Jennifer, The "Guidelines for Skilled Nursing Facility (SNF) Consolidated Billing--letter from CMS dated Augst 29, 2003 found on the AANAC website is one source. Also, the latest Program Memoransum that I see is Transmittal A-02-118, also available on the AANAC site which is the annual update of HCPCS Codes for SNFs for Consolidated Billing. The site that I have attached from Medlearn shows that it is indeed for a "round trip" ambulance when the ambulance service is for one of the Medicare exlusions. http://www.cms.hhs.gov/medlearn/snfsection1.asp
Carol http://www.cms.hhs.gov/medlearn/snfsection1.asp From: Jennifer Russo <[EMAIL PROTECTED]> Sent: Oct 30, 2003 1:04 PM To: [EMAIL PROTECTED] Subject: Attention Carol - Consolidated Billing - Help! having a senior moment 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?? /---------------------------------------------------------- The Case Mix Discussion Group is a free service of the American Association of Nurse Assessment Coordinators "Committed to the Assessment Professional" Be sure to visit the AANAC website. Accurate answers to your questions posted to NAC News and FAQs. For more info visit us at http://www.aanac.org -----------------------------------------------------------/ /---------------------------------------------------------- The Case Mix Discussion Group is a free service of the American Association of Nurse Assessment Coordinators "Committed to the Assessment Professional" Be sure to visit the AANAC website. Accurate answers to your questions posted to NAC News and FAQs. For more info visit us at http://www.aanac.org -----------------------------------------------------------/ /---------------------------------------------------------- The Case Mix Discussion Group is a free service of the American Association of Nurse Assessment Coordinators "Committed to the Assessment Professional" Be sure to visit the AANAC website. Accurate answers to your questions posted to NAC News and FAQs. For more info visit us at http://www.aanac.org -----------------------------------------------------------/ /---------------------------------------------------------- The Case Mix Discussion Group is a free service of the American Association of Nurse Assessment Coordinators "Committed to the Assessment Professional" Be sure to visit the AANAC website. Accurate answers to your questions posted to NAC News and FAQs. For more info visit us at http://www.aanac.org -----------------------------------------------------------/
