Ambulance medicare reference manual

Ambulance service, under Medicare, is only covered when an individual needs to be transported to a medical care facility in case of emergency or for medically necessary procedures. Non-emergency coverage is only allowed if a doctor provides written documentation that the patient needs to be transpo rted by ambulance.  · CMS IOM Publication , Medicare Claims Processing Manual, Chapter 15 Ambulance; Chapter 23, Section National Correct Coding Initiative (CCI) Chapter 30, Section Emergencies or Urgent Situations/Ambulance Transport; CMS IOM Publication , Medicare Program Integrity Manual.  · Knowledge of the CMS Medicare Benefit Policy Manual should be thoroughly understood by the ambulance billers and coders For most ambulance services, the single largest payor is Medicare. Medicare is also the payor with the most complex rules, and the harshest penalties for improper billing.

Effective January 1, and continuing through , ground ambulance providers and suppliers that have been selected to participate in the Medicare Ground Ambulance Data Collection System must collect information on cost, utilization, revenue, and other service characteristics in accordance with the Medicare Ground Ambulance Data Collection. The American Ambulance Association’s Medicare Reference Manual is a must-have for ambulance services that bill Medicare for transports. This product is not currently available, or is for AAA members only. If you are not logged in as a member, please log in and try again, or become an AAA member for this and many other benefits. Medicare Reference Manual. $ for AAA-Members | $ for Non-Members. By David Werfel, Esq Brian Werfel, Esq. The American Ambulance Association’s Medicare Reference Manual is a must-have for ambulance services that bill Medicare for transports.

11/23/ Documentation Tips for Ambulance Providers: Paint the Picture Ambulance Fee Schedule and Medicare Transports CMS Booklet. 1/15/ Medicare ambulance services are typically a Part B covered benefit; however, in some situations, CMS Internet Only Manual (IOM), Publication All ground mileage must be reported using code A References. Ambulance Billing Guide, Appendix F, Medicare Part B Reference Manual, February , http://.