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Who is responsible for the ambulance transport from one SNF to another?

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Who is responsible for the ambulance transport from one SNF to another?

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From the CMS Manual System, Pub.100-04, Medicare Claims Processing Manual , Chapter 6, Section 20.3.1: The following ambulance services are included in SNF CB and may not be billed as Part B services to the intermediary or carrier when the beneficiary is in a Part A stay: Under the regulations at 42 CFR 411.15(p)(3)(iv), the day of departure from SNF 1 is a covered Part A day (to which consolidated billing would apply) only if the beneficiary is actually admitted to SNF 2 by midnight of the day of departure. (the first and second character of the ambulance modifier is N). Patient Status is 03.

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