A Guide On How To Bill For Ambulance Rides Correctly

1

A Guide On How To Bill For Ambulance Rides
Correctly  
https//www.247medicalbillingservices.com
1 888-502-0537
2
A Guide On How To Bill For Ambulance Rides
Correctly
Did you know? Ambulance codes and guidelines
apply only to non-physician providers. As the CPT
codebook lacks procedure codes relevant
to emergency medical service (EMS) providers,
this makes Bill for Ambulance Rides services even
more difficult.  Instead, ambulance and EMS
transport coding guidelines are primarily derived
from Medicare transmittals and MedLearn
updates. Payers typically cover ambulance
services, including fixed and rotary-wing
services, for patients whose medical condition
necessitates air transport. To ensure that
transportation is medically necessary, consider
both the patients condition and the mode of
transportation.  This can be a difficult process
that is dependent on the documentation provided
by paramedics and emergency medical technicians
(EMTs) covered in this blog. Read more  
https//www.247medicalbillingservices.com
1 888-502-0537
3
A Guide On How To Bill For Ambulance Rides
Correctly

• Bill for Ambulance Rides Guidelines
• The CMS-1500 is used to bill for ambulance rides
  services provided by an independent ambulance
  provider.
• Ambulance claims must be submitted separately as
  an outpatient claims.
• Codes should be assigned based on the level of
  service provided rather than the type of vehicle
  used.
• Unless the patient was not transported, each
  claim should include a mileage code.
• Ambulance transportation to a clinic or mortuary
  is not reimbursable.

https//www.247medicalbillingservices.com
1 888-502-0537
4
A Guide On How To Bill For Ambulance Rides
Correctly
Ambulance Rides CPT Codes There are CPT codes for
ground ambulance services, which include both
land and water transportation, and the codes are
chosen based on the services provided and the
patients condition at the time of
transport. A0425 Ground mileage, per statute
mile. A0426 Ambulance service, advanced life
support, non-emergency transport (Level
1) A0427 Ambulance service, emergency transport,
advanced life support level 1 (ALS1-emergency). A0
428 Ambulance service, basic life support,
non-emergency transport (BLS). A0429 Basic life
support, Ambulance service, emergency transport
(BLS-emergency). A0433 Advanced life support,
ALS2 A0434- Specialty Care Transport (SCT)    
https//www.247medicalbillingservices.com
1 888-502-0537
5
A Guide On How To Bill For Ambulance Rides
Correctly
Modifiers for First Position Alpha Code Equals
Origin D Diagnostic or therapeutic site other
than P or H when used as origin codes. E
Residential, custodial, domiciliary facility G
Hospital-based ESRD facility H Hospital I
Transfer site (e.g., airport or helicopter pad)
between modes of ambulance transportation J
Freestanding ESRD facility N SNF P Physicians
Office R Residence X Intermediate stop at
physicians office on the way to the hospital
https//www.247medicalbillingservices.com
1 888-502-0537
6
A Guide On How To Bill For Ambulance Rides
Correctly

• Most Common Ambulance Errors
• The following are the most common ambulance
  billing errors
• No PCS submitted or obtained with the
  documentation (when demanded)
• Only loaded ambulance miles are reimbursed by
  Medicare.
• Tips for Error-Free Ambulance Claims
• Although the patient may have required an
  ambulance ride to the hospital, you must consider
  whether they still meet coverage criteria for the
  return trip.
• Confirm that the patients origin and destination
  are covered by Medicare.
• Could the patient have gone another route safely?
• Did the patients condition meet the coverage
  criteria?
• Are the mileage, origin, and destination
  specified?
• Attendant/EMT credentials must be included.
• Do you have a PCS? Is your certification still
  valid?

https//www.247medicalbillingservices.com
1 888-502-0537
7
A Guide On How To Bill For Ambulance Rides
Correctly

• Conclusion
• Successful management of ambulance rides billing
  and coding is proving to be a strategic advantage
  point for providers in todays complex and
  evolving healthcare marketplace. No surprise,
  practices have embraced billing and coding
  outsourcing as a trump card for improving bottom
  lines. 24/7 Medical Billing Services, a
  professional and HIPAA compliant healthcare and
  health plan processing firm, has become the ideal
  choice for hundreds of American physician and
  non-physician providers. Medical billing
  outsourcing hasnt just gotten a foot in the door
  as a cost-cutting savior. In fact, it is driving
  the trend for clients, as they increasingly see
  it as a tool that provides broader business
  benefits.
•  

https//www.247medicalbillingservices.com
1 888-502-0537
8
A Guide On How To Bill For Ambulance Rides
Correctly
About 24/7 Medical Billing Services 24/7
Medical Billing Services is the nations leading
medical billing service provider catering
services to more than 43 specialties across the
entire 50 states. You can rely on us for
end-to-end revenue cycle management. We guarantee
up to 10-20 increase in the revenue with cost
reduction of your practice for up to
50.  Media Contact Hari Sudan,  24/7 Medical
Billing Services, 16192 Coastal Hwy, Lewes, DE
19958 Tel [phone] Email -
info_at_247medicalbillingservices.com
https//www.247medicalbillingservices.com
1 888-502-0537