Ambulance


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BRS supports payment policies for Ambulance services, including:

  • Locality-specific rates
  • Ground and air ambulance
  • Pricing by ZIP Code
  • Mileage bonus for rural ZIP Codes
  • Service bonus for air ambulance services provided in designated rural areas
  • Blended payment (CMS rate and provider reasonable charge) for dates of service before 1/1/2006
  • “Lesser of” policy for ambulance transport services
  • Special rules for when transport is for more than one beneficiary or beneficiary expires during transport
  • Super Rural Bonus for ground ambulance transports originating in the lowest 25th percentile of all rural populations
  • Accept fractional mileage to the nearest tenth of a mile for claims with dates of services after 1/1/2011