021 survey with one additional question regarding the EMS-A (Ambulance Operator) position.

Thank you in advance for your participation and look forward to seeing the results. Please let us know if you have any questions.

Lis Henley
TASA Secretary
615-335-9618
www.tennesseeambulance.com

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TN-T2 Update: Use of local ER physician as Qualified Healthcare Partner (QHP)

Recently a question was asked by a rural county service.

Question: Can we receive TennCare reimbursement for TN-T2 if we use our local ER physician as the Qualified Healthcare Partner  (QHP) – even if the QHP chooses not to charge for the consultation?

Answer: We have reviewed this question with TennCare officials and their answer is YES:

  • The EMS will still be reimbursed for their assessment and not for mileage as described under Scenario 2, regardless of if the QHP ‘treats’ the member or not or regardless of if the QHP bills for their service or not, as long as the EMS provider bills using the “W” modifier to indicate the use of telehealth and engaging a QHP (ED Physician) and;
  • the ED Physician/QHP is assessing the member and advising as whether to complete  Treatment-In-Place (TIP), Transport to Alternate Destination (TAD), or transport the member to the ED
  • the ED Physician/QHP should sign off on the ambulance ePCR in cases of TIP or TAD
The summary of the requirements for this scenario are:
  1. consult with the ER physician as your QHP (Qualified Healthcare Professional) for direction on treatment/transportation
  2. ER physician/QHP does not have to bill for the consult
  3. it is recommended that the ER physician/QHP sign off on the ePCR (if TIP or TAD is utilized)
  4. EMS should bill the claim using the “W” modifier to indicate the use of telehealth/consultation with a QHP (ED Physician)

Download the complete TN-T2 Guidance and FAQ’s

Snapshot of Scenario #2 

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2025 TASA Mid-Winter Leadership Conference

We are excited to announce the upcoming 2025 TASA Mid-Winter Leadership Conference, scheduled for February 19 – 21, 2025 at The Park Vista Hotel in Gatlinburg, TN. This conference will bring together leaders in emergency medical services from across the state to share insights, best practices, and innovations in ambulance leadership and operations.

Key Highlights:

  • Expert Speakers: Hear from industry leaders and experts on the latest trends and enhance your leadership skills and operational efficiency.
  • Networking Opportunities: Connect with peers, share experiences, and build valuable relationships within the EMS community.
  • Exhibitor Showcase: Explore the latest technologies and products that are shaping the future of emergency medical services.

Who Should Attend: This conference is ideal for EMS directors, managers, supervisors, and other professionals dedicated to improving ambulance leadership, operations and patient care.

Registration: Early bird registration is open now. For more details and to register, please click here.

Join us for a transformative experience that will empower ambulance leaders to enhance their service and impact in their communities. We look forward to seeing you there!

For inquiries, please contact Lis Henley at elisabeth.henley@vumc.org.

Hotel Reservations:

    • The Park Vista Hotel by Double Tree – Gatlinburg, TN
    • Early reservation rate (before January 24th, 2025): $120.00
    • Use “Group Code”:  AMB
    • Booking Link: click here
    • The discounted room rate is available until Friday, January 24, 2025 or until there are no rooms available.

Conference Agenda Coming Soon- Feb 19- 1200-1700, Feb 20 830-1700, Feb 21 0800-1200