Today various private and public ambulance transport services are operating in a huge number for servicing critical patients at crucial moments. These players are getting reimbursed under Medicare Part B which covers ambulance transport medical billing with certain limitations. Let’s understand Medicare Part B in more details: Medicare Part B Medicare Part B covers emergency […]
Medicare requirements for ambulance transport medical billing
Read More.. Medicare requirements for ambulance transport medical billing
Basics of Medicare Payment for Ambulatory Surgical Services (ASCs)
Medicare covers surgical procedures provided in freestanding or hospital-operated ambulatory surgical centers (ASCs). In January 2008, Medicare began paying for facility services provided in ASCs— such as nursing, recovery care, anesthetics, drugs, and other supplies—using a new payment system that is primarily linked to the hospital outpatient prospective payment system (OPPS). (Medicare pays for the […]
Ground Ambulance Transports Coverage Requirements
All of these coverage requirements apply to ground ambulance transports: The Transport Is Medically Reasonable and Necessary A medically reasonable and necessary ground ambulance transport must meet these requirements: Medical necessity is established when the patient’s condition is such that the use of any other method of transportation is contraindicated. In any case in which […]
Ambulatory Surgical Center Terminated Procedures
The following guidance determines the appropriate ambulatory surgical center (ASC) facility payment for a scheduled surgical procedure that is terminated due to medical complications, which increase the surgical risk to the patient. Payment is denied when an ASC submits a claim for a procedure that is terminated before the patient is taken into the treatment […]
Understand Payment Rates and Basics of ASC Billing
An Ambulatory Surgical Center (ASC) is defined by CMS as a facility with the sole purpose of providing outpatient surgical services to patients. ASC is a facility that, very simply, specializes in outpatient procedures. Procedures done at an ASC are more extensive than those done at the typical provider’s office but are not so involved […]
Top 4 Tips to Improve Ambulance Transportation Revenue
Ambulance billing is made up of unique rules and regulations governing the entire process. Deep knowledge of the same ensures a smooth revenue cycle enabling full reimbursement. Every year brings with it a new set of regulations, also bringing with it a significant change in the process of billing. In order to make sure continued […]