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AAA Audit Survey

American Ambulance Association 2016 Audit Survey

The AAA would like to better understand the impact of current Medicare auditing activity on our members.  Specifically, we would like to use this information to inform federal policymakers about problems with the current system and make recommendations to reduce the overwhelming burden that audits are becoming.  We are seeking information about Calendar Year 2015 audit activity only.  

To better understand regional patterns, please complete a survey for each state in which you operate.

Please answer as many questions as you can.  It is okay to skip a question if you do not have the information.  

All individual organization information will be kept confidential and privileged.  It is important for us to be able to follow up with organizations if we have questions about the information that has been shared with us.  However, if you are not comfortable sharing the contact information, please provide at a minimum your State and the relative size/type of your organization.

Thank you!
1.Contact Information
2.In what state or U.S. territory do you operate?
3.Type of Service
4.Has your organization undergone Medicare audits?  For purposes of this survey, we define a Medicare audit as any activity notifying you of a review of claims, including an initial request notifying you of an audit, an additional documentation request letter, a demand letter, or similar type of communication, as well as any follow-up steps that your organization has taken to comply with such a request.  We include recoupments in the term audit for purposes of this survey as well.
5.Has your organization received an audit request related to a prior authorization?
6.Has your organization requested a recoupment after receiving a demand letter?
7.Please provide the total number of audit requests your ambulance service received in 2015
8.Of the total number of audit requests in 2015, how many were for
9.Of the total number of audit requests received in 2015, how many were:
10.What were the top 5 reasons emergency claims are being denied/downgranded?
11.What were the top 5 reasons a nonemergency claims are being denied/or downgraded?
12.How many of the denied/downgraded claims has your organization appealed?
13.If possible, please provide the amount of reimbursement dollars for each type of denial/downgrade
14.Please indicate the types of contractors who are auditing your service