Repetitive Scheduled Non-Emergent Ambulance Transports Prior Authorization Guide

This guide provides detailed information on the Repetitive Scheduled Non-Emergent Ambulance Transportation (RSNAT) prior authorization process. It aims to educate the Medicare ambulance community on the requirements and procedures necessary for obtaining prior authorization for medically necessary ambulance transportation. The document outlines the definition of repetitive ambulance service, which includes transportation furnished in three or more round trips during a ten-day period or at least once per week for three weeks. It explains the prior authorization process, emphasizing its role in ensuring coverage and compliance with payment and coding rules. The guide also discusses the necessary documentation, including the Physician Certification Statement and medical records, that must be submitted to support the authorization request. Additionally, it addresses frequently asked questions regarding submission timelines, the implications of not requesting prior authorization, and the handling of multiple medical conditions requiring transport. Overall, this document serves as a comprehensive resource for understanding the RSNAT prior authorization process.