A
Definition
A status describing a passenger who is able to walk and enter/exit a vehicle with little to no assistance. They do not require a wheelchair lift or stretcher.
Overview
Why it Matters
Ambulatory trips are the lowest cost to operate and are reimbursed at the lowest rate. Assigning a wheelchair van to an ambulatory trip is an inefficient use of expensive assets.
How it Works
During the intake process, the member's mobility status is marked as "Ambulatory." The software assigns this trip to a sedan, SUV, or minivan without a ramp.
Code Comparison
Comparison: Ambulatory vs. Wheelchair
Ambulatory patients sit in the vehicle's manufacturing seats. Wheelchair patients remain seated in their own mobility device, which is secured to the vehicle floor.
Common Questions
- Hidden Needs: A patient is marked "Ambulatory" but actually uses a foldable walker and cannot lift their legs into a high SUV.
- Fraud: Coaching patients to claim they need a wheelchair (to get a bigger van) when they are actually ambulatory.
- Ask specific questions at intake: "Can you step up 12 inches?" or "Do you have a walker/cane?"
- Use lower-cost vehicles (sedans/hybrids) strictly for this tier to maintain profit margins.
Sources
Medical Dictionary - Ambulatory Definition