- Ambulance Billing Guide
- Ambulance Duplicate Claim Denials
- Ambulance Transports Included in SNF Consolidated Billing
- Ambulance Physician Certification Statement Guidelines
- Prior Authorization of Repetitive Scheduled Non-Emergent Ambulance Transport
- New York State Ambulance Services in Rural Areas (for JK providers only)
- Coverage of Rural Air Ambulance Services
- Ambulance Transports Excluded from SNF Consolidated Billing
- Ambulance Medical Necessity Reminder for ESRD Patients
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- Claim Denials for Medically Unnecessary Ambulance Transports: Avoiding Reason Code 55B10
- Ambulance Medical Necessity
- Ambulance Rural ZIP Code Search
- Billing for A0426 or A0428
- Medical Necessity of Ambulance Services
- Proper Claim Submission for Repetitive, Scheduled, Non-Emergent Ambulance Transports
- Responsibility of Providing a Properly Executed Physician Certification Statement/Certificate of Medically Necessity
New York State Ambulance Services in Rural Areas
NYS has unique requirements for the payment of paramedic intercept services when an ambulance company can provide only BLS services. Paramedic intercept services can be approved in counties and towns which are designated rural by the New York State Department of Health.
The NYS definition of a rural area is defined in state Public Health Law and often referred to as “Eberts’ typology.” It identifies those counties and towns that may be considered rural according to population density.
Counties are rural if the county's total population is less than 200,000 or, in the case of a town, its population density is less than 200 persons per square mile, or, with the approval of the Commissioner of Health, a population density of between 200 and 250 persons per square mile.
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Revised 9/21/2023