Medicare Benefit Policy Manual (Pub. 100-02), Ch. 10 § 10

Ambulance Service

Last amended: 2003Year: 2003Length: 151 wordsOfficial source
10 - Ambulance Service (Rev. 1, 10-01-03) B3-2120, A3-3114, HO-236 Ambulance services are separately payable only under Part B. There are certain circumstances in which the service is covered and payable as a beneficiary transportation service under Part A; however in this case the service cannot be classified and paid for as an ambulance service under Part B. (See §10.3.3 for a description of this exception. Also see §10.2.4 for the required documentation for ambulance services.) Payment may be made for expenses incurred for ambulance service provided the conditions specified in the following subsections are met. (See the Medicare Claims Processing Manual, Chapter 15, “Ambulance,” for instructions for processing ambulance service claims.) The Medicare ambulance benefit is a transportation benefit and without a transport there is no payable service. When multiple ground and/or air ambulance providers/suppliers respond, payment may be made only to the ambulance provider/supplier that actually furnishes the transport.
Medicare Benefit Policy Manual (Pub. 100-02), Ch. 10 § 10: Ambulance Service | Justis AI