Last Modified: 7/1/2020
Location: FL, PR, USVI
Business: Part A, Part B
Q. 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?
A. As this scenario indicates, the miles traveled for each trip may vary, so a pre-set determination is not advisable. The miles may be measured using multiple tools, but no matter what, the actual mileage traveled for each transport is what should be documented. To ensure consistency, providers should review documentation (i.e., run sheets) and claim detail before submission. Medicare guidelines indicate that for each ambulance service, mileage billed must be reported in fractional units. For trips totaling up to 100 covered miles, providers must round the total miles up to the nearest tenth of a mile. The decimal must be used in the appropriate place (e.g., 99.9). For trips totaling 100 covered miles and greater, suppliers must report mileage rounded up to the next whole number mile without the use of a decimal (e.g., 998.5 miles should be reported as 999). For trips totaling less than 1 mile, enter a “0” before the decimal (e.g., 0.9).
Please use your browser's back button
to return to the referring page.
First Coast Service Options (First Coast) strives to ensure that the information available on our provider website is accurate, detailed, and current. Therefore, this is a dynamic site and its content changes daily. It is best to access the site to ensure you have the most current information rather than printing articles or forms that may become obsolete without notice.