PHYSICIAN CERTIFICATION STATEMENT

For ALL Non Emergency Medical Transportation Services

Transport Date: ____/____/_____                                                                     Certification Expiration Date (Max 60 days) _____/_____/_____

(PCS effective for 60 days for repetitive transports or for a single prescheduled or unscheduled transport only.)

 

Patient's Name: ___________________________________________________                                 Medicare #: _______________________

 

Patient’s Address: _________________________________________________                 Medicaid #: _______________________

                                                                               Street

                             ____________________________________________

                                                          City                                           State                        Zip

 

Transported From: ________________________________________ Transported To: ____________________________________

 

Physician's Printed Name: __________________________________  License # or UPIN #: ________________________________

 

OPTION 1

In my professional medical opinion, this patient does not require transport by ambulance and can safely be transported by other means. 

The patient's condition is such that transportation by ambulance is not required because the means listed below is safe and acceptable.

[  ] Patient can safely support himself / herself while seated in wheelchair and does not require monitoring by Trained personnel.

[  ] Patient is able to tolerate transportation by automobile or wheelchair van.

 

OR

OPTION 2

In my professional medical opinion, this patient requires transport by ambulance and should NOT be transported by other means. 

The patient's condition is such that transportation by medically trained personnel is required.

 

The CMS definition of Bed-Confinement is: The inability to get up from bed without assistance; unable to ambulate; and unable to sit in a chair, including unable to sit in a wheelchair independently. (ALL MUST BE MET)

Does this patient meet CMS definition of bed confinement         ? Yes     ? No

If patient does not meet the definition but still requires ambulance the reason must be detailed below.

 

Please check the appropriate medical conditions listed below which would necessitate transport by ambulance and

make all other means of transportation contraindicated based on patient safety and health.

 

This patient:   ** (A) - MUST BE DEFINED IN EXPLANATIONS **

[ ]   requires continuous oxygen & monitoring by trained staff                   [ ]  has decubitus ulcers and requires wound precautions (A)

[ ]   requires airway monitoring and suctioning                                                         [ ]  requires isolation precautions (VRE,MRSA, etc) (A)          

[ ]   requires restraints or sedation (A)                                                                      [ ]  patient requires continuous IV therapy

[ ]   comatose & requires trained monitoring                                                             [ ]  requires cardiac monitoring

[ ]   is actively seizure prone & requires trained monitoring                                      [ ]  is exhibiting signs of a decreased level of consciousness (A)

[ ]   had to remain immobile because of a fracture/possibility of                       

      a fracture which had not been set                                                                      [ ]  is on hip precautions and cannot sit safely (A)

[ ]   patient is ventilator dependent                                                                            [ ] Other (A)

[ ]  patient cannot sit erect in a wheelchair for the duration of the transport due to a reasonable probability that this may potentially either

     cause pain and/or further medical complications. (A)

 

Diagnosis: _____________________________________________________________________________________________________

 

A (Explanations in detail are required)______________________________________________________________________________

____________________________________________________________________________________________________

If patient is being transferred for care not available at 1st facility, what care / treatment are they being transferred for?

______________________________________________________________________________________________________________

 

PATIENT IS TO RECEIVE THE FOLLOWING TREATMENT after transport: (Please check one)

[ ] Receive treatment in an outpatient setting        [  ] Require admission to hospital           [ ] Transferred from one medical facility to another

 

I CERTIFY THAT THE INFORMATION CONTAINED HEREIN IS, TO THE BEST OF MY KNOWLEDGE, COMPLETE AND ACCURATE AND SUPPORTED

IN THE MEDICAL RECORD OF THE PATIENT.  THE INFORMATION BEING UTILIZED ON THIS FORM IS BEING GATHERED TO ASSIST IN

SEEKING REIMBURSEMENT FROM THIRD PARTY PAYORS SUCH AS THE MEDICARE AND / OR MEDICAID PROGRAM.  I UNDERSTAND THAT ANY

INTENTIONAL MISREPRESENTATION OR FALSIFICATION OF ESSENTIAL INFORMATION, WHICH LEADS TO INAPPROPRIATE PAYMENTS, MAY BE

SUBJECT TO INVESTIGATIONS UNDER APPLICABLE FEDERAL AND/OR STATE LAWS.

___________________________________________________  ________________________________________________

Printed name of Ordering Physician, PA, NP, CNS, RN, or Discharge Planner & Title                Signature                                   Date Signed

________________________________________________________       _____________________________________________________

 Printed Name of Recipient                                                                                                 Signature                                   Date Signed

___________________________________________________   _______________________________________________

 Printed Name of Medical Transportation Provider                                                                   Signature                                   Date Signed