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Ambulance Providers and Suppliers <br /> The Ambulance FS applies <br /> to the following providers. <br /> and suppliers: <br /> • Volunteer; <br /> ❖ Municipal; <br /> ••• Private; <br /> • Independent; and <br /> •S Institutional(i.e., hospitals, Critical Access <br /> Hospitals[CAH]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 /> •:• Includes a base rate payment(level of service <br /> s• 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. <br /> s �s, <br /> x • <br /> £� 1CAL RESPONSE r q <br /> Q Ambulance Fee Schedule <br />