ADVANCED LIFE SUPPORT, LEVEL 1 (ALS1). Ambulance service, advanced life support, non-emergent and emergent transport, ALS1, means medically necessary transportation by ground ambulance vehicle and includes:
(1) All supplies and services;
(2) State license provision of an ALS ambulance service above the BLS level state license;
(3) Patient's medical condition requires the EMT-I or EMT-P to complete an ALS assessment; and
(4) Unsuccessful ALS procedures can qualify for ALS billing. ALS1 emergency response category uses the provision of ALS1 services as provided above, in the context of an emergency response.
ADVANCED LIFE SUPPORT, LEVEL 2 (ALS2). Includes: ground transportation, medically necessary supplies, and services with one of the two following items:
(1) Three or more different medication administrations by intravenous push/bolus or by continuous infusion.
(a) Excludes crystalloid, hypotonic, isotonic, and hypertonic solutions.
(b) Excludes the same medication with three or more administrations.
(2) At least one of the following ALS procedures:
(a) Manual defibrillation/cardioversion, endotracheal intubation (or monitoring and maintenance of an endotracheal tube previously inserted);
(b) Central venous line;
(c) Cardiac pacing;
(d) Chest decompression;
(e) Surgical airway; and/or
(f) Intraosseous line.
ADVANCED LIFE SUPPORT TREATMENT, NO TRANSPORT. Providing advanced life support treatment at the scene of a 911 call at the ALS level of care and no transport to a hospital is required.
BALANCE BILLING. Billing the patient for the difference between the provider's charge and the allowed amount. For example, if PCEMS' charge is $100 and the allowed amount by insurance provider is $70, PCEMS may bill you for the remaining $30.
BASIC LIFE SUPPORT (BLS). Providing transportation by ground ambulance vehicle and the provision of medically necessary supplies and services, including BLS ambulance services as defined by the State of Indiana. BASIC LIFE SUPPORT means the following:
(1) Assessment of emergency patients;
(2) Administration of oxygen;
(3) Use of mechanical breathing devices;
(4) Application of anti-shock trousers;
(5) Performance of cardio-pulmonary resuscitation;
(6) Application of dressings and bandage materials;
(7) Application of splinting and immobilization devices;
(8) Use of lifting and moving devices to ensure safe transport;
(9) Use of an automatic or semiautomatic defibrillator if the defibrillator is used in accordance with training procedures established by the Commission; and/or
(10) Administration by an emergency medical technician or emergency medical technician basic advanced of epinephrine through an auto-injector.
BASIC LIFE SUPPORT TREATMENT, NO TRANSPORT. Providing basic life support treatment at the scene of a 911 call at the BLS level of care and no transport to a hospital is required.
EMERGENCY MEDICAL SERVICES (EMS). The provision of emergency ambulance services or other services, including extrication and rescue services, utilized in serving an individual's need for immediate medical care in order to prevent loss of life or aggravation of physiological or psychological illness or injury.
EMERGENCY MEDICAL TECHNICIAN (EMT). An individual who is certified under Title 836 Indiana Emergency Medical Services Commission Article 1.
EMERGENCY RESPONSE. A BLS or ALS level of service that has been provided in immediate response to a 911 call. An immediate response is one in which the ambulance provider/supplier begins as quickly as possible to take necessary steps to respond to the call.
LOADED MILES. The number of miles for which the patient is transported in the ambulance vehicle.
PARAMEDIC. An individual who:
(1) Is:
(a) Affiliated with a certified paramedic provider organization;
(b) Employed by a sponsoring hospital approved by the Commission; or
(c) Employed by a supervising hospital with a contract for in-service education with a sponsoring hospital approved by the Commission;
(2) Has completed a prescribed course in advanced life support;
(3) Has been certified by the Commission; and
(4) An individual having special, well-defined skills and knowledge in emergency medicine, who has training to provide pre-hospital emergency medical treatment at an advanced level.
PATIENT. A person who receives an EMS response or a person who receives emergency medical services from Putnam County EMS.
STAND-BY SERVICE FEE (PER HOUR). A charge for an ambulance and crew to an organization or individual for a mandated or requested scheduled stand-by event (such as Monon-Bell game, local sporting events, other unspecified special events, etc.)
THIRD-PARTY PAYER. Insurance carrier or other coverage provider, having the responsibility to pay for medical services rendered to a patient as a result of that patient's accident, injury, or illness.
(Ord. 2020-6-1-3, passed 6-1-2020; Ord. passed 3-4-2024; Ord. passed 5-6-2024)