For many cases it is difficult to determine if the ambulance treatment and transportation will be covered. A chart is provided showing situations where medical necessity is presumed. Other examples indicate the need for a medical necessity form to support the claim. Not required at the time of transport. May be requested to appeal a denial from Medicare.
Patient is unconscious or in shock.
Not required at the time of transport as this qualifies as an emergency situation. May be requested to appeal a denial form Medicare. Patient suffers a possible acute stroke or heart attack. Not required at the time of transport. May be requested to appeal a denial from Medicare.