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NV Ambulance Physician Certification For Transport - Elko County 2015
Get NV Ambulance Physician Certification For Transport - Elko County 2015
Ps on this date and for all repetitive trips in the 60-day range as noted below.) 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 2nd facility not available at 1st facility: If hospice pt, is this transport related to pt s terminal illness? YES NO Describe:.
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2019 NV Ambulance Physician Certification For Transport - Elko County
2015 NV Ambulance Physician Certification For Transport - Elko County
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