Facility to Facility Transports
Billing for Facility to Facility transports requires additional claims documentation. The provider will need to submit the following with the claim:
• As always submit information that answers the question “why an ambulance was needed to transport the patient versus any other form of transportation”
• Patient status information
o Indicate if the patient has been “discharged” from the first facility and “admitted” to the second facility o If the patient retains “inpatient” status from the sending facility the facility should be billed not Part B.
• Name and type of facilities
• Exact reason for transfer (service, equipment)
Example of claim’s comments:
Chest pain D/C from 1stfac ADM to 2nd
For heart cath not available @ 1stfac
Medicare Ambulance billing. Ambulance billing codes, Air ambulance billing guide and reimbursement. How and what code to use for correct payment.
Wednesday, November 17, 2010
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