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�' t a Ambulance Providers and Suppliers <br /> "°' ' The Ambulance FS applies to the following <br /> 45- *7o ,�. pp g providers <br /> and suppliers: <br /> Volunteer; <br /> • Municipal; <br /> • Private; <br /> •3 Independent; and <br /> • Institutional (i.e., hospitals, Critical Access <br /> T <br /> Hospitals [CAN]with the exception of CAHs that <br /> his publication provides the following are the only ambulance service within 35 miles, <br /> information about the Ambulance Fee Schedule (FS): and Skilled Nursing Facilities). <br /> ❖ Background; <br /> • Ambulance providers and suppliers; Ambulance Services Payments <br /> • Ambulance services payments; <br /> Payment for ambulance services under the Ambulance FS: <br /> • How payment rates are set;and <br /> •S Includes a base rate payment(level of service <br /> •• Resources. provided) plus a separate payment for mileage to <br /> the nearest appropriate facility; <br /> Background • Covers both the transport of the beneficiary <br /> to the nearest appropriate facility and all <br /> medically necessary covered items and services <br /> Section 4531(b)(2)of the Balanced Budget Act of (e.g., oxygen, drugs, extra attendants, and <br /> 1997 added Section 1834(1)to the Social Security Act electrocardiogram testing)associated with the <br /> (the Act), which mandated the implementation of a transport; and <br /> national Ambulance FS effective for Medicare Part B <br /> ambulance services claims with dates of service on or • Precludes a separate payment for items and <br /> after April 1, 2002. The Ambulance FS applies to all services furnished under the ambulance benefit. <br /> ambulance services. Section 1834(1)of the Act also <br /> required mandatory assignment for all ambulance <br /> services, which means that you, as the provider or <br /> supplier, will be paid the Medicare allowed amount as <br /> payment in full for these services. In addition, you may <br /> bill or collect only any unmet Part B deductible and <br /> coinsurance amounts from the beneficiary. p=� <br /> ti os <br /> r e r fit '� <br /> .3.--- - vL-4,.. , 41, -- - i '4,ii,:t-;1=5.----tiv2-5,, (7 - ' <br /> c* <br /> r <br /> € : i <br /> � <br /> ,,,,�- �A, •( 'ICAL RESPONSE �a ct <br /> j Y ;------ ,,,,,7.4 .5.4..„*,,,, ,,sue - },,,- - $ "'3; . <br /> -- / :-- rffilik—ic <br /> r <br /> ,y <br /> ®Ambulance Fee Schedule <br />