Medicare Ambulance Prior Authorization – Nationwide Rollout

  Medicare Ambulance Prior Authorization – Nationwide Rollout September 22, 2020 CMS announced today that “repetitive, scheduled, non-emergency ambulance transports” (RSNAT) will soon require prior authorization nationwide.  Up to now, the prior...
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More CoVID Funding for EMS

More CoVID Funding for EMS Providers In an October 1st, 2020 press release, the US DHHS announced that an additional 20 Billion dollars was being released for CARES Act Provider Relief Payments.  The online application portal will open Monday, October 5th, 2020.  This means more...
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Starting an Ambulance Company

Starting an ambulance company is a challenge, but sometimes it is necessary to improve the service available in your community. If you are thinking about starting an ambulance company, you need the right kind of partners in your new venture. One of these partners should be an...
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Ambulance PCS Rules Change in 2020

The ambulance PCS rules have changed for the year 2020.  Ambulance & EMS billing often requires providers to obtain an Ambulance Physician Certification Statement (PCS).  For the year 2020, we have seen some important changes to the PCS rules over at CMS and Medicare.  The...
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Ambulance Documentation Questions – Mileage Reporting

Ambulance Documentation Questions – Mileage Reporting How do we record tenths of a mile when the odometer doesn’t display tenths? Medicare billing is limited to the patient’s loaded miles only, the miles traveled while the patient is on board the ambulance. Also,...
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Ambulance Documentation Guidelines

Priority Medical Claims – Ambulance Documentation Guidelines Ambulance Documentation Guide – Section One Introduction Medicare and many other insurance programs cover ground and air ambulance both. Ground ambulance refers to land and water born vehicles both. Air...
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Repetitive Ambulance Patient Overpayments

Repetitive Ambulance Patient Mileage Overpayments   As some of you may be aware, your local Medicare carrier, Palmetto GBA, has incorrectly allowed payment for certain mileage charges, for repetitive ambulance patients. Typically, overpayments would have to be refunded...
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Hospital to Hospital Transport by Ground Ambulance

When Medicare’s coverage criteria is met, hospital to hospital transport by ground ambulance is a covered service. The program covers both emergent and non-emergent responses at the BLS or ALS level. Providers must demonstrate through their patient care report that all...
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Monthly EMS Giveaway

Monthly EMS Giveaway EMS is a tough job – long hours, sleepless nights, dangerous scenes, awful weather – and you do it anyway. We want to say Thank You for your commitment to the EMS mission! We chose “Success in EMS” as our theme for 2017 because we are...
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Ambulance Transport Fees Rise in 2017

Ambulance Transport Fees The new year may be an ideal time to review the fees you charge for ambulance transport services.  Ambulance transport fees paid under the Medicare Ambulance Fee Schedule will increase +0.7% on January 1, 2017.  The increase will apply to trips with a...
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