Ambulance Signatures

This webinar occurred 4/29/26. Ambulance providers need a variety of signatures before submitting claims. We have Medical Review findings related to the signatures. This education covers the various signatures and CMS requirements. We will provide signature information covering: • The Emergency Medical Technician • The patient • The receiving or departing facility Resources Medicare Program Integrity Manual, Chapter 3 - Verifying Potential Errors and Taking Corrective Action ,Section 3.3.2.4 - Signature Requirements https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/Downloads/pim83c03.pdf#page=41 CMS Complying with Medicare Signature Requirements fact sheet https://www.cms.gov/files/document/mln905364-complying-medicare-signature-requirements.pdf CMS Guidance on Beneficiary Signature Requirements for Ambulance Claims Calendar Year (CY) 2009 Update https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AmbulanceFeeSchedule/Downloads/Guidance_on_Beneficiary_Signature_Requirements_for_Ambulance_Claims.pdf 42 CFR 410.40 https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-B/part-410/subpart-B/section-410.40 WPS Physician Certification Statement (PCS) for Ambulance Form https://www.wpsgha.com/forms/view/1000 Chapters 00:00 Intro 02:40 EMT Signatures 16:13 Patient Signatures 33:10 Facility Signatures 35:05 PCS Signatures 40:35 Examples 49:29 Q&A 59:27 Closing Comments