Ambulance Services Information Resource for Medicare

Highlights

Stay Informed - Go to CMS Mailing Lists to join a provider specific listserv (or electronic mailing list service) to receive news from CMS.

Billing/Payment

CY 2004 Ambulance Fee Schedule Public Use File

• January - June 2004 AFS PUF (Excel and Microsoft Word files zipped 111Kb)
• July - December 2004 AFS PUF (Excel and Microsoft Word files zipped 132Kb)

CY 2003 Ambulance Fee Schedule Public Use File (Microsoft Word and Excel files zipped 391Kb)

CY 2002 Ambulance Fee Schedule Public Use File (Zip File Size 110Kb)

CY2004 Ambulance Reasonable Charge Public Use File - updates have been made to the reasonable charge PUFs (Zip File Size 185Kb) - Updated July 26, 2004

CY2003 Ambulance Reasonable Charge Public Use File - updates have been made to the reasonable charge PUFs (Zip File Size 143Kb)

Zip Code File for Ambulance Services

Electronic Data Interchange (EDI)(Billing) Medicare information on electronic transactions under HIPAA

CMS Manuals and Transmittals

• CMS Manual System (Internet-Only Manuals) -- Effective October 1, 2003, CMS transitioned from a paper-based to a web-based manual system.
• Ambulance Services Program Transmittals
• Program Memoranda for Ambulance Services
• Carrier and Intermediary Manual -- Crosswalks from Paper-Based Manuals to Internet-Only Manuals

Medicare National Coverage Determinations Manual

Enrollment/Participation

Medicare Fee-For-Service Provider/Supplier Enrollment

How to Enroll

Medicare Conditions of Participation

Policies/Regulations

Medicare Modernization Act

Quarterly Provider Update

Federal Regulations and Notices

Fee Schedule Negotiated Rule Making Process

Informal Guidance for Ambulance Suppliers & Providers: "The Medicare Ambulance Benefit & Statutory Bases for Denial of Claims" and "Ambulance Transports & ABNs" (adobe pdf 143Kb)

Health Insurance Portability and Accountability Act (HIPAA)

• CMS-0045-F - HIPAA Administrative Simplification: Standard Unique Health Identifier for Health Care Providers

Coverage

Medicare Coverage Homepage

Medicare Coverage Database contains National Coverage Determination(NCDs), National Coverage Analyses(NCAs), and Local Medical Review Policy (LMRPs)

Medicare National Coverage Determinations Manual

Medicare Secondary Payer

Medicare Secondary Payer Manual

Medicare Coordination of Benefits

Education

Medicare Learning Network (Medlearn): using the Internet as a learning resource

• Medlearn Matters...Information for Medicare Providers -- Articles are designed to help providers understand new or changed Medicare policy.

Frequently Asked Questions

Program Integrity/Medical Review

Fighting Fraud and Abuse

Medicare Medical Review Program

Medicare Integrity Program

Contacts

HIPAA Contacts

Regional Office Contacts (Adobe pdf file 133Kb)

CMS Regional Office Directory - General

Contact Your Carrier/FI
via Toll-Free Numbers and Websites -- A listing of the new toll free numbers that CMS has installed at Medicare contractor sites

How to Stay Informed

Press Releases

Ambulance Listserv

Open Door Forum