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Neat Order PCS Template Draft - CMS

Draft . Use of this Template is voluntary / optional Non-Emergency Ambulance Transportation (NEAT). Order / Physician Certification Statement (PCS). Template guidance Purpose This Template is designed to assist the physician, Non-Physician Practitioner (NPP) 1, Licensed Social Worker (LSW), case manager, or discharge planner in completing a Non-Emergency Ambulance Transportation Order /Physician Certification Statement (PCS) Template to certify the need for repetitive, scheduled Non-Emergency Ambulance Transport (NEAT) Service under Medicare Part B for a Medicare beneficiary in need of such services.

Jul 20, 2018 · Template Guidance . Purpose . This template is designed to assist the physician, Non-Physician Practitioner (NPP) 1, Licensed Social Worker (LSW), case manager, or discharge planner in completing a Non-Emergency Ambulance Transportation Order/Physician Certification Statement (PCS) Template to certify the need for

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