Physician’s Certification Statement

As a member of the Medicare Provider Outreach and Education Advisory Group and having visited ambulance services, hospitals, and nursing facilities all across the state of Kentucky, there is one thing I have learned. There is a lot of confusion around the Physician’s Certification Statement (PCS). This confusion is shared among the Ambulance Services, Hospitals, […]

Medical Necessity

The Medicare Benefit Policy Manual Chapter 10 – states “…… The ambulance service must meet all program coverage criteria in order for payment to be made.” So what entails “program coverage criteria”? First of all there must be a transport, it must be a covered service, and it must be a covered destination. There are […]

Are you ready for ICD-10?

ICD-10 EMS documentation will need to be even more specific than what you are doing for ICD-9.  Since ICD-9 only has 14,000 codes the fact that ICD-10 has more than 68,000 codes, EMS will need to describe the condition of the patient in very specific clinical terms.