decisionhealth Newsletters, Answer Books - 2009 Issue 3 (March)
Anti-Kickback Advisory Opinion Summaries / 2007 OIG Advisory Opinions / Opinion 07-14 - Ambulance Service Exclusive Contracts Permitted
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Article Overview
This article summarizes a 2007 Office of Inspector General advisory opinion involving a county-operated emergency medical services system and proposed exclusive contracts for ambulance/EMS providers. It is relevant to healthcare compliance, emergency medical services, and organizations evaluating how the OIG views public-entity service arrangements under the anti-kickback framework. The article gives a high-level overview of the arrangement, the compliance issue reviewed, and the OIG’s general assessment of the proposed structure.
Why This Topic Matters
Healthcare compliance professionals, EMS administrators, and legal counsel may use this summary to understand the type of arrangement reviewed by the OIG and why public-entity contracting structures can raise federal fraud-and-abuse questions.
What You Will Learn
- The general structure of the county EMS arrangement reviewed by the OIG
- Why the proposed exclusive contract arrangement raised anti-kickback concerns
- The broad compliance considerations discussed in the advisory opinion summary
- How public-entity involvement affects the relevance of the opinion
Who Should Read This
- Healthcare compliance professionals
- Health system administrators
- EMS providers
- Healthcare attorneys
- Billing and reimbursement staff
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