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| 2004 Ambulance Fee Schedule |
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Section 1834(l)(3)(A) of the Social Security Act provides the basis for updating payment limits for ambulance services. Specifically, this section provides for an update in payments for 2004 that is equal to the percentage increase in the consumer price index for all urban consumer (CPI-U), for the 12-month period ending with June of the previous year. The resulting percentage is referred to as the Ambulance Inflation Factor (AIF).
During the transition period, the AIF is applied to both the fee schedule portion of the blended payment amount (incorporated in the ambulance fee schedule file), and to the reasonable charge/cost portion of the blended payment amount separately for each ambulance provider/supplier. Then, these two amounts are added together to determine the total payment amount for each provider/supplier.
The AIF for calendar year 2004 is 2.1 percent. The blending percentages used to combine the two components of the payment amounts for ambulance services for calendar year 2004 are 40 percent of the reasonable charge/cost and 60 percent of the ambulance fee schedule. Part B coinsurance and deductible requirements apply.
| A0425 |
99 |
1.00 |
.944 |
1.00 |
5.65 |
| A0426 |
99 |
1.20 |
.944 |
176.04 |
202.97 |
| A0427 |
99 |
1.90 |
.944 |
176.04 |
321.36 |
| A0428 |
99 |
1.00 |
.944 |
176.04 |
169.14 |
| A0429 |
99 |
1.60 |
.944 |
176.04 |
270.62 |
| A0430 |
99 |
2389.11 |
.944 |
1.00 |
2322.21 |
| A0431 |
99 |
2777.69 |
.944 |
1.00 |
2699.91 |
| A0432 |
99 |
1.75 |
.944 |
176.04 |
295.99 |
| A0433 |
99 |
2.75 |
.944 |
176.04 |
465.13 |
| A0434 |
99 |
3.25 |
.944 |
176.04 |
549.70 |
| A0435 |
99 |
1.00 |
.944 |
1.00 |
6.78 |
| A0436 |
99 |
1.00 |
.944 |
1.00 |
18.07 |
| Q3019 |
99 |
1.60 |
.944 |
176.04 |
270.62 |
| Q3020 |
99 |
1.00 |
.944 |
176.04 |
169.14 |
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