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Definition
Non-emergency transport for a patient who cannot sit upright in a wheelchair and must remain in a prone or supine position. This requires a specific vehicle configuration and usually two attendants.
Overview
Why it Matters
This is the highest level of NEMT service (bordering on ambulance). It pays significantly more but carries high liability and strict equipment requirements.
How it Works
The patient is transferred from a hospital bed to a gurney/stretcher, secured, loaded into the van, and monitored during transport.
Code Comparison
Comparison: Stretcher vs. BLS Ambulance
Stretcher (NEMT): "Comfort care" only. No medical intervention (IVs, oxygen monitoring) is performed.
BLS Ambulance: Emergency medical technicians (EMTs) are present to provide medical care if the patient crashes.
Common Questions
- Medical Necessity: Transporting a patient on a stretcher just for comfort when they could sit in a wheelchair. Medicare/Medicaid will deny this as "Not Medically Necessary."
- Staffing: Sending only one driver. Most regulations require two people (Driver + Attendant) to safely load a stretcher.
- Always obtain a "Physician Certification Statement" (PCS) specifically justifying the need for a stretcher before the trip.
- Ensure gurneys are serviced/inspected annually to prevent collapse.
Sources
Medicare Benefit Policy Manual - Ambulance Services