a fingernail has a hardness of 2; a copper penny, about 3; a knife blade, 5; window glass, 5.5; and a steel file, 6.5. Here are the Mohs scale ratings for 144 types of gemstones:
Background: In the last Ambulance Open Door Forum (April 15, 2009), CMS received questions about how to correctly inform beneficiaries of potential liability for ambulance services that Medicare may not cover.he Medicare law defines the ambulance service benefit as an â ambulance service where the use of other methods of transportation is contraindicated by the individual's condition .â That is, the patientâs medical condition is such that transportation by ambulance is a clinical medical necessity.
[â¦] An Advanced Beneficiary Notice is a Medicare Waiver of Liability that providers are required to give a Medicare patient for services provided that may not be covered or considered medically necessary. ABNs do not apply to services that are specifically excluded from Medicare coverage, such as an annual.