In Billing
Aug 30th, 2013
For the first time, the Centers for Medicare & Medicaid Services (CMS) is exercising its authority under the Affordable Care Act to impose temporary moratoria on new enrollments in Medicare, Medicaid, and the Children’s Health Insurance Program (CHIP). Affected by the moratoria are home health agencies and ambulance providers and suppliers located in several Miami, Chicago, and Houston ...
In CMS
Sep 29th, 2011
The 2012 ambulance inflation factor (AIF) for determining the payment limit for ambulance services is 2.4 percent. This year’s AIF is based on the consumer price index for all urban consumers (CPI-U) 2012 rate of 3.6 percent less the multi-factor productivity (MFP) rate of 1.2 percent. The Affordable Care Act mandates the CPI-U to be reduced ...
In CMS
Aug 31st, 2011
The Centers for Medicare & Medicaid Services (CMS) has instructed contractors to revise their claims processing systems to allow HCPCS Level II codes identifying noncovered ambulance transportation and transportation-related services into their systems for adjudication. Although these codes (A0021-A0424 and A0998) remain noncovered, accepting these claims will allow providers and suppliers to o...
In CMS
Mar 11th, 2011
If your practice is having trouble getting ambulance claims paid, perhaps it’s something you said, or didn’t say. In a provider education article, NHIC, Corp., Part B Medicare administrative contractor (MAC) for jurisdiction 14, says the key to getting an ambulance claim paid is to establish medical necessity; and to do that “it is essential ...
In CMS
Jan 28th, 2011
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 ...