In Billing
Feb 12th, 2015
Ensuring coverage of ambulance services for your end-stage renal dialysis (ESRD) patients requires diligence. Dialysis facility ambulance transports often do no meet medical necessity criteria, as defined by the Centers for Medicare & Medicaid Services (CMS). The CMS IOM Pub. 100-02, Medicare Benefit Policy Manual, Chapter 10, Section 10.2.1, “Necessity for the Service” states: Medical ...
In Billing
Dec 10th, 2010
Are you aware that Medicare doesn’t cover ambulance transports to doctors’ offices? According to TrailBlazer Health Services, jurisdiction 4 Medicare administrative contractor (MAC), many coders get tripped up on this sort of claim and inappropriately report non-emergent ambulance transportation services to physician offices. Correctly Code Non-Emergent Ambulance Transport was last modified: July ...
In CMS
Jan 29th, 2010
As a reminder, effective for dates of service on or after Jan. 1, reimbursement for ground and air ambulance service claims will no longer include an increase in the ambulance fee schedule due to the expiration of two Medicare Improvements for Patients and Providers Act of 2008 (MIPPA) provisions. Increased Payments for Ambulance Services Expire was last ...
Apr 1st, 2009
CPT® 2009 codes for saving young lives consolidated By G. John Verhovshek, MA, CPC CPT® 2009 includes considerable revisions to codes and guidelines describing inpatient pediatric critical care. Codes 99293-99296 were deleted and replaced by four new, age-specific codes to identify the initial and subsequent date(s) of service. This brings all the critical care codes ...