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Issue 2006-03, March 2006
MLN Matters. . .Information for Medicare Providers
(Issued by the Centers for Medicare & Medicaid Services)
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Ambulance Fee Schedule - CY 2006 Update: Correction to CR 4061
Provider Types Affected
Providers and suppliers of ambulance services billing Medicare carriers and fiscal intermediaries (FIs) for those services
Provider Action Needed
This article is for your information only. It references CR4362, which provides the correct Ambulance Fee Schedule File for Calendar Year (CY) 2006.
Background
CR4061, “Ambulance Inflation Factor for CY 2006” (released November 25, 2005), contained an incorrect file name for the CY 2006 Ambulance Fee Schedule File. CR4362, from which this article is taken, corrects that file name. It also amends the Medicare Claims Processing Manual, Chapter 15 (Ambulance), Section 20.6 (Update Charges), Subsection 20.6.1 (Ambulance Inflation Factor [AIF]), to reflect this correction.
Your carriers and FIs will use this corrected file to determine the payment limit for ambulance services that you furnish during CY 2006. Of most importance to providers/suppliers, rather than process CY 2006 ambulance service claims using the incorrect file name contained in CR 4061, the carriers and FIs will hold these claims until the corrected file can be downloaded and used. In the event they processed any CY2006 ambulance claims using the incorrect file, the carriers and FIs will do mass adjustments of those claims to correct the payments.
Additional Information
You can find more information about the corrected Ambulance Inflation Factor file name by going to the official instruction (CR 4362) issued to your carrier/intermediary. That instruction is available at http://www.cms.hhs.gov/Transmittals/downloads/R852CP.pdf  on the CMS Web site. In addition, you can learn more about the Ambulance Inflation Factor for CY 2006 in Medlearn Matters article MM4061, which you can find by going to http://www.cms.hhs.gov/MedlearnMattersArticles/downloads/mm4061.pdf on the CMS Web site.
Finally, if you have any questions, please contact your intermediary at their toll-free number, which may be found at http://www.cms.hhs.gov/MedlearnProducts/downloads/CallCenterTollNumDirectory.pdf on the CMS Web site.
Disclaimer
This article was prepared as a service to the public and is not intended to grant rights or impose obligations. This article may contain references or links to statutes, regulations, or other policy materials. The information provided is only intended to be a general summary. It is not intended to take the place of either the written law or regulations. We encourage readers to review the specific statutes, regulations and other interpretive materials for a full and accurate statement of their contents.
For more information, visit the Medlearn Matters Web page at: http://www.cms.hhs.gov/MedlearnMattersArticles . 
Pub. 100-4, Transmittal# R852CP, CR# 4362
Medlearn Matters Number: MM4362
Related CR Release Date: February 10, 2006
Effective Date: January 1, 2006
Implementation Date: February 24, 2006
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