Ambulance Providers vs Suppliers

Ambulance Providers

  • Owns and operates an ambulance transportation service which provides assistance to its institutionally based operations. Such as:
    • Hospitals
    • Critical Access Hospitals (CAHs)
    • Skilled Nursing Facilities (SNFs)
    • Comprehensive Outpatient Rehabilitation Facilities (CORFs)
    • Home Health Agencies (HHAs)
    • Hospice programs

Although tranports are covered under Medicare Part B, typically Medicare Part A includes beneficiary transports from one provider to another when he/she has inpatient hospital, CAH or SNF status.

Part A covers tranports as a SNF service when the below are met.

  • Beneficiary must be a SNF resident
  • Transport must be provided for covered SNF service
  • Reimbursement is provided under Part A for service rendered
    • If service rendered is excluded from SNF Part A, tranport may be payable under Mediare Part B

Ambulance Suppliers

  • Not owned or operated by a provider and is enrolled in Medicare as an independent ambulance supplier. Such as:
    • Volunteer fire and/or ambulance companies
    • Local government ambulance companies
    • Privately-owned and operated ambulance companies
    • Independently-owned and operated ambulance companies

 

Last Updated Fri, 25 Aug 2017 14:57:39 +0000