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11-12-12 Council Agenda & Packet
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11-12-12 Council Agenda & Packet
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11/8/2012 10:39:57 AM
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11/8/2012 10:35:19 AM
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City Council - City Clerk
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*.. <br /> k 5' / � <br /> • •. e . er <br /> The Ambulance FS applies to the following providers <br /> and suppliers: <br /> Volunteer; <br /> •;• Municipal; <br /> •S Private; <br /> .• Independent; and <br /> Fin ❖ Institutional (i.e., hospitals, Critical Access <br /> Hospitals[CAH]with the exception of CAHs that <br /> AL 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; <br /> z <br /> •:{ Ambulance services payments; <br /> Payment for ambulance services under the Ambulance FS:*:• How payment rates are set; and <br /> •'+ Includes a base rate payment(level of service <br /> ❖ Resources. • provided) plus a separate payment for mileage to <br /> the nearest appropriate facility; <br /> MEMNON= •3 Covers both the transport of the beneficiary <br /> to the nearest appropriate facility and all <br /> medically necessary covered items and services <br /> Section 4631(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. <br /> 4 <br /> c+" <br /> V— <br /> k H. <br /> Ambulance fee Schedule <br />
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