MEMS
Miller Emergency Medical Services
Setting new standards in EMS care
Helping Us Help You
You need a signature AND a printed name? A social security number? Really? All we
asked for was ambulance transport, can't you see I have an overload of patients
here? And now you ask for all this stuff? No one else asks for this stuff, why do you
need it?

Sound familiar?

At Miller EMS we understand how busy you are. We stay mindful of this fact anytime we
make a request of you or your facility. We would never make a request for something
that wasn't absolutely necessary and pertinent to the health and well being of the
patient.

Caring for the patient goes far beyond the doors of the hospital, nursing facility, or
ambulance. We have a commitment to ensure the patient receives
complete care. Many
times it is overlooked just how in depth and how far this commitment goes. This starts
when they enter the hospital and continues to the time that payment is due. As
one of
Oklahoma's most advanced, most professional and most aggressive ambulance services
we understand this commitment.

Why so critical about the PCS (transfer) form and patient info?

Insurance companies will not pay on an inter-facility ambulance claim without a properly
completed PCS or transfer form with all signatures in place. They also require very
specific reasons on the PCS form that transfer is required, that ambulance transport is
actually needed and what risk the patient is at if not transported by ambulance. These
reasons must prove that the patient is being transferred for essential services not
available at the current facility, that transferring the patient by POV, taxi, bus or other non-
medical means could harm the patient and specifically what risk presents itself if the
patient doesn't go by ambulance.

Examples of non-accepted reasons:
  • Reason for transfer is Higher level of care. This reason in itself is not specific
    enough.
  • Potential risk of Death. Doesn't list a specific condition that would cause death.
  • Reason for ambulance is can't walk. The inability to walk doesn't prevent riding in a
    car.

Examples of accepted reasons:
  • Reason for transfer, Trauma/surgical services. Very specific about what services
    the patient is being transferred for.
  • Potential risk is airway collapse. This reason is very specific and would obviously
    warrant medical professional intervention.
  • Reason for ambulance is patient receiving IV therapy. Very specific and does
    warrant continuous medical professional intervention or monitor.


Signatures and printed names on PCS form
These are required by the insurance companies. Without both signature and printed
name many times the claim is denied. The insurance company uses these signatures to
ensure the form is genuine.

Patient information
The care you're providing to a patient doesn't change during transport with Miller EMS.
Therefore, neither does the level of information needed to appropriately and thoroughly
treat the patient. The information your facility gathers from the patient for treatment and
information purposes is also required for complete continuity of care during ambulance
transport. We need the following information, all of which can usually be easily provided to
our crew via a complete patient information sheet (face sheet).

  • Patient full legal name
  • Current address and Phone Numbers
  • Patient's FULL social security number
  • Any and all insurance information you may have including policy numbers, group
    numbers, insurance company name, claims addresses, and phone numbers
  • Responsible party name and contact info (minors and patients with POA's)

When this information is left out or withheld from the EMS crew it causes a chain
reaction that can be potentially devastating to all involved, including the hospital or
nursing facility. Omission of any of the above info will interrupt or halt the claims
process. This slows revenue generation to the ambulance service and hinders our ability
to support an infrastructure that facilitates getting you an ambulance every time you
need one. When a claim lacks information or appropriate documentation the patient may
become 100% responsible for the entire claim. This now
puts all health care providers
involved in that patient's care in competition for who is going to get paid
. The hospital
may have obtained all of the patients information and billed everything to insurance but
there is usually still that small portion the patient is responsible for, and in itself,
capable of paying. But, give them 100% responsibility for another medical bill and the
patient now has to choose who to pay and who to write off. This causes undue stress
on the patient's pocket book. And yes, if we are true patient advocates, we will be
concerned about the patient's pocket book and their living conditions after their time
with us.

This is how providing a complete PCS and full patient information to the EMS crew will
Help Us to Help You. It ensures an ambulance every time you need one, ensures all
involved are taken care of and protects the health and well-being of the patient far
beyond the doors of our facilities and ambulances. Who knows, it may be why the
patient chooses our services next time.
A must read for hospitals, nursing facilities and residential institutions
Ambulance dispatch:
1-877-395-0911

Wakita Emergency:
911 or 594-2280

Lamont Emergency: 911