Palmetto: Super Rural Ambulance Claims Underpaid

Palmetto GBA announced Jan. 25 that certain ambulance claims submitted since the first of the year for particular HCPCS Level II codes with a super rural ZIP code indicator of  ‘B’ may have been underpaid.

Providers in Ohio, West Virginia, Hawaii, Nevada, Northern California, and South California may be affected.

Transportation Services codes A0426-A0429 and A0433-A0434 are affected by this processing error when reported for dates of service on or after Jan. 1, 2011 on paper claims submitted Jan. 3-5, 2011 or electronic data interchange (EDI) claims submitted Jan. 12, 18-20, 2011.

Ambulatory Surgical Center CASCC

The Part B Medicare administrative contractor (MAC) for jurisdiction 1 says the error occurred because the correct file was not used. Affected claims will be adjusted accordingly.

One Response to “Palmetto: Super Rural Ambulance Claims Underpaid”

  1. F. Zaczek, BA, CPC-H says:

    I see “Edge Blast, AAPC” is crossed off above. O.K. – if you are the rightful owners of this
    Edge Blast – presentation, then who are you?? Be clear. Give me your contact info. Give me a
    contact name.

    What is your Gig?? It was announced in Coding Edge Mag. recently that – this CEU opportunity
    for AAPC Coders is: DELETED! State your representation, promptly.

    Am I clear??

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