100-04 Medicare Claims Processing Manual: Chapter 15 Crosswalk

Medicare Claims Processing Manual
Chapter 15 - Ambulance
Crosswalk
New
Chap
New
Sect
Int.
Pub 13
Carrier
Pub 14
HO
Pub 10
HHA
Pub 11
SNF
Pub 12
Other 	Description
15 	10 	A3-3114,
A3-3138,
B3-2120 	HO 236 	SNF 262 	A-01-52, AB-00-88,
AB-01-118, AB-00-127,
AB-02-036, AB-02-48,
AB-00-103, AB-01-185,
AB-00-103, AB-01-165,
AB-94-8, AB-01-65,
AB-03-07
General Coverage and Payment Policies
15 	10.1 	AB-01-165 	Assignment
15 	10.2 	AB-00-118,
AB-94-8, AB-01-165
Billing Methods
15 	10.3 	AB-02-130 	Definitions
15 	10.4 	AB-03-106 	IR Provisions for Ambulance
15 	20 	B3-4115,
B3-5116
AB-02-131 	Carrier Calculation of Payment Amount
15 	20.1 	AB-00-88, AB-00-131,
AB-01-165, AB-02-033,
AB-01-185, AB-02-117
Implementation of the Fee Schedule
15 	20.2 	B3-5116.1 	Determining the Reasonable Charge Base
Rate Allowance for Ambulance Services

New
Chap
New
Sect
Int.
Pub 13
Carrier
Pub 14
HO
Pub 10
HHA
Pub 11
SNF
Pub 12
Other 	Description
15 	20.3 	B3-5116.2 	Effect of Separate Charges for Covered
Specialized ALS Services on Reasonable
Charges for Ambulance Services
15 	20.4 	B3-5116.3 	AB-00-131 	Payment for Mileage Charges
15 	20.5 	B3-5116.5,
B3-5205
partial
AB-01-165, AB-02-036,
AB-02-131
Air Amublance
15 	20.6 	AB-01-22, AB-00-87,
AB-01-185
Update Charges
15 	20.7 	AB-02-131 	Joint Responses
15 	20.8 	B3-5116.6 	Other Unusual Circumstances
15 	20.9 	B3-5215.2 	B-02-060, AB-01-185,
A-02-108; CMS Q&As
Single Ambulance Where Multiple Patients
are on Board
15 	20.10 	B3-5215,
B3-5215.1,
B3-5024
partial
Waiting Time Charges
15 	20.11 	Documentation Requirements
15 	30 	A3-3660 	B3-5116 	AB-00-88, AB-02-036,
AB-99-53, AB-99-83,
AB-94-8, AB-02-031
General Bill Processing Guidelines
15 	30.1 	B3-5116 	Preparing Claims to Carriers

New
Chap
New
Sect
Int.
Pub 13
Carrier
Pub 14
HO
Pub 10
HHA
Pub 11
SNF
Pub 12
Other 	Description
15 	30.1.1 	AB-00-88 	Coding Requirements for Suppliers
15 	30.1.2 	AB-00-88, AB-00-118,
AB-00-131
Coding Instructions for Completing Form
CMS-1500
15 	30.1.3 	AB-00-88, AB-00-131 	Instructions for Completing Form CMS-
1491
15 	30.2 	A3-3660.1 	HO-433 	HHA-477 	SNF-539 	A-01-48, Cindy Murphy/
Barbara Griffen e-mail,
AB-00-118, AB-00-131,
AB-00-88, AB-01-131
Preparing Claims to Intermediary
15 	30.2.1 	A3-3660.1 	HO-433 	HHA-477 	SNF-539 	A-01-48, Cindy Murphy/
Barbara Griffen e-mail,
AB-00-118, AB-00-131,
AB-00-88, AB-01-131
Provider/Intermediary Bill Processing
Guidelines Effective April 1, 2002, as a
Result of Fee Schedule Implementation
15 	30.2.2 	AB-00-88, AB-01-165,
AB-02-117, AB-01-185
Payment Rules for Intermediaries During
Fee Schedule Transition
15 	30.2.3 	SNF-516.2 	SNF QA Day4 	SNF Billing
15 	40 	B3-5117 	Provider Ambulance Services Under
Arrangements (Provider Billing)
15 	50 	B-02-048 	Carrier Disclosure to Suppliers