Podcast
Questions and Answers
What is the primary reason for obtaining a patient signature for ambulance transports?
What is the primary reason for obtaining a patient signature for ambulance transports?
- To comply with HIPAA regulations
- To comply with Medicare billing requirements (42 CFR § 424.36) (correct)
- To ensure patient consent for treatment
- To document patient refusal of medical treatment
Who is considered a Patient Representative or Guardian?
Who is considered a Patient Representative or Guardian?
- Only the beneficiary's legal guardian
- A relative or other person who receives social security or other governmental benefits on the beneficiary's behalf
- Any healthcare provider involved in the patient's care
- All of the above, plus any other person who arranges for the beneficiary's treatment (correct)
What is the purpose of obtaining a signature from a Hospital/Receiving Agent?
What is the purpose of obtaining a signature from a Hospital/Receiving Agent?
- To obtain payment for services directly from the hospital
- To authorize a provider or supplier to submit a claim to Medicare for specified services (correct)
- To confirm hospital admission and patient handoff
- To authorize the hospital to release patient information to the fire department
What is the frequency of re-evaluation for this Standard Operating Guideline?
What is the frequency of re-evaluation for this Standard Operating Guideline?
What is the term for the electronic document used to record patient care?
What is the term for the electronic document used to record patient care?
Who is responsible for approving Standard Operating Guidelines?
Who is responsible for approving Standard Operating Guidelines?
What is the purpose of assigning insurance benefits to the Village of Hoffman Estates?
What is the purpose of assigning insurance benefits to the Village of Hoffman Estates?
What is the effective date for this Standard Operating Guideline?
What is the effective date for this Standard Operating Guideline?
What must be selected as the reason when a Patient or Patient Representative signs the claim?
What must be selected as the reason when a Patient or Patient Representative signs the claim?
In which situation would the ambulance crew be authorized to sign on the patient's behalf?
In which situation would the ambulance crew be authorized to sign on the patient's behalf?
What happens if a patient is deceased regarding the signature requirement?
What happens if a patient is deceased regarding the signature requirement?
Who is typically responsible for signing on behalf of a patient if no Patient Representative or Guardian is present?
Who is typically responsible for signing on behalf of a patient if no Patient Representative or Guardian is present?
Which of the following is NOT a reason for selecting a signature when obtaining a claim?
Which of the following is NOT a reason for selecting a signature when obtaining a claim?
What must be documented when a person signs on behalf of a Patient?
What must be documented when a person signs on behalf of a Patient?
Study Notes
Patient Signature Requirement for Ambulance Transports
Purpose
- Compliance with Medicare 42 CFR § 424.36 - Signature requirements for ambulance billing
Definitions
- CFR – Code of Federal Regulations
- ePCR – Electronic Patient Care Report
- Patient Representative or Guardian – includes: • Legal guardian • Relative or other person who receives social security or other governmental benefits on the beneficiary's behalf • Relative or other person who arranges for the beneficiary's treatment or exercises other responsibility for his or her affairs • Representative of an agency or institution that did not furnish the services for which payment is claimed but furnished other care, services, or assistance to the beneficiary
Policy
- Hoffman Estates Fire Department (HEFD) personnel must obtain a beneficiary (patient) signature from all patients transported to a medical facility
- Patient signature is required for insurance benefits to be assigned to the Village of Hoffman Estates
Procedure
- Obtain a signature from the Patient (beneficiary), Patient Representative, or Hospital/Receiving Agent to authorize a claim to Medicare
- Department members can obtain a signature within the “Signature” section provided in ImageTrend on the ePCR
- All attempts should be made to have the patient sign their own claim
- Patient is required to sign unless they are deceased, physically or mentally incapable of signing
- If patient is physically or mentally unable to sign, a signature must be obtained by an “Patient Representative or Guardian”
- If no Patient Representative or Guardian is present, then the Hospital/Receiving Agent may sign on the Patient’s behalf
- Ambulance crew is authorized to sign on the Patient’s behalf only if none of the aforementioned individuals were available or willing to sign the claim
- A reason must be selected when gathering a signature for a claim
- When the Patient or Patient Representative signs the claim, “Release for Billing” must be selected in the “Signature Reason” dropdown box
- If the Hospital/Receiving Agent or EMS Crew Member signs the claim, “Billing/HIPAA Acknowledgement” must be selected in the “Signature Reason” dropdown box
- All persons signing shall have their first and last names documented along with the time stamp of their endorsement
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Description
Test your knowledge on the standard operating guidelines for patient signature requirements during ambulance transports, based on the Hoffman Estates Fire Department's SOPs.
