Ambulances Services Center

Coding/ Billing / Payment

• Ambulance Fee Schedule
• Zip Code to Carrier Locality File - Updated 2/25/2013 [ZIP, 4MB]
• Zip Codes requiring +4 extension - Updated 11/15/2012 [ZIP, 1KB]
• 2012 End of Year Zip Code File [ZIP, 4MB]
• Electronic Billing & EDI Transactions Medicare information on electronic transactions under HIPAA
• Claim Adjustment Reason and Remittance Advice Remark Codes - Opens in a new window
   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 Provider-Supplier Enrollment

Education

• MLN General Information
• MLN Educational Web Guides
• MLN Matters Articles ( Search Tips )
• MLN Products

CMS Manuals & Transmittals

• Manuals
• Internet-Only Manuals (IOMs)
• Medicare Benefit Policy Manual - Pub. 100-02, Chapter 10 - Ambulance Services [PDF, 159KB]
• National Coverage Determinations (NCD) Manual - Pub. 100-03
• Current Medicare Claims Processing Manual - Pub. 100-04, Chapter 15 - Ambulance [PDF, 487KB]
• Historical (Pre-Transition to the Ambulance Fee Schedule) Medicare Claims Processing Manual - Pub. 100.04, Chapter 15 [PDF, 981KB]
• Ambulance Services Transmittals
• Transmittals

Policies/Regulations

• Quarterly Provider Updates
• AFS Regulations and Notices
• Guidance on Beneficiary Signature Requirements for Ambulance Claims [PDF, 33KB]
• Information Guidance for Ambulance Suppliers and Providers [PDF, 139KB]  : "The Medicare Ambulance Benefit & Statutory Bases for Denial of Claims" and "Ambulance Transports & ABNs"
• HIPAA - General Information
• Service Furnished to Undocumented Aliens

Medicare Secondary Payer

• 100-05 Medicare Secondary Payer Manual
• Coordination of Benefits - General Information

National Provider Identifier (NPI)

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

How to Stay Informed

• Subscribe now to receive the weekly CMS Medicare FFS Provider e-News for the latest Fee-For-Service program information, event announcements, claims and pricer information, and MLN educational product updates.

• Ambulance Open Door Forum
• Frequently Asked Questions - Opens in a new window

Contacts

• CMS Regional Offices
• Coordination of Benefits - General Information  (COBC)

Coverage

• Medicare Coverage - General Information
• Medicare Coverage Database - Opens in a new window
• National Coverage Determinations (NCD) Manual - Pub. 100-03