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| End-Stage Renal Disease PPSI Hospice Services Payment System Reimbursement Methodology Ambulance Fee Schedule Based on the level of service provided to the beneficiary, there are seven levels of service. Classification or Resource Weighting System Packaging concepts Severity of illness component Low-income patient provision Rural facility adjustment Mileage rate is adjusted for ground transportation pick-ups made in rural areas. The adiustmentis provided to help offset the higher per trip cost for real operations where there are typically few were transports made per day the adjustment allows a 50% increase in the payment rate for miles 1 to 17. Outlier provision Other provisions and adjustments On a patient is pronounced dead during ambulance transport, payment rules are as followed as if the patient were alive. Adjustment for wages Adjustment for cost-of-living | End-Stage Renal Disease PPSI Hospice Services Payment System Reimbursement Methodology Ambulance Fee Schedule Based on the level of service provided to the beneficiary, there are seven levels of service. Classification or Resource Weighting System Packaging concepts Severity of illness component Low-income patient provision Rural facility adjustment Mileage rate is adjusted for ground transportation pick-ups made in rural areas. The adiustmentis provided to help offset the higher per trip cost for real operations where there are typically few were transports made per day the adjustment allows a 50% increase in the payment rate for miles 1 to 17. Outlier provision Other provisions and adjustments On a patient is pronounced dead during ambulance transport, payment rules are as followed as if the patient were alive. Adjustment for wages Adjustment for cost-of-living