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Some examples of medical necessity for emergency ambulance transport are: Injury resulting from an accident or illness with acute symptoms like hemorrhage, shock, chest pain, respiratory distress, etc. Oxygen administration due to hypoxemia, syncope, airway obstruction, or chest pain.
The Department of Health Care Services (DHCS) requires that a Physician Certification Statement (PCS) form be used to process and determine the appropriate level of Non-Emergency Medical Transportation (NEMT) services.
Review your benefits: Look for specifics on emergency services, including ambulance coverage. Some plans may have restrictions or special requirements. Know your network: Insurers often provide a list of in-network providers, including ambulance services, on their website or through customer service.
Physician certification statements (PCS) are required for patients who are under the direct care of a physician and are required for: Scheduled non-emergency ambulance transports.
Some examples of medical necessity for emergency ambulance transport are: Injury resulting from an accident or illness with acute symptoms like hemorrhage, shock, chest pain, respiratory distress, etc.
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The Ambulance Response Programme CategoryResponse Category 1 An immediate response to a life-threatening condition, such as cardiac or respiratory arrest. Category 2 A serious condition, such as stroke or chest pain, which may require rapid assessment and/or urgent transport.2 more rows
Permanent Change of Station (PCS) Travel Orders. PCS travel orders are designed to provide for travel and transportation expenses of an employee and immediate family members, movement and storage of household goods and personal effects, and certain other allowances incidental to movement overseas.
Paramedics determined medical necessity of patient transport based on the following five criteria: 1) need for out-of-hospital intervention; 2) need for expedient transport; 3) potential for self-harm; 4) severe pain; or 5) other.

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