Â Physician Certification Statement
Medicare requires a Physician Â Certification Statement (PCS) for all non-emergency transports.Â This Â includes transportation to and from a physician’s office, dialysis center, Â diagnostic or theraputic center, discharge from a facility and most Â inter-facility transportation.
Â Repetitive Patients
Repetitive is defined as three Â or more transports within a ten day period or once a weekÂ for three Â weeks.Â For repetitive patients, the PCS must be signed by an MD prior to the first transport and Â is valid for 60 days from the date in which the PCS is signed.
Â Non-Repetitive Patients
The PCS should be signed by theÂ Â patient’s attending physician; however, if the form can not be obtained by Â the attending physician, the statement may be signed by an RN, PA, NP, CNS or Â discharge planner with knowledge of the patient’s condition at the time the Â transport is being provided.
Invalid PCS Forms
EMSMC reviews PCS forms to determine their validity. Through a weekly report, our clients receive a list of claims that were not billed based on a missing or invalid PCS form.
Most Common Reasons for Return
PCS Â Form
While Centers for Medicare and Â Medicaid Services (CMS) requires the form be obtained, they did not mandate a Â certain form for use in obtaining this information.
EMSMC recommends the recently Â updated Page, Wolfberg, Wirth (PWW) EMS Law Firm form that is available on Â their website in Word and PDF versions. The form should be customized to Â include the name of the EMS agency and/or Logo.
This form is strongly Â recommended as it provides the necessary fields in order to meet CMS Â requirements in an easy-to-follow format for the signor.
A link to the form is listedÂ here:Â Sample PCS Form