tci Medicare Compliance & Reimbursement - 2005 Issue 33

HOSPITALS: Ambulance Services Added To Billing Duties

Independent contractors will look to facility for reimbursement.When an ambulance transports an inpatient between his admission and discharge dates, the hospital must submit the claim on behalf of the ambulance service.The HHS Office of Inspector General's Boston Regional Office reported numerous improper payments to independent suppliers of ambulance services to the Centers for Medicare and Medicaid Services, according to a July 29 transmittal. In response, CMS directed its carriers to reject claims for an ambulance service within the admission and discharge dates because Medicare won't pay for them separately as a Part B service. Instead, the...

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