Module 5 Quiz: Non-Emergency Transfers & Covered Destinations

Question 1 of 10

1. Question

Medicare will reimburse scheduled non-emergency transports when transportation by other means would endanger the patient’s health. All of the following are covered destinations except for

Nursing homes
Dialysis centers
Patients’ residences
Physicians’ offices

Question 2 of 10

2. Question

Bed-confined is defined by Centers of Medicare & Medicaid as the

Inability to get up from bed without assistance, the inability to ambulate, and the inability to sit in a chair or wheelchair.
Inability to get up from bed without assistance, the inability to ambulate.
Inability to get up from bed without assistance, the inability to ambulate, and the inability to sit in a chair or wheelchair for more than three hours.
Inability to get up from bed without assistance, the inability to ambulate, and the inability to sit in a chair or wheelchair for more than two hours.

Question 3 of 10

3. Question

If you have a PCS form stating a patient is bed-confined, but when you arrive, you find the patient sitting in a wheel chair, you should

Always write your narrative to match the PCS form in order to get reimbursed.
Always write your narrative to be honest, descriptive, thorough, and complete.
Refuse to transport the patient.
Refuse to transport the patient and immediately report the situation to your supervisor.

Question 4 of 10

4. Question

A PCS form for a non-repetitive transport can be signed by any of the below except for a

Registered Nurse
Licensed Practical Nurse
Nurse Practitioner
Medical Doctor

Question 5 of 10

5. Question

In order for a PCS form to be considered “valid,” all of the following are true except

The PCS form must describe the patient’s condition.
The PCS form must include the reason why transportation by any other means is contraindicated.
The PCS form must be signed and dated by an authorized signer.
The PCS form must include the patient’s insurance information.

Question 6 of 10

6. Question

A repetitive patient’s PCS form can only be signed by a .

Physician (MD).
Registered Nurse.
Discharge Planner.
Nurse Practitioner.

Question 7 of 10

7. Question

When transporting a patient to a facility beyond the nearest appropriate facility, insurers will not pay additional miles for

Necessary equipment.
Necessary personnel.
Staff privileges of patient’s physician.
Capability to provide the services that are required based on the patient’s condition at the time of transport.

Question 8 of 10

8. Question

Medicare will pay for medically necessary transports to

Free standing radiation therapy centers.
Free standing wound care centers.
Physicians’ offices.
Dialysis clinics.

Question 9 of 10

9. Question

Non-emergency response destinations can include all of the following except:

Physicians’ offices
Hospitals
Nursing homes
Residences

Question 10 of 10

10. Question

CMS’ Locality Rule allows a beneficiary’s loaded patient mileage to be covered if a patient is transported to an appropriate facility equipped to treat the patient if the destination facility

Is located within the patient’s state of residence.
Regularly provides hospital services to the residents of the community where the ambulance transportation began.
Is located within a two hour’s drive time of the transportation’s origin.
Is located within a two hour’s drive time of the patient’s residence.

Module 5 Quiz: Non-Emergency Transfers & Covered Destinations