Encore: Ambulance Denials

This training occurred on 9/24/24.
What ambulance transports are Medicare currently denying? What are the top denial reason for ambulance transport denials? How do I work with the top ambulance denials?
The education answers these questions and more. WPS completed data analysis and will provide our findings for the top ambulance denials. The education covers:
• Top reasons for denials
• Top reason we do not process a claim
• Resources to help you
This class covers all ambulance claims. The class focuses on the claims data and not the general benefit or billing information.
Survey
cmsmacfedramp....
Resources
CMS Website
www.cms.gov/
CMS MA Plan Directory
www.cms.gov/da...
Medicare Claims Processing Manual, Chapter 15 - Ambulance, Section 30 A
www.cms.gov/re...
Provider Enrollment Chain and Ownership System
pecos.cms.hhs....
Medicare Revalidation List
data.cms.gov/t...
Railroad Medicare: Palmetto GBA
www.palmettogb...
Ambulance Provider Compliance Summary for Compliance Criteria Ambulance Transport Services
www.umwafunds....
Medicare Claims Processing Manual, Chapter 16, Sections 90.2 and 90.3
www.cms.gov/re...
CMS Ambulance Service Center
www.cms.gov/me...
Medicare Benefit Policy Manual, Chapter 10
www.cms.gov/re...
Medicare Claim Processing Manual, Chapter 15
www.cms.gov/re...
Ambulance Benefits
med.wpsgha.com...
Ambulance Documentation Requirements
med.wpsgha.com...
Ambulance Billing
med.wpsgha.com...
TH-cam Ambulance Suppliers playlist
• Ambulance Suppliers
Timely Filing of Claims
med.wpsgha.com...