Non-Emergency Transports

Section 2 - EMERGENCY OPERATIONS

PURPOSE:

To establish procedures for non-emergency ambulance transports which will meet requirements of Federal Registry Sections 42 C.F.R. 410.40(d)(2) and 410.40(d)(3) which covers requirements for physicians to certify that non-emergency transportation is required.

PROCEDURE:

• When a non-emergency transport call is received by any crewmember, it should be referred to a non-emergency provider as posted, or to the nursing supervision of the facility calling. Exhaust all options before accepting a non-emergency transport.
• The OIC must be contacted prior to acceptance of a non-emergency transport.
• If all options have been exhausted, and a Maitland crew responds and transports a non-emergency patient, it is the responsibility of the crew members to obtain a physicians certification for the non-emergency ambulance transport
• A non-emergency transport is any transport that does not originate from the 911 system.
• The Maitland Fire Rescue Department will:
  • Obtain a face sheet from the facility.
  • Obtain the name and phone number (if possible) of the patient’s physician. (This must be the patient’s primary care physician, not the emergency room physician)
  • When the crew returns to the station, contact the patient’s physicians office for a fax number.
  • Complete the Maitland Fire Rescue Department fax cover sheet and sections A & B of the Certificate of Medical Necessity Form.
  • Fax the cover sheet and Certificate of Medical Necessity Form to the physician’s office for physician, physician assistant, or nurse practitioner signature.
  • Flag the report indicating it is awaiting the physician’s signature.
  • Attach a Triptix barcode to the form and input the number into Triptix.
  • Do not send report to billing company without medical necessity documentation.