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Re: Ambulance Billing
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Steve Verno
Re: Ambulance Billing
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Nov 14 05 2:11 PM
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One bit of info you will need when dealing with Medicare patients is the Physician Certification Statement. This is a form you must submit to Medicare when making a non-emergent ambulance transport. An example is when the hospital emergency department is discharging a patient back to the nursing home. The condition is no longer emergent, so you must jusity the transportation
Here, in Florida, many of the ambulance crews do not get this form signed prior to transporting. They send the claim to Medicare and the claim is denied. Then, the ambulance company sends us a request to have the form signed. If we don't, they send the patient or the patient's relative to us complaining we won't sign the form.
What they don't understand is, they are required by Federal Law to have this form signed within 48 hours of transportation. We don't get this letter for 6-8 months later. The doctor cannot sign this form without getting a copy of the medical records, which usuaslly requires the hospital to put a request in to the storage facility. Many times, the doctor is no longer with us to sign the form and the other doctors refuse to sign the form because they did not order the transport or know about the case.
So, my suggestion to the ambulance crews..... instead of trying to pick up the nurses, as I have seen them do, do your job and get the paperwork signed before you leave the hospital with the patient. This will cut back on your Medicare denials and get the company paid.
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Association News
Medical Billing & Coding Education from the MAB
Continuing Education
Management Advice and Training
Questions Asked More Than Once
Help Wanted - Billing and Coding
Non Billing Talk
The Venting Area (Clean posts please)
Medical Coding and Billing News
Fraud and Abuse
Health Insurance - Provider Contracting
ERISA
Tricare
Workers' Compensation
General Medical Billing Questions
Appeals
Accounts Receivables (A/R)
Refunds
Auto Accident Issues
Medisoft Technical Support
Medical Software Technical Support Questions Other than Medisoft. No Investigation Questions!
General Medical Coding Forum
CPT Coding Questions
HCPCS Coding Questions
ICD-9-CM Coding Questions
Evaluation & Management Coding Questions
Acupuncture Billing and Coding
Ambulance Coding and Billing
Cardiology Coding and Billing
Chiropractic Coding and Billing
Dental Billing and Coding
DME Coding and Billing
Emergency Department Coding and Billing
Family Practice Coding and Billing
Hospital Inpatient and Outpatient Coding
Hospital Billing, Appeals and Collections
Internal Medicine Coding and Billing
Laboratory Coding and Billing
Ophthalmology Coding and Billing
OB-GYN Coding and Billing
Pain Management Coding and Billing
Pediatric Coding and Billing
Podiatry Coding and Billing
Physical Therapy Coding and Billing
Psychiatry Coding and Billing
Radiology Coding and Billing
Surgery Coding and Billing
Neurology Coding and Billing
Urgent Care Coding and Billing
Provider Compliance
Billing Center Compliance
HIPAA
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Ambulance Billing
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