The Physician Certification Statement section, usually called the PCS, is for non-emergency scheduled transports. Medicare and many other payers will only pay for a non-emergency ambulance transport if a doctor has signed off saying that the patient needs it.

What to enter

  • The certifying physician's name.
  • Their NPI.
  • The date the PCS was signed.
  • The reason the PCS supports.

An example

You do a regular weekly dialysis transport for a patient. Their doctor has signed a PCS that is good for 60 days. In the PCS section you enter the doctor's name and NPI, the date the PCS was signed, and the reason ("End-stage renal disease, requires dialysis 3x weekly, bed-confined"). For the next 60 days, you can copy the PCS info onto each weekly PCR — or your billing team can pull it from the patient's file.