Talk Directly to a Care Advisor

1-800-955-8510

Non-Emergency Ambulance Transportation: Medicare Requirements

All ambulance transports must be medically necessary.  Ambulance services to or from a hospital, critical access hospital (CAH), skilled nursing facility (SNF), from a hospital to a patient’s home, or to treatment (such as dialysis) is covered only when any other means of transportation would endanger a patient’s health.

Examples of qualifying conditions: contractures; danger to self/others; cardiac (requiring hemodynamic monitoring en route); confusion/combative/lethargic/comatose; orthopedic device (backboard/halo/use of pins in traction, etc.) requiring special handling during transport; third-party assistance/attendant required to apply, administer, regulate or adjust O2 en route; patient unable to maintain erect sitting position in a chair for time needed to transport; decubitus ulcers or other wounds on buttocks; morbid obesity; paralysis (hemi, semi, quad), non-healed fractures; IV med/fluids; DVT requiring elevation of a LE; moderate/severe pain on movement; restraints (physical or chemical); special handling/isolation. These are only common examples.

Physician Certification Statement (PCS) forms are required for all (1) non-emergency scheduled transports. These PCS forms may be completed and signed by a physician assistant, clinical nurse specialist, nurse practitioner, registered nurse, or discharge planner, (2) non-emergency repetitive scheduled transports (such as dialysis). These PCS forms MUST be signed by the patient’s physician, (3) certain non-emergency, non-scheduled ambulance services.

Medicare does not pay for a patient to be transported to a doctor’s office or clinic, regardless of medical necessity.

Rural/Metro Ambulance Company is a national leader in private ambulance services. From large hospital networks and healthcare systems to skilled nursing facilities, we are the trusted ambulance service for more than 750 hospitals and related facilities throughout the U.S.

Editor’s Note: This article was submitted by Jill Amburgey with Rural/Metro Ambulance. If you or your patient have questions regarding coverage for ambulance transportation or to schedule a transport, please call (205) 425-7911. www.ruralmetro.com.

Comments

Related Articles

Bird Watching: A Hobby with Benefits for Seniors

Watching birds makes you feel young-at-heart and helps your mind be clear and focused, like...

Read Full Article

Consent or Rape? The Dementia Dilemma…

What happens when somebody has dementia and it is not certain whether they have the capacity...

Read Full Article

Common Allergies in Alabama Affecting Senior Citizens

As Alabamans experience seasonal changes, we also must be prepared for the allergies that...

Read Full Article

Attracting Birds: The Upside of Downsizing

Even if you find yourself living in a smaller house, or in an apartment or condo, there are...

Read Full Article

Best Handicap Accessible Sites in Birmingham Alabama

Suffering from mobility restrictions shouldn't stop you or a loved one from enjoying all...

Read Full Article

CBD May Help Reduce Inflammation

Battling temporary inflammation is very difficult for many seniors. Did you know that CBD...

Read Full Article

What You Need to Know About Direct Cremation?

Unlike the traditional burial services, direct cremation requires the deceased to be...

Read Full Article

Demystifying Incontinence Supplies

The internet has become a transformational tool for buying incontinence products. There is a...

Read Full Article

Best Ways to Pay for Funeral and Burial Services

Regular funeral costs may vary between $6,500 and $8,000. This cost doesn’t include...

Read Full Article

How to Avoid These Big Medicare Mistakes

If you’re nearing retirement and Medicare age, here are some of the most important...

Read Full Article

NEWSLETTER SIGN-UP

Sign up for our FREE monthly newsletter to receive the most up-to-date information on caring for your elderly parent or loved one

Order your printed copy of Senior Directory today!

Still enjoy flipping through the pages of a printed copy? So do we! Click on the button below to start receiving Senior Directory right at your doorstep!

Order Your Copy

I prefer the digital copy, please.

Speak to one of our advisors 1-800-955-8510