ambulance trips

[Christy Riekeberg]

I have a part A client who fell and fractured her knee.  Was transported to 
local hospital ER, x-rays were taken and she was seen by the orthopedic 
physician.  An immobilizer was applied and she returned to facility.  Today 
when I received the hospital statement the ambulance trip was included.  
Should this no be excluded with CB?  When I read the skilled nursing manual 
it states ambulance services to a facility to receive any previously 
mentioned excluded outpt services, one of which is emergency services.  
Thanks.

Christy Riekeberg RN
Director of Medicare and Therapy Services
Loch Haven Nursing Home
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