Soon, the first EMS agencies will have to collect and report their cost-related data to CMS. The legislation that was enacted in early 2019 now requires EMS agencies to report cost data to CMS in their effort to reform the Ambulance Fee Schedule. Over the next four years, all EMS agencies who bill Medicare will be required to report their cost data. Failing to do so could lead to significant loss of Medicare revenue. This overview session will provide attendees with the regulatory information required for ambulance cost collection and will identify the tools and actions to take to meet the regulatory requirements. Attendees will learn how we got to where we are today and what the new mandates will require of EMS agencies.