decisionhealth Newsletters, Answer Books - 2006 Issue 3 (March)
Program_Memos / 2000 / AB-00-127
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Article Overview
This article is a Medicare Program Memorandum focused on ambulance reimbursement policy for end-stage renal disease patients transported to nonhospital-based dialysis facilities. It addresses contractor payment implementation, system updates, and timing for claims processing under the applicable federal regulation and manual references. The memo is relevant to ambulance suppliers, Medicare carriers, intermediaries, and billing staff responsible for dialysis-related transport claims.
Why This Topic Matters
It clarifies a Medicare payment change affecting a specific category of ambulance transport claims and indicates when contractors should begin processing those claims accordingly. Organizations handling ESRD transportation billing need to know the implementation timeline and the associated administrative guidance.
Article Sections
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Subject
Introduces the reimbursement topic and the type of ambulance transport claim affected.
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Implementation guidance
Describes contractor system changes, timing for claims processing updates, and handling of affected claims.
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Administrative details
Provides disposition timing and contact information for follow-up on the memorandum.
What You Will Learn
- The scope of the reimbursement topic addressed by the memorandum
- Which operational areas of Medicare claims processing are affected
- The general implementation timing referenced in the guidance
- Which organizations and staff roles are expected to act on the update
Who Should Read This
- Medicare carriers
- Medicare intermediaries
- Ambulance suppliers
- Medical billing staff
- Revenue cycle and claims processing personnel
Codes Discussed
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