Do you know how to bill for Ambulance Rides correctly? Read the blog to have a detailed guideline for ambulance rides billing.

1. https://www.247medicalbillingservices.com | +1 888-502-0537
A Guide On How To Bill For Ambulance Rides
Correctly

2. A Guide On How To Bill For Ambulance Rides
Correctly
https://www.247medicalbillingservices.com | +1 888-502-0537
Did you know? Ambulance codes and guidelines apply only to non-
physician providers. As the CPT codebook lacks procedure codes
relevant to emergency medical service (EMS) providers, this makes
Bill for Ambulance Rides services even more difficult.
Instead, ambulance and EMS transport coding guidelines are primarily
derived from Medicare transmittals and MedLearn updates.
Payers typically cover ambulance services, including fixed and rotary-
wing services, for patients whose medical condition necessitates air
transport. To ensure that transportation is medically necessary,
consider both the patient’s condition and the mode of transportation.
This can be a difficult process that is dependent on the documentation
provided by paramedics and emergency medical technicians (EMTs)
covered in this blog.
Read more…

3. A Guide On How To Bill For Ambulance Rides
Correctly
https://www.247medicalbillingservices.com | +1 888-502-0537
Bill for Ambulance Rides Guidelines
The CMS-1500 is used to bill for ambulance rides services
provided by an independent ambulance provider.
 Ambulance claims must be submitted separately as an outpatient
claims.
 Codes should be assigned based on the level of service provided
rather than the type of vehicle used.
 Unless the patient was not transported, each claim should include a
mileage code.
 Ambulance transportation to a clinic or mortuary is not
reimbursable.

4. A Guide On How To Bill For Ambulance Rides
Correctly
https://www.247medicalbillingservices.com | +1 888-502-0537
Ambulance Rides CPT Codes
There are CPT codes for ground ambulance services, which include
both land and water transportation, and the codes are chosen based
on the services provided and the patient’s condition at the time of
transport.
A0425: Ground mileage, per statute mile.
A0426: Ambulance service, advanced life support, non-emergency
transport (Level 1)
A0427: Ambulance service, emergency transport, advanced life
support level 1 (ALS1-emergency).
A0428: Ambulance service, basic life support, non-emergency
transport (BLS).
A0429: Basic life support, Ambulance service, emergency transport
(BLS-emergency).
A0433: Advanced life support, ALS2
A0434- Specialty Care Transport (SCT)

5. A Guide On How To Bill For Ambulance Rides
Correctly
Modifiers for First Position: Alpha Code Equals Origin
D: Diagnostic or therapeutic site other than P or H when used as
origin codes.
E: Residential, custodial, domiciliary facility
G: Hospital-based ESRD facility
H: Hospital
I: Transfer site (e.g., airport or helicopter pad) between modes of
ambulance transportation
J: Freestanding ESRD facility
N: SNF
P: Physician’s Office
R: Residence
X: Intermediate stop at physician’s office on the way to the hospital
https://www.247medicalbillingservices.com | +1 888-502-0537

6. A Guide On How To Bill For Ambulance Rides
Correctly
Most Common Ambulance Errors
• The following are the most common ambulance billing errors:
• No PCS submitted or obtained with the documentation (when
demanded)
• Only ‘loaded’ ambulance miles are reimbursed by Medicare.
Tips for Error-Free Ambulance Claims:
• Although the patient may have required an ambulance ride to the
hospital, you must consider whether they still meet coverage
criteria for the return trip.
• Confirm that the patient’s origin and destination are covered by
Medicare.
• Could the patient have gone another route safely?
• Did the patient’s condition meet the coverage criteria?
• Are the mileage, origin, and destination specified?
• Attendant/EMT credentials must be included.
• Do you have a PCS? Is your certification still valid?
https://www.247medicalbillingservices.com | +1 888-502-0537

7. A Guide On How To Bill For Ambulance Rides
Correctly
Conclusion:
Successful management of ambulance rides billing and coding is
proving to be a strategic advantage point for providers in today’s
complex and evolving healthcare marketplace. No surprise, practices
have embraced billing and coding outsourcing as a trump card for
improving bottom lines. 24/7 Medical Billing Services, a professional
and HIPAA compliant healthcare and health plan processing firm,
has become the ideal choice for hundreds of American physician
and non-physician providers. Medical billing outsourcing hasn’t
just gotten a foot in the door as a cost-cutting savior. In fact, it is
driving the trend for clients, as they increasingly see it as a tool that
provides broader business benefits.
https://www.247medicalbillingservices.com | +1 888-502-0537

8. A Guide On How To Bill For Ambulance Rides
Correctly
About 24/7 Medical Billing Services:
24/7 Medical Billing Services is the nation’s leading medical billing
service provider catering services to more than 43 specialties across
the entire 50 states. You can rely on us for end-to-end revenue cycle
management. We guarantee up to 10-20% increase in the revenue
with cost reduction of your practice for up to 50%.
Media Contact:
Hari Sudan,
24/7 Medical Billing Services,
16192 Coastal Hwy, Lewes, DE – 19958
Tel: + 1 -888-502-0537
Email - info@247medicalbillingservices.com
https://www.247medicalbillingservices.com | +1 888-502-0537