I have an ambulance claim where a member made 2 round trips to the hospital in the ambulance on the same day. It is getting denied for a duplicate claim. Since these are being billed on HCFA’s there is no way to store the time of the transport so it is impossible to tell if it is a duplicate or a repeat trip. Do you know what this modifier could be?

I appreciate your help, Jaimie Almanza, CPC