Ambulance & EMS Fee Schedule Calculator
Under CMS 42 CFR § 414.610, ground ambulance services require precise level-of-service selection (BLS, ALS1, ALS2, SCT), mandatory 2-character origin and destination modifier pairs (e.g. SH, RH, NH), and statutory rural mileage multipliers. Calculate your Medicare allowable reimbursement and generate audit-ready ANSI X12 837P Loop 2400 CR1 segments.
Medicare Ambulance Fee Schedule (AFS) Engine
CMS 42 CFR § 414.610 Ground Mileage & Level of Service
Advanced assessment, cardiac monitoring, IV initiation, or single ALS medication.
Loaded statute miles with patient on board (A0425)
Designated under CMS ZIP Code urban/rural mapping
Modifiers SH properly describe transport from Scene of Accident / Acute Event to Hospital / Emergency Department.
ANSI X12 837P Loop 2400 CR1 Ambulance Segment
Electronic Claim Generator with Origin/Destination Modifiers
Request Emergency Medical Transport (EMS) Billing Audit
Discover unbilled loaded miles, overturn medical necessity denials, and streamline repetitive PCS workflows.
Turn these Ambulance Fee Schedule Calculator insights into a practice-specific review
Tired of ambulance medical necessity denials, missing PCS signatures, or unbilled loaded mileage? Aethera delivers specialized EMS revenue cycle management designed specifically for municipal and private medical transport providers. Let our senior AAPC-certified billing team audit 50 of your active claims or past denials — completely free. Results in 14 days after the BAA, complete intake and agreed success criteria.
Test our scrub rules and appeal workflow on 50 real claims. Zero commitment, no credit card required.
Enter your aging totals for an instant planning report. Uploaded files are processed locally; clinical intake is arranged separately.