Medicare to require approval for non-emergency transport

Three-year pilot program aims to combat fraudulent ambulance billing in Penn., N.J., and S.C.


By Lisa Gillespie
Kaiser Health News

PHILADELPHIA — Seniors living in three states will need prior approval from Medicare before they can get an ambulance to take them to cancer or dialysis treatments.

The change, which begins today, is part of a 3-year pilot to combat extraordinarily high rates of fraudulent billing by ambulance companies in Pennsylvania, New Jersey, and South Carolina.

The good news is that Medicare beneficiaries in those states will now know beforehand whether the program will cover their non-emergency transportation to treatments. The bad news, say advocates, is that many fragile people will be left with no way to get to appointments that might mean the difference between life and death.

Read full story: Medicare Tightens Non-Emergency Ambulance Use

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