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UNION COUNTY EMERGENCY MEDICAL SERVICE <br /> P.O. Box 633 <br /> Monroe, North Carolina 28111-0633 <br /> 283-3832 · 283-3835 <br /> <br />HORACE WILLIAMS, EMS Director FLORA LOWRY, Asst. Director <br /> <br /> GUIDELINES FOR IMPROVING THE BII~ING PROCEDURES FOR EMS <br />AMBULANCE SER¥ICES PROVIDED TO RESIDENTS/PATTF. NTS IN THE NURSING <br />HOMES/HEALTH CARE UNITS OF UNION COUNTY <br /> <br />I. BILLING FOR NURSING FACILITIES AND REST HO~S <br /> <br />Nursing facilities and rest homes (hereafter known as the facility) of <br />Union County depend to a great degree on the Union County Emergency <br />Medical Service for emergency or non-emergency ambulance transportation. <br />While the facility is not the "provider" of such transportation and <br />cannot therefore bill residents/patients directly, they have an obligation <br />to use said services in a responsible way. It is understood the facility <br />will be billed directly for services rendered by EMS which are not covered <br />under Medicare and which EMS concludes is not collectable from the <br />residents/patients and/or a responsible party. <br /> <br />The facility will not be responsible for any ambulance bills for <br />individuals residing in retirement villages in the same complex. EMS <br />will follow regular billing procedures with those residents. <br /> <br />II. MRnICARE ONLY, RESIDENTS/PATIENTS <br /> <br />EMS will accept Medicare assignments. If there is any outstanding balance <br />after Medicare payment, the resident/patient at the facility will be <br />responsible for the balance due. The facility will assist EMS in the <br />collection of balance due bills. <br /> <br />III. MEDICARE RESIDENT/PATIENTS <br /> <br />EMS will accept Medicare assignment and will accept the approved payment. <br />If claim is denied, the facility will accept the responsibility for the <br />bill. <br /> <br />IV. MEDICARE AND THIRD PARTY INSURANCE RESIDENT/PATIENTS <br /> <br />EMS will accept Medicare assignment and will file no additional third party <br />insurance. Third party insurance will be the responsibility of'the <br />resident/patient and/or the facility. If there is an outstanding balance <br />after Medicare payments have been received, the patient at the facility- <br />will be responsible for any unpaid balance. If the total claim is denied, <br />the facility will accept responsibility for the bill. <br /> <br />/S <br /> <br /> <br />