Page, Wolfberg & Wirth provides these forms for use in your organization.
Forms
2023 PWW Medicare Fee Schedule Look-up Tool
Click HERE to download our tool for the 2023 Medicare Ambulance Fee Schedule Allowed Amounts by Zip Code. The spreadsheet will open in Protected View. Please click the Enable Editing Button. Enter the zip code of the pickup location for the patient in yellow box and press enter. All fee schedule amounts will populate. Other important information such as the Carrier ID, locality and urban, rural, or super rural will also appear.
COVID-19 EMS RESOURCES
PWW will be providing regular “EMS Law COVID-19 Corona Updates” as these questions come in and we develop a response. The situation is changing hourly as new information comes in and the government issues various orders and guidance.
Medicare and Billing-Related Forms
Our Medicare and Billing Forms have been used by organizations all throughout the USA. Take a look for yourself!
Patient Refusal Documentation
Sample policy for the refusal of care, transporation or recommended destination