Notice: This CMS-approved document has been submitted - Philips ...
Notice: This CMS-approved document has been submitted - Philips ... Notice: This CMS-approved document has been submitted - Philips ...
CMS-1403-FC Comment: Several commenters noted that, in light of our proposal to expand the (b)(6) exception to include nonemergency ambulance transports as well as emergency ambulance transports, the signature requirements may apply when a beneficiary is being transported from or to skilled nursing facilities, hospitals and other permissible destinations. Therefore, the commenters requested that we revise §424.36(b)(6)(ii)(C)(2), which makes reference to “the hospital registration/admission sheet”, “the hospital log”, or “other internal hospital records,” and replace “hospital” with “facility.” Response: We agree with the commenter that there may be nonemergency transports where the beneficiary is being transported from or to skilled nursing facilities, hospitals and other permissible destinations. Thus, we are revising §424.36(b)(6)(ii)(C)(2) to replace “hospital” with “hospital or other facility”. Comment: One commenter requested that we clarify whether secondary forms of verification must be signed by a representative of the receiving facility. In response to a similar request for clarification in the CY 2008 PFS final rule (72 FR 66323) we stated that secondary forms of verification did require a signature; however, this requirement was not included in the text of 762
CMS-1403-FC §424.36(b)(6)(ii)(C)(2), as finalized in the CY 2008 PFS final rule. The commenter also stated that hospitals are moving toward electronic recordkeeping, and urged us to clarify that secondary forms of documentation used to verify transport do not need to be signed by a representative of the facility, provided that the form of documentation obtained is an official facility record that clearly indicates the name of the patient, and the date and time the patient was received by or transported from that facility. Response: We acknowledge that, although the preamble language in the CY 2008 PFS final rule stated that all forms of secondary documentation used to verify transport need to be signed by a representative of the receiving facility, the regulation text at §424.36(b)(6), as published in the 2008 CY PFS final rule, did not include this specific requirement. We are clarifying §424.36(b)(6)(ii)(C)(2)to provide that secondary forms of documentation used to verify transport do not need to be signed by a representative of the receiving facility if the form of documentation obtained is an official hospital or facility record, (such as the facility or hospital registration/admissions sheet, patient medical record, facility or hospital log, or other facility or hospital 763
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<strong>CMS</strong>-1403-FC<br />
Comment: Several commenters noted that, in light of<br />
our proposal to expand the (b)(6) exception to include<br />
nonemergency ambulance transports as well as emergency<br />
ambulance transports, the signature requirements may apply<br />
when a beneficiary is being transported from or to skilled<br />
nursing facilities, hospitals and other permissible<br />
destinations. Therefore, the commenters requested that we<br />
revise §424.36(b)(6)(ii)(C)(2), which makes reference to<br />
“the hospital registration/admission sheet”, “the hospital<br />
log”, or “other internal hospital records,” and replace<br />
“hospital” with “facility.”<br />
Response: We agree with the commenter that there may<br />
be nonemergency transports where the beneficiary is being<br />
transported from or to skilled nursing facilities,<br />
hospitals and other permissible destinations. Thus, we are<br />
revising §424.36(b)(6)(ii)(C)(2) to replace “hospital”<br />
with “hospital or other facility”.<br />
Comment: One commenter requested that we clarify<br />
whether secondary forms of verification must be signed by a<br />
representative of the receiving facility. In response to a<br />
similar request for clarification in the CY 2008 PFS final<br />
rule (72 FR 66323) we stated that secondary forms of<br />
verification did require a signature; however, this<br />
requirement was not included in the text of<br />
762