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Review of Medical Necessity for Ambulance Service

Issued on  | Posted on  | Report number: A-01-91-00513

Report Materials

EXECUTIVE SUMMARY:

This final audit report presents the results of our nationwides. Our review disclosed that, from 1986 to 1989, the number of trips by Medicare beneficiaries in advanced life support (ALS) ambulances increased by 131 percent while the number of trips in basic life support (BLS) ambulances increased by only 14 percent. Further, allowed charges from ALS and BLS ambulances increased by $72 million from 1988 to 1989. Of this amount, $53 million or 73 percent was attributable to increased utilization of ALS ambulances.


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