Centers for Medicare & Medicaid Services

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Content Section

Ambulance Services Center

Spotlights
  • CMS-1403-P - Revisions to Payment Policies Under the Physician Fee Schedule and Other Revisions to Part B for CY 2009.  On display at the Federal Register June 30, 2008 with a publication date of July 7, 2008. CMS-1403-CN was published on August 1, 2008.  This regulation includes Ambulance Service information.

Medicare Learning Network (MLN) Spotlights

Go to the What's New page for the latest MLN products and announcements!  Check it often!


Important Links


Coding/ Billing / Payment
  • Ambulance Fee Schedule
  • Zipcode to Carrier Locality File - Updated 8/18/2008  (ZIP 4.3MB)
  • Zip5 Changes for July 08 [PDF, 9KB]
  • Electronic Data Interchange (EDI)(Billing) Medicare information on electronic transactions under HIPAA
  • Claim Adjustment Reason and Remittance Advice Remark Codes The latest HIPAA codes are available at the Washington Publishing Company (WPC) Website.

Public Use Files
  • Ambulance Fee Schedule Public Use Files
  • Ambulance Reasonable Charge Public Use Files

Enrollment
  • Medicare Fee-For-Service Provider/Supplier Enrollment

Education
  • Medicare Learning Network (MLN)
  • MLN Educational Web Guides
  • MLN Matters Articles...Information for Medicare Providers (Search)
  • MLN Products

CMS Manuals & Transmittals
  • CMS Manuals
  • CMS Internet-Only Manuals
  • Medicare Benefit Policy Manual - Pub. 100-02, Chapter 10
  • National Coverage Determinations Manual - Pub. 100-03
  • Medicare Claims Processing Manual - Pub. 100-04, Chapter 15
  • Ambulance Specific Program Transmittals
  • Program Transmittals
Policies/Regulations
  • Medicare Modernization Update - Section 414 - Payment for Rural and Urban Ambulance Services
  • Quarterly Provider Update
  • Federal Regulations and Notices
  • Guidance on Beneficiary Signature Requirements for Ambulance Claims (PDF, 29KB)
  • Informal Guidance for Ambulance Suppliers & Providers: "The Medicare Ambulance Benefit & Statutory Bases for Denial of Claims" and "Ambulance Transports & ABNs" (PDF, 143KB)
  • Health Insurance Portability and Accountability Act (HIPAA)
  • Section 1011. Federal Reimbursement of Emergency Health Services Furnished to Undocumented Aliens

Medicare Secondary Payer
  • Medicare Secondary Payer Manual
  • Medicare Coordination of Benefits

National Provider Identifier (NPI)
  • Information for Medicare Fee-for-Service Providers for the National Provider Identifier (NPI)

Program Integrity/Medical Review
  • Medicare Medical Review Program

How to Stay Informed
  • Sign up for Ambulance Email Updates!
  • Ambulance - Open Door Forum 
  • Frequently Asked Questions

Contacts
  • Contact Your Carrier/FI
    via Toll-Free Numbers and Websites -- A listing of the toll-free numbers that CMS has installed at Medicare FFS contractor sites.
  • Quality Improvement Organizations (QIO)
  • CMS Regional Offices
  • Contacting the Coordination of Benefits Contractors  (COBC)

Coverage
  • Medicare Coverage
  • Medicare Coverage Database
  • Medicare National Coverage Determinations Manual

 

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