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What is the alternative transportation of the patient???
If there is a reasonable alternative that is cheaper then of course this should be taken. If not then it is fatal to deny the patient dialysis. There do occur ridiculous seeming situations that come down to no alternative. If the patient has no resources other than medicare and medicare don't pay for a taxi then who is at fault???
Interesting the dilemmas....
Further questions/comments/discussion are welcome. Best regards,
Anthony Bray MD
There is another ambulance service that use to transport her in a wheelchair(the same way she moves around in the nursing home) also this patient rides in cars....Medicare says if the patient can safely be transported by other means other than that of an ambulance than those means should be utilized. So when this ambulance company takes her by ambulance they are commiting medicare fraud. My question is can the nursing home be held accountable for letting this occur?