Laserfiche WebLink
1 N BS' <br />32605 Temecula Park <br />Temecula, CA 92592 <br />Toll free: 800.676.751 <br />www.nbsgov.com <br />August 22, 2024 <br />Alex Gutierrez, Treasury and Customer Services Manager <br />City of Santa Ana <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <br />RE: Medicare Ground Ambulance Data Collection System (GADCS) Proposal for Services <br />Dear Alex Gutierrez: <br />Thank you for the opportunity to address the City of Santa Ana's needs for the Medicare Ground <br />Ambulance Data Collection System (GADCS)/Cost Survey reporting requirement services. While the GADCS <br />reporting is a new requirement, NBS was one of the first consulting firms to complete GEMT cost reports <br />for fire departments across California and has worked to generate over $20 million in ambulance services <br />supplemental payments since 2013. This experience with cost structures of fire departments and <br />ambulance services organizations enables us to ensure the GADCS Cost Survey is completed accurately. <br />BACKGROUND <br />The Bipartisan Budget Act of 2018 includes a major Medicare ambulance services provision pertaining to <br />the development of a data collection system for ground ambulance service providers and suppliers. The <br />Centers for Medicare and Medicaid Services (CMS) requires that all providers of ground ambulance <br />services collect and report expenditures, revenues, utilization, and other departmental statistics. The data <br />will be used to evaluate costs related to payment rates under the Medicare Part B Ambulance Fee <br />Schedule (AFS). <br />The City of Santa Ana was selected as a part of "year 3 organizations," which means that the City must <br />track data from 7/1/23 — 6/30/24 and certify submission to CMS by 11/30/24. <br />SCOPE OF SERVICES <br />NBS will complete an analysis of relevant costs, revenues, services provided, and organizational <br />characteristics, on behalf of the City of Santa Ana, with these added benefits: <br />• Submittal of documentation on behalf of City of Santa Ana, saving the City staff time and effort <br />• Avoidance of penalties for insufficient or late submittals <br />• Audit support should CMS have questions or issues with the City of Santa Ana's submittal <br />Below is the detailed task plan for providing these services: <br />TASK 1. DATA REVIEW AND ANALYSIS <br />NBS will initiate the project and establish common understanding by executing the following: <br />helping communities fund tomorrow <br />