It continues to get more complicated when you might need an ambulance these days. Do we need to check a data base for compliance in the case of an emergency? If this were a life and death urgent situation, do we have time to always check for compliance? Just a couple questions that come to mind...I appears you need to have a contract with Aetna in order to get paid, even if you are non-profit...BD
Aetna is cracking down on reimbursement to ambulance services, and it's sounding a siren. The company is lowering payments to certain ambulance services around the nation, adding to the financial pressure on some that are already struggling with pay cuts from other insurers, including Medicare. Hartford-based Aetna says it merely started on June 1 to strictly enforce a company rule it hadn't always followed, but that's little comfort to ambulance officials.
The crackdown affects only ambulance providers that don't have contracts with Aetna, and those are often the smaller, volunteer, nonprofit, or municipal ambulance services.