(a) For the purposes of this part, all ambulance providers shall file an annual cost and utilization report reflecting the most recently completed calendar year.
lawyer at desk

Ask a legal question, get an answer ASAP!
Click here to chat with a lawyer about your rights.

Terms Used In Tennessee Code 71-5-1507

  • Ambulance provider: means a public or private ground-based ambulance service, other than an ambulance service based on federal property, that bills for transports and has a base of operations within this state. See Tennessee Code 71-5-1502
  • Assessment: means the medicaid ambulance provider assessment established by this part. See Tennessee Code 71-5-1502
  • Bureau: means the bureau of TennCare. See Tennessee Code 71-5-1502
  • Year: means a calendar year, unless otherwise expressed. See Tennessee Code 1-3-105
(b) The submitted cost and utilization report must include:

(1) Specified data on any vehicle owned or operated by the ambulance provider that is used for the purposes of patient transport;
(2) Total number of manual ambulance stretchers;
(3) Total number of hydraulic ambulance stretchers;
(4) Information regarding twelve-lead cardiac capabilities;
(5) Revenue data by payer type;
(6) Total transport data by payer type; and
(7) Any additional information that is required by the bureau.
(c) The cost and utilization report must be filed with the bureau no later than May 31 of each calendar year and must contain data from the previous calendar year. The bureau shall assess a penalty of one hundred dollars ($100) for each day that an ambulance provider does not submit a cost and utilization report in compliance with this section. However, the bureau may waive, in whole or in part, any penalty upon a determination that there is good cause for the waiver. The penalty imposed by this section supersedes any penalty imposed under § 12-4-304.
(d) The comptroller of the treasury is granted audit authority to test the accuracy of any and all cost and utilization reports submitted to the bureau for the purposes of this assessment.
  Previous section
Next section  
 Part 15 Contents