Monday, November 29, 2010

when Medicare allow payment for air ambulance billing - tips

Air Ambulance

Medicare allows payment for an air ambulance service when the air ambulance takes off to pick
up a Medicare beneficiary, but the beneficiary is pronounced dead before being loaded onto the
ambulance for transport (either before or after the ambulance arrives on the scene). This is
provided the air ambulance service would otherwise have been medically necessary. The
allowed amount is the appropriate air base rate, i.e.; fixed or rotary wing. No amount is allowed
for mileage or rural adjustment.

No payment is allowed if the dispatcher received pronouncement of death and had a reasonable
opportunity to notify the pilot to abort the flight. The supplier must submit documentation with
the claim sufficient to show that:

• The air ambulance was dispatched to pick up a Medicare beneficiary;
• The aircraft actually took off to make the pickup;
• The beneficiary to whom the dispatch relates was pronounced dead before being loaded
onto the ambulance for transport;
• The pronouncement of death was made by an individual authorized by State law to make
such pronouncements; and
• The dispatcher did not receive notice of such pronouncement in sufficient time to permit
the flight to be aborted before take off.

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