This ambulance charge should be excluded since it was for emergency
services.  I have found that ambulance companies are confused about what to
bill the facility vs. Medicare B directly. 

Ron

-----Original Message-----
From: Christy Riekeberg [mailto:[EMAIL PROTECTED]
Sent: Wednesday, April 07, 2004 12:00 PM
To: [EMAIL PROTECTED]
Subject: ambulance trips


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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/----------------------------------------------------------
The Case Mix Discussion Group is a free service of the
 American Association of Nurse Assessment Coordinators
      "Committed to the Assessment Professional"
Be sure to visit the AANAC website. Accurate answers to your
         questions posted to NAC News and FAQs.
    For more info visit us at http://www.aanac.org
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