Last Modified: 8/1/2018 Location: FL, PR, USVI Business: Part A, Part B
Ambulance services FAQs
If we have hard-coded mileage within our systems to indicate distance from a hospital to a skilled nursing facility (or other site), yet the driver for a transport takes an alternate route or detour that deviates from this pattern, and thus enters a different mileage on a run sheet, what steps should be taken to address this?
Regarding an ambulance provider’s response to a call, what is the date of service that should be indicated on the claim?
If an ambulance provider is purposefully submitting a claim using the GY modifier to acknowledge that the service is/will be statutorily excluded, is the dual diagnosis requirement still in effect (i.e., is there still a requirement that a secondary diagnosis via a Z-code be submitted?)
What changes have been made relating to consolidated billing for ambulance transportation for skilled nursing facility (SNF) residents according to transmittal MM10550?
What guidance can you provide for ambulance companies that do not have the ability to measure fractional mileage because the odometer does not show tenths of a mile?
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