Air Ambulance Fee Schedule

The fee schedule is effective for claims with dates of service on or after april 1 2002 and it applies to all ambulance services including volunteer municipal private independent and institutional providers i e hospitals critical access hospitals except when it is the only ambulance service within 35 miles and skilled nursing.

Air ambulance fee schedule.

2020 ambulance fee schedule. These public use files are historical because the reasonable charge payment methodology for ambulance services no longer applies. 5 geographic practice. Withthe fee schedule an index backgroundinformation and the raw data file instead cms will provide and post to this website only a sample data filein an excel xls file format.

Air ambulance fee schedule rw the following fee schedule is posted here to comply with 202 kar 7 675. The ambulance fee schedule a national fee schedule for ambulance services furnished as a benefit under medicare part b the fee schedule applies to all ambulance services including volunteer municipal private independent and institutional providers hospitals critical access hospitals except when it is the only ambulance service within 35 miles. The non facility practice expense pe portion of the gcpi of the medicare physician fee schedule pfs is used to adjust payment to account for regional. The ambulance fee schedule a national fee schedule for ambulance services furnished as a benefit under medicare part b the fee schedule applies to all ambulance services including volunteer municipal private independent and institutional providers hospitals critical access hospitals except when it is the only ambulance service within 35 miles and skilled.

2020 ambulance fee schedule for a0426. However the rates do not represent what the vast majority of patients ultimately pay. Payment for an outlier shall be the sum of. As of cy 2006 claims with dates of service from january 1 2006 and beyond were paid at 100 of the fee schedule amount.

1 the assigned fee schedule amount plus 2 53 2 of the charges that exceed the fee schedule amount plus 3 125 of the net manufacturer s invoice price less rebates plus actual reasonable and customary shipping charges for implants plus 4 65 of charge for the nonimplantable carve out revenue. We are a network provider with blue cross blue shield of kentucky medicare medicaid and other managed care organizations. 2 the fee schedule shall be consistent with the healthcare common procedure coding system hcpcs. 1 licensed ground and air ambulance services and medical first response agencies shall provide a comprehensive fee schedule consistent with krs 311a 032.

The file can be downloadedand used to calculatethe appropriatemedicare part b payment rates for medicare coveredground and air ambulance transportationservices.