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US · guidance

CMS Pub. 100-04, ch. 15, § 20.5

Documentation Requirements

activein force · 2026-08-25 – presentas-observed

In all cases, the appropriate documentation must be kept on file and, upon request, presented to

the contractor. It is important to note that the presence (or absence) of a physician’s order for a

transport by ambulance does not necessarily prove (or disprove) whether the transport was

medically necessary. The ambulance service must meet all program coverage criteria in order

for payment to be made.

IOM Pub 100-01, Medicare General Information, Eligibility, and Entitlement Manual, chapter 4

- Physician Certifications and Recertification of Services, contains specific information on

supplier requirements for ambulance certification.

IOM Pub. 100-08, Medicare Program Integrity Manual, chapter 6 - Medicare Contractor Medical

Review Guidelines for Specific Services contains information on medical review instructions of

ambulance services.

History

(Rev. 1696; Issued: 03-06-09; Effective/Implementation Date: 04-06-09)

Provenance

Source
cms.gov
Retrieved
2026-08-25
Edition
iom-2026-08-25
Content hash
a4b4e588abf6aa19da9b80e17aaae86cc3f7b7804190d7fb534292dfbdfed37c
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