Billing for Ambulance Transports

Submitted by Matthew.Gregor… on Mon, 11/04/2019 - 07:42
Title
Billing for Ambulance Transports
Date

In a September 2015 report, the Office of the Inspector General (OIG) released results of a study of Medicare Part B ambulance claims. According to the report, almost 20 percent of ambulance suppliers had inappropriate and questionable billing for ambulance transport, creating vulnerabilities to Medicare program integrity. The OIG identified a number of key problems, including:

  • Ambulance transports for beneficiaries who did not receive any Medicare services at the point of origin or destination
  • Transports to noncovered destinations
  • Excessive mileage reported on claims for urban transports
  • Medically unnecessary transports to partial hospitalization programs
  • Inappropriate transport service levels

Review the following resources to bill correctly for this service: