WHO. Certified Ambulance Coder? Are you a. Certified Ambulance Coders pave the road to compliance. WHO should become a Certified Ambulance Coder?

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1 CAC certification is also recommended for billing office supervisors and managers, compliance officers, QA coordinators, and upper level management in an ambulance service, billing company or any other type of entity involved in ambulance billing or reimbursement. ambulance claims; and the payment, follow-up and review processes. Call the Coding TODAY at NAAC (6222) codes, diagnosis/condition codes and modifiers; the filing of NONPROFIT National AcademyPERMIT of Ambulance NO. 533 involved in the review of patient care reports; the selection of procedure 5010 E. Trindle Rd., Suite 203 Mechanicsburg, PA those involved with the ambulance claim process. This includes anyone PRESORTED is designed primarily for front line ambulance billing personnel PRSRT STD The Certified Ambulance Coder (CAC) designation, offered by NAAC, Certified Ambulance Coder? C omprehensive Ambulance Billing Education Strong Commitment to Ethics, Integrity and Compliance Nationally Recognized Ambulance Coding Certification NONPROFIT ORG. WHO should become a Certified Ambulance Coder? WHO Are you a Accelerated Billing Productivity Certified Ambulance Coders pave the road to compliance.

2 CAC certification is also recommended for billing office supervisors and managers, compliance officers, QA coordinators, and upper level management in an ambulance service, billing company or any other type of entity involved in ambulance billing or reimbursement. ambulance claims; and the payment, follow-up and review processes. Call the Coding TODAY at NAAC (6222) codes, diagnosis/condition codes and modifiers; the filing of NONPROFIT National AcademyPERMIT of Ambulance NO. 533 involved in the review of patient care reports; the selection of procedure 5010 E. Trindle Rd., Suite 203 Mechanicsburg, PA those involved with the ambulance claim process. This includes anyone PRESORTED is designed primarily for front line ambulance billing personnel PRSRT STD The Certified Ambulance Coder (CAC) designation, offered by NAAC, Certified Ambulance Coder? C omprehensive Ambulance Billing Education Strong Commitment to Ethics, Integrity and Compliance Nationally Recognized Ambulance Coding Certification NONPROFIT ORG. WHO should become a Certified Ambulance Coder? WHO Are you a Accelerated Billing Productivity Certified Ambulance Coders pave the road to compliance.

3 Other (specify) WHY become a Certified Ambulance Coder (CAC)? Obtain a nationally recognized Ambulance Billing and Coding Certification Decrease your claims rejections Increase your bottom line Achieve accurate, timely and compliant billing Uphold the dignity of the ambulance billing and coding profession Demonstrate your commitment to ethics, integrity and compliance Advance your education and your career Ensure the future health and viability of your organization Avoid common pitfalls in the billing process Improve cash flow Sample Physician Certification Statement for Non-Emergency Ambulance Services Versi SECTION I GENERAL INFORMATION Patient s Name: Date of Birth: Medicare #: Transport Date: (PCS is valid for round trips on this date and for all repetitive trips in the 60-day range as no Origin: Destination: Is the pt s stay covered under Medicare Part A (PPS/DRG?) YES NO Closest appropriate facility? YES NO If no, why is transport to more distant facility required? If hosp-hosp transfer, describe services needed at 2 nd facility not available at 1 st facility: If hospice pt, is this transport related to pt s terminal illness? YES NO Describe: Ambulance Transportation is medically necessary only if other means of transport are contraindicated or would be potentially harmful the patient. To meet this requirement, the patient must be either bed confined or suffer from a condition such that transport by means other than ambulance is contraindicated by the patient s condition The following questions must be answered by the medical professional signing below for this form to be valid: SECTION II MEDICAL NECESSITY QUESTIONNAIRE 1) Describe the MEDICAL CONDITION (physical and/or mental) of this patient AT THE TIME OF AMBULANCE TRANSPORT that require the patient to be transported in an ambulance and why transport by other means is contraindicated by the patient s condition: 2) Is this patient bed confined as defined below? Yes No To be bed confined the patient must satisfy all three of the following conditions: (1) unable to get up from bed without Assistance; AND (2) unable to ambulate; AND (3) unable to sit in a chair or wheelchair 3) Can this patient safely be transported by car or wheelchair van (i.e., seated during transport, without a medical attendant or monitoring?) Yes No 4) In addition to completing questions 1-3 above, please check any of the following conditions that apply*: *Note: supporting documentation for any boxes checked must be maintained in the patient s medical records Contractures Non-healed fractures Patient is confused Patient is comatose Moderate/severe pain on movement Danger to self/other IV meds/fluids required Patient is combative Need or possible need for restraints DVT requires elevation of a lower extremity Medical attendant required Requires oxygen unable to self administer Special handling/isolation/infection control precautions required Unable to tolerate seated position for time needed to transport Hemodynamic monitoring required enroute Unable to sit in a chair or wheelchair due to decubitus ulcers or other wounds Cardiac monitoring required enroute Morbid obesity requires additional personnel/equipment to safely handle patient Orthopedic device (backboard, halo, pins, traction, brace, wedge, etc.) requiring special handling during transport SECTION III SIGNATURE OF PHYSICIAN OR HEALTHCARE PROFESSIONAL I certify that the above information is true and correct based on my evaluation of this patient, and represent that the patient requires transport by ambulance and that other forms of transport are contraindicated. I understand that this information will be used by the Centers for Medicare and Medicaid Services (CMS) to support the determination of medical necessity for ambulance services, and I represent that I have personal knowledge of the patient s condition at the time of transport. If this box is checked, I also certify that the patient is physically or mentally incapable of signing the ambulance service s claim and that the institution with which I am affiliated has furnished care, services or assistance to the patient. My signature below is made on behalf of the patient pursuant to 42 CFR (b)(4). In accordance with 42 CFR , the specific reason(s) that the patient is physically or mentally incapable of signing the claim form is as follows: Signature of Physician* or Healthcare Professional Date Signed Printed Name and Credentials of Physician or Healthcare Professi *Form must be signed only by patient s attending physic transports, if unable to obtain the signature (For scheduled repetitive tra transports perfo Physician Ass N

4 HOW HOW to obtain your certification Online Training The CAC online program is for students that prefer the self-paced course from the comfort of their own home or office. The comprehensive course of study consists of approximately hours of course instruction. CAC Live Enroll in the live version of the CAC course given in various locations throughout the United States each year! In this on-site program, you will obtain your Certified Ambulance Coder designation in a fast-paced, interactive classroom experience. Complete the program in just three days and walk away with your certificate in hand! 1.6 below.) The best way to keep updated about upcoming NAAC events and news is to go to our website at. Here you will find a list of future CAC Live dates and locations, enrollment information for the online CAC program, industry news and continuing education courses and materials. You can also find us on Facebook! HERE HERE are the course topics: Course 1: AMBULANCE BILLING BASICS Introduction to Ambulance Billing Call Intake & Dispatch Beneficiary Signature Rules & Forms Anatomy / Physiology / Terminology Ambulance Documentation _ Course 2: AMBULANCE CODING & CLAIMS SUBMISSION Pre-Billing Verification / Claims Production Levels of Service Modifiers Condition Codes Claims Submission Formats / Issues Course 3: PAYOR SPECIFIC RULES & ISSUES Medicare Medicaid Commercial Insurance / Self Pay / Others Course 4: POST BILLING PROCESS Posting & Remittance Collections Medicare Managed Care Facilities Denials & Appeals Accounts Receivables Management Course 5: PRINCIPLES OF BILLING COMPLIANCE False Claims / Kickbacks Internal Auditing & Claims Review HIPAA Compliance Programs The CAC curriculum was designed by the attorneys and consultants of Page, Wolfberg & Wirth the National EMS Industry Law Firm so you can count on the accuracy and integrity of the program. Curriculum subject to change.

5 WHAT WHAT others are saying about us This course exceeded my expectations. I truly learned a lot more about areas that I thought I was already proficient in. This course is the exact tool that ambulance companies have needed to get the support and training for a very difficult specialty. I found that this was an eye opening experience for me as well as my department. I ve been billing for over 10 years and still learned things I didn t know. It will be nice to have a standard in place to compare to when training new employees and also for continuing education. An excellent addition to ongoing compliance. Thanks for some sanity in the world of ambulance billing. This course touched on every aspect of the ambulance billing office. Our commitment to you as a future CAC is to provide you with all the tools available to improve your knowledge, accuracy and efficiency as an ambulance billing and coding professional and to continue to raise the prestige of your profession within the industry. Certified Ambulance Coders pave the road to compliance! Call the National Academy of Ambulance Coding TODAY at NAAC (6222)

6 CAC certification is also recommended for billing office supervisors and managers, compliance officers, QA coordinators, and upper level management in an ambulance service, billing company or any other type of entity involved in ambulance billing or reimbursement. ambulance claims; and the payment, follow-up and review processes. Call the Coding TODAY at NAAC (6222) codes, diagnosis/condition codes and modifiers; the filing of NONPROFIT National AcademyPERMIT of Ambulance NO. 533 involved in the review of patient care reports; the selection of procedure 5010 E. Trindle Rd., Suite 203 Mechanicsburg, PA those involved with the ambulance claim process. This includes anyone PRESORTED is designed primarily for front line ambulance billing personnel PRSRT STD The Certified Ambulance Coder (CAC) designation, offered by NAAC, Certified Ambulance Coder? C omprehensive Ambulance Billing Education Strong Commitment to Ethics, Integrity and Compliance Nationally Recognized Ambulance Coding Certification NONPROFIT ORG. WHO should become a Certified Ambulance Coder? WHO Are you a Accelerated Billing Productivity Certified Ambulance Coders pave the road to compliance.