Get Air Methods Corporation And Its Subsidiaries Pcs - Nhrmc - Nhrmc

This guide provides you with detailed instructions on how to complete the Air Methods Corporation And Its Subsidiaries PCS - NHRMC - Nhrmc form online. It is designed to assist users of varying experience levels in accurately filling out the form.

Follow the steps to successfully complete the form.

1. Click 'Get Form' button to obtain the form and open it in the designated space for editing.
2. Enter the trip number in the designated field at the top of the form to track the transport specifics.
3. Fill in the date of service to indicate when the air transport was provided.
4. Input the patient's name clearly to ensure accurate identification throughout the process.
5. Provide the diagnosis of the patient to facilitate medical assessment and transport justification.
6. Describe the presenting time-critical condition or required intervention, detailing the urgency and context of the patient's situation.
7. Note the length of ground transport time as well as the air transport time to illustrate the necessity for air transport.
8. Complete the section for interfacility transports by providing the attending physician's name, referring hospital name, and receiving physician’s name.
9. Select 'Yes' or 'Not Verified' regarding whether the sending physician has certified the need for air transport under EMTALA.
10. Indicate the reasons for the method of transport by marking applicable boxes in the provided sections based on the patient's condition and transport needs.
11. Fill in the specific care required that was unavailable at the referring facility, ensuring to detail any specialized care needed.
12. Complete the signature section, ensuring the form is signed and dated by the authorized personnel such as a physician, RN, or other designated staff member.
13. Review all entries for accuracy and completeness.
14. Once satisfied, you can save changes, download, print, or share the completed form as needed.

Complete the Air Methods Corporation And Its Subsidiaries PCS - NHRMC - Nhrmc form online today.