Setting your rates isn't just about covering costs - it's about aligning your fee schedule with industry benchmarks, regulatory expectations, and your agency's unique service profile.

In this session, national EMS experts Doug Wolfberg and Matt Zavadsky will break down the critical components of building a defensible, data-driven fee schedule. You'll learn how to evaluate your costs, assess payer mix, and navigate compliance pitfalls - especially with increased scrutiny from commercial insurers, OIG, and state Medicaid programs. 

Whether you're updating your rates for the first time in years or responding to a shifting reimbusement landscape, this session will ensure your fee schedule reflects the true value of your services - and holds up under audit. 

 

In this exclusive online session, explore:

How to calculate and justify your fees using reliable cost data.

The compliance risks of arbitrary or outdated rate setting

Strategies for aligning with CMS expectations and local cost factors

Real-world examples of agencies that have successfully restructured their fee schedules

Meet the Speakers:

Doug Wolfberg

Co-President

Doug Wolfberg is an EMS/Mobile Healthcare Consultant with PWW Advisory Group. For over 25 years he has been recognized as one of the nation’s most prominent EMS attorneys and consultants. Doug brings a lifelong love of EMS to his work at PWW – he answered his first ambulance call in 1978 and has been involved in EMS ever since. Doug became an EMT at age 16 and worked as an EMS provider and educator in numerous EMS systems over the decades.Doug has steadily worked up the ladder in his EMS career. He worked as a county EMS director and then as director of a three-county regional EMS agency. He later worked for a statewide EMS council and then went to the nation’s capital to work at the United States Department of Health and Human Services, where he worked on federal EMS and trauma care issues. After graduating from law school with high honors, Doug worked for several years as a health law litigator. He then co-founded PWW in 2000 along with Steve Wirth and the late James O. Page. Doug’s work as an EMS consultant includes numerous EMS system assessment and redesign projects throughout the U.S., in which his forward-looking vision has helped systems transform themselves through the use of clinical performance measures and alternative modalities to meet their communities’ needs while remaining economically sustainable. Doug also provides consulting services on revenue cycle management and compliance, privacy and security, business transactions and other areas of EMS. Doug serves as faculty at Commonwealth Law School and the University of Pittsburgh and is a member of the Board of Trustees of Widener University. He has also endowed the Douglas M. Wolfberg Scholarship at Commonwealth Law./span>

Matt Zavadsky

EMS and Mobile Healthcare Consultant

Matt is an EMS & Mobile Healthcare Consultant with PWW Advisory Group, LLC. Matt’s primary focus is assisting local communities, EMS agencies, fire departments, ambulance services, hospitals, and other healthcare organizations in evaluating and improving their EMS and mobile healthcare delivery systems for success and sustainability in the future. Matt has over 40 years of EMS and mobile healthcare experience and has held leadership positions in both the private and government sectors and is well-known throughout the nation as a key thought leader in advancing mobile healthcare. As chief transformation officer at MedStar Mobile Healthcare, he was responsible for developing external and internal agency relations, new strategic initiatives, healthcare system integration, and media/community relations. Through PWW|AG’s association management agreement, Matt is also the Executive Director and Education Committee Chair for the Academy of International Mobile Healthcare Integration (AIMHI). He has also served in numerous leadership positions at the local, state, and national levels. Matt is a past president of the National Association of Emergency Medical Technicians, is a current member of their EMS Economics Committee, a member of the national committee on EMS and MIH standards for the National Fire Protection Administration (NFPA), and was a member of the Institute of Medicine, Healthcare Policy Workgroup, on the Impact of the Patient Protection and Affordable Care Act on U.S. Preparedness Resources and Programs. He also served on the steering committee for the development of the “Model EMS System of the Future” for the National Highway Traffic Safety Administration (NHTSA).