Ambulance transportation is regarded as a convoluted procedural billing with a focus on patient care, led by modifiers and prior authorization for ambulance service. Legion Healthcare Services (LHS) understands how imperative is the coding procedure when denials are high; hence to supplement the billing process for ambulance transportation we follow the non-conventional way of billing by sending the claim twice to our LHS certified coders before submitting it to Medicare.
Medicare Part B covers the ground ambulance transportation for the case when the patient needs to be transported to a hospital or skilled nursing facility for medically necessary services. LHS understands the demands of a claim for ambulance billing, so it would need to establish that all other transportation could have endangered the health of the patient. In emergency cases, Medicare can pay for air medical transport but the patient needs to have a life-threatening situation and the ground ambulance service should have failed.
“Ambulance Transportation billing is unique even for certified coders, not all claims are paid. Emergency and non-emergency services are defined into several categories and even after that patient has to pay a part of the payment. The claims are reviewed twice before submission.”
– Certified Coder for Ambulance Billing at LHS
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