Name of the Procedure:

Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest (HCPCS Code A0090)

Summary

This service involves non-emergency transportation for patients, billed per mile, using a vehicle owned and operated by an individual with a vested interest in the patient's wellbeing, such as a family member, the patient themselves, or a neighbor.

Purpose

To provide safe and reliable transportation for patients who need to get to medical appointments but do not require emergency medical services. The main goal is to ensure patients can attend medical appointments or treatments consistently without facing transportation barriers.

Indications

• Patients with chronic disabilities.
• Patients requiring regular medical treatments (e.g., dialysis, chemotherapy).
• Individuals without access to public transportation or who cannot drive themselves.
• Patients recovering from surgery or other medical procedures who are not fit to drive.

Preparation

• No specific pre-transportation preparation is needed.
• Patients should ensure they have all necessary medical documents and personal items for their medical appointment.
• Confirm transportation arrangements ahead of time.

Procedure Description

1. The designated driver (family member, self, or neighbor) ensures the vehicle is in good working condition.
2. The driver arrives at the patient's location at the scheduled time.
3. The patient is assisted into the vehicle, if necessary.
4. They are driven to their medical appointment.
5. After the appointment, the process is repeated to return the patient home.

Duration

The duration varies based on the distance between the patient's home and the medical facility. Billing is per mile.

Setting

The procedure is conducted in a private vehicle.

Personnel

• The driver, who could be a family member, the patient themselves, or a neighbor with a vested interest in the patient's wellbeing.

Risks and Complications

• Risks associated with road travel, such as accidents.
• Vehicle-related issues (breakdowns, delays).
• Possible discomfort for the patient if the journey is long or the vehicle is not comfortable.

Benefits

• Ensures that the patient can attend necessary medical appointments.
• Provides a cost-effective and personalized transportation solution.
• Reduces stress and logistical challenges for the patient.

Recovery

• No recovery period is necessary since this is a transportation service.
• Post-appointment care depends on the patient’s medical procedure and should be followed as directed by the healthcare provider.

Alternatives

• Public transportation (buses, trains).
• Professional medical transport services (may be more costly).
• Ride-sharing services (might lack the personalized care).
• Volunteer driver programs provided by community services.

Patient Experience

• Most patients will find the experience personal and comforting as they are transported by someone they know and trust.
• The comfort level can vary depending on the vehicle used.
• Pain management or additional comfort measures should be taken if the patient experiences discomfort during transit.