Billing Process / Contact Info
Most commercial insurance, employer group plans and government programs such as Medicare, Medicaid and TriCare cover medically necessary ambulance transportation.
A patient’s insurance information should be provided to the paramedic or EMT at the time of service to expedite claim processing. If a patient is unable to provide insurance information during this time, the patient or guarantor should contact the Omaha Ambulance billing office at (402)345-6666 with this information as soon as possible. Omaha Ambulance will submit a claim to the insurance company as a courtesy to patients.
Patients who do not have an insurance policy that covers medical transportation will receive an invoice that includes an itemized list of charges for the services provided. Payment of the account is required within thirty (30) days of receipt of the invoice.
Questions
What Does Insurance Cover?
Ambulance transportation coverage varies from insurance policy to policy. It is important to review your insurance coverage to understand the limitations and requirements of your coverage. It may be necessary to obtain a prior authorization from your insurance carrier when scheduling non-emergency transportation services. If your policy does not provide 100 percent coverage for ambulance transportation, you may be required to pay a deductible or co-payment as outlined in your insurance policy. Payment of all deductibles and co-payments are due immediately upon receipt of the bill.
What does Medicaid Cover?
Medicaid is a program funded by the state that provides medical insurance to assist patients who qualify under the program. The coverage of medical services varies from state to state and patients should check with their Medicaid program to understand coverage criteria for ambulance transportation. In general, Medicaid programs require that all ambulance transportation meet the specific medical necessity criteria established for their state.
Medicare Coverage: Non-Emergency Ambulance Transportation
In general, Medicare will not pay for non-emergency ambulance service unless the patient is unable to get out of bed without assistance and unable to walk, unable to sit in a chair or wheelchair, and/or that transportation by any other means would pose a hazard to the patient's health. Medicare will not pay for ambulance transportation to a preferred hospital or facility that is not the nearest appropriate facility or for the convenience of the patient, the family or physician. Medicare does not pay for wheelchair, stretcher or gurney transportation.
For both emergency and non-emergency transportation service, Medicare will pay 80 percent of their allowable rate. The remaining 20 percent will be due from the patient or the patient's secondary insurance carrier. As a courtesy, Omaha Ambulance Service will submit a claim to the secondary insurance carrier on the patient's behalf but the patient is responsible for assuring timely payment by their secondary insurance carrier.
Why Does Omaha Ambulance Service Require Signature Authorization Before Treatment and Transport?
All patients are required to provide signatures that acknowledge consent for treatment and transportation, provide authorization to submit a bill on their behalf, assign their benefits to OAS allowing their medical insurance carrier to pay OAS directly, and acknowledge receipt of OAS's Privacy Policy. Omaha Ambulance Service cannot submit a claim to a medical insurance carrier without a signed authorization from the patient or guardian. Failure to provide a signed authorization will require OAS to seek payment directly from the patient or guarantor.
How do Private Ambulance Services Differ From Public Ambulance Services?
Unlike some other public services that are supported by tax revenue, private ambulance services are funded by user fees. Taxpayers fund public services such as fire and police protection whether they use those services or not. Private ambulance services are typically not subsidized by tax revenue and rely solely on user fees. Under a private ambulance service system, you only pay for those services when you use them.
Does My Insurance Cover Non-Emergency Services?
Omaha Ambulance Service provides comprehensive non-emergency transportation services to patients who need to be safely transported from one location to another. Insurance plans may cover medically necessary non-emergency transports, but your insurance carrier will determine whether or not ambulance transportation meets their medical necessity criteria. It is important to check with your insurance provider to determine the specific requirements for payment related to non-emergency transportation.
How Does Omaha Ambulance Service Establish Rates?
Omaha Ambulance Service rates are competitive for your community and meet all applicable local, state and federal limitations. Ambulance provider fees typically include a base charge for the transport, a mileage fee and charges for other procedures, supplies or medications administered.
Patient Rights to Privacy
Omaha Ambulance Service is committed to protecting your personal health information.
As an essential part of our commitment to you Omaha Ambulance Service maintains the privacy of certain confidential health car information about you, known as Protected Health Information or PHI. This notice describes how medical information about OAS patients may be used and disclosed and how you can get access to your information. This Notice applies to all records about care provided to you by Omaha Ambulance Service. Your physician may have different policies and a different notice regarding your health information that is created in the physician’s office.
Privacy Policy
I. Omaha Ambulance is Legally Required to Safeguard Your Protected Health Information.
We are required by law to:
A. maintain the privacy of your health information, also known as protected health information or PHI;
B. provide you with this Notice, and
C. comply with this Notice.
II. Future Changes to Our Practices and This Notice
Omaha Ambulance Service reserves the right to change its privacy practices and to make any such change applicable to the PHI that we previously obtained about you. If a change in our practices is material, we will revise this Notice to reflect the change.
III. How We May Use and Disclose Your Protected Health Information
The law requires us to have your authorization for some uses and disclosures. In other circumstances the law allows us to use or disclose PHI without your authorization. This section gives examples of each of these circumstances.
Uses and disclosures that require OAS to give you the opportunity to object. Unless you object, we may provide relevant portions of your PHI to a family member, friend or other person you indicate is involved in your health care or in helping you get payment for your health care. We may use or disclosure your PHI to notify your family or personal representative of your location or condition. In an emergency or when you are not capable of agreeing or objecting to these disclosures, we will disclose PHI as we determine is in your best interest, but will tell you about it later, after the emergency, and give you the opportunity to object to future disclosures to family and friends. Unless you object, we may also disclose your PHI to persons performing disaster relief activities.
A. Certain uses and disclosures do not require your authorization. The law allows us to disclose PHI without your authorization in the following circumstances:
(1) When required by law
(2) For public health activities
(3) For reports about victims of abuse, neglect or domestic violence
(4) To health oversight agencies
(5) For lawsuits and disputes
(6) To law enforcement. We may release PHI if asked to do so by a law enforcement official in the following circumstances: (a) in response to a court order, subpoena, warrant, summons or similar process; (b) to identify or locate a suspect, fugitive, material witness or missing person; (c) to disclose information about the victim of a crime if, under certain limited circumstances, we are unable to obtain the person’s agreement; (d) to disclose information about a death we believe may be due to criminal conduct; (e) to disclose information about criminal conduct at our facility; and (f) in emergency circumstances, to report a crime, its location or victims, or the identity, description or location of the person who committed the crime.
(7) To coroners, medical examiners and funeral directors
(8) To organ procurement organizations
(9) For medical research. We may disclose your PHI without your authorization to medical researchers who request it for approved medical research projects.
(10) To avert a serious threat to health or safety
(11) For specialized government functions
(12) To workers’ compensation or similar programs
IV. Other Uses and Disclosures of Your Protected Health Information
Other uses and disclosures of your PHI that are not covered by this Notice or the laws that apply to us will be made only with your written authorization. If you give us written authorization for a use or disclosure of your PHI, you may revoke that authorization, in writing, at any time. If you revoke your authorization we will no longer use or disclose your PHI for the purposes specified in the written authorization, except that we are unable to retract any disclosures we have already made with your permission. In addition, we can use or disclose your PHI after you have revoked your authorization for actions we have already taken in reliance on your authorization. We are also required to retain certain records of the uses and disclosures made when the authorization was in effect.
V. Your Rights Related to Your Protected Health Information
You have the following rights:
A. The right to request limits on uses and disclosures of your PHI. You have the right to ask us to limit how we use and disclose your PHI. Any such request must be submitted in writing to the AMR Privacy Officer. We are not required to agree to your request. If we do agree, we will put it in writing and will abide by the agreement except when you require emergency treatment.
B. The right to choose how we communicate with you. You have the right to ask that we send information to you at a specific address (for example, at work rather than at home) or in a specific manner (for example, by e-mail rather than by regular mail, or never by telephone). We must agree to your request as long as it would not be disruptive to our operations to do so. You must make any such request in writing, addressed to our Privacy Officer.
C. The right to see and copy your PHI. Except for limited circumstances, you may look at and copy your PHI if you ask in writing to do so. Any such request must be addressed to our Patient Billing Service Center, which will respond to your request within 10 days (or 30 days if the extra time is needed). In certain situations we may deny your request, but if we do, we will tell you in writing of the reasons for the denial and explain your rights with regard to having the denial reviewed.
D. The right to correct or update your PHI. If you believe that the PHI we have about you is incomplete or incorrect, you may ask us to amend it. Any such request must be made in writing and must be addressed to our Patient Billing Service Office, and must tell us why you think the amendment is appropriate. We will not process your request if it is not in writing or does not tell us why you think the amendment is appropriate. We will act on your request within 30 days or less if state law requires (or 60 days if the extra time is needed), and will inform you in writing as to whether the amendment will be made or denied. If we agree to make the amendment, we will ask you who else you would like us to notify of the amendment.
We may deny your request if you ask us to amend information that:
(1) was not created by us, unless the person who created the information is no longer available to make the amendment;
(2) is not part of the PHI we keep about you;
(3) is not part of the PHI that you would be allowed to see or copy; or
(4) is determined by us to be accurate and complete.
If we deny the requested amendment, we will tell you in writing how to submit a statement of disagreement or complaint, or to request inclusion of your original amendment request in your PHI.
E. The right to get a list of the disclosures we have made. You have the right to get a list of instances in which we have disclosed your PHI. The list will not include disclosures we have made for our treatment, payment and health care operations purposes, those made directly to you or your family or friends or through our facility directory, or for disaster relief purposes. Neither will the list include disclosures we have made for national security purposes or to law enforcement personnel, or disclosures made before April 14, 2003.
Your request for a list of disclosures must be made in writing and be addressed to the Patient Billing Service Office address that is listed on your invoice. We will respond to your request within 30 days or less if state law requires (or 60 days if the extra time is needed). The list we provide will include disclosures made within the past six years unless you specify a shorter period. The first list you request within a 12-month period will be free. You will be charged our costs for providing any additional lists within the 12-month period.
F. The right to get a paper copy of this notice. Even if you have agreed to receive the Notice by e-mail, you have the right to request a paper copy as well.
