element -> <ePayment.02>
ePayment.02
Physician Certification Statement
No
No
Indication of whether a physician certification statement (PCS) is available documenting the medical necessity or the EMS encounter.
E07_02
Optional
Data Element Name changed from Certificate of Medical Necessity to Physician Certification Statement. The PCS statement and documentation of medical necessity is a requirement of the Centers for Medicare & Medicaid Services. The circumstances are defined in 42 CFR 410.40 (d)(2) and (d)(3). http://www.cms.gov/
<br/><br/>A PCS is required for the following non-emergency transport:
<br/>1) Non-Emergency Repetitive Scheduled
<br/>2) Non Emergency Non-Repetitive-Scheduled
<br/>3) Non Emergency Services - Non Scheduled - Under direct care of a physician
Namespace: |
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Type: |
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Content: |
simple |
Defined: |
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Content Model Diagram
| XML Representation Summary |
| <ePayment.02> |
| |
Content: |
{ enumeration of xs:string } |
| </ePayment.02> |
Simple Content Detail:
Enumeration: |
| "9922001" |
- |
No |
| "9922003" |
- |
Unknown |
| "9922005" |
- |
Yes |
|
Included in content model of elements (1):
-
XML Source (w/o annotations (1); see within schema source)
