To be strictly technical, ambulance transportation is excluded from consolidated billing when it is medically necessary under Medicare's definition and when the emergency department visit is truly related to an emergency. In that case, the visit and the ambulance transport are excluded.
See the transmittal at
Rena
In a message dated 10/30/03 1:06:59 PM Pacific Standard Time, [EMAIL PROTECTED] writes:
Carol, do you know where I can find the back up documentation to support
this so when the ambulance company gives me a hard time, I can site
something in writing?
Thanks
-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of
carol maher
Sent: Thursday, October 30, 2003 10:59 AM
To: [EMAIL PROTECTED]
Subject: Re: Consolidated Billing - Help! having a senior moment
No, emergency ambulance transports are an exclusion if the resident meets
the criteria for needing an ambulance. Routine trips to a doctor's office
or clinic in an ambulance are not excluded, but emergency ER visits are
exclusions.
-----Original Message-----
From: Jennifer Russo <[EMAIL PROTECTED]>
Sent: Oct 30, 2003 7:20 AM
To: "[EMAIL PROTECTED] Org" <[EMAIL PROTECTED]>
Subject: Consolidated Billing - Help! having a senior moment
I am having "senior moment" Consolidated Billing - Ambulance to ER for an
EMERGENCY visit, resident not admitted. We are responsible for BOTH the
ambulance ride TO and FROM the ER if patient is MED A, am I correct??
Rena R. Shephard, MHA, RN, FACDONA, RAC-C
Chair, American Association of Nurse Assessment Coordinators (AANAC)
"Setting the standard for SNF MDS/PPS education"
President, RRS Healthcare Consulting Services
17210 Russet Street
San Diego, CA 92127
858-592-6799
858-592-6800 (fax)
858-254-0851 (mobile)
[EMAIL PROTECTED]
www.AANAC.org
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