CHARGING FOR ADVANCED EMT PROCEDURES
There has been a great deal of discussion regarding the proper billing rates that should be used for Advanced EMT Procedures. Indiana was one of the first States to train EMT’s to the Advanced EMT level which included some procedures that were classified as an Advanced Life Support Skill. Because of this many providers charged Medicare for transports that involved IV starts and other procedures at the ALS level. When the Ambulance Fee Schedule was implemented the ability to charge ALS for these services was placed in jeopardy. Recently, the State of Indiana made some changes that reclassified Advanced EMT at a basic level. The State did not want to negatively impact the reimbursement for Advanced EMT providers so they sought an opinion from the CMS Regional Office in Chicago who in-turn consulted with The CMS Central Office.
CMS responded with the following:
Having received the response from CMS it appears to
us that Advanced EMT services should be billing at the BLS level. Not
because of any changes that the State has made, but because of the fee
schedule. This recent response was from the highest source that we have
been able to obtain.
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