decisionhealth Newsletters, Answer Books - 2009 Issue 3 (March)
Anti-Kickback Advisory Opinion Summaries / 2003 OIG Advisory Opinions / Opinion 03-09 - Waiver of Copays for EMS Approved
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Article Overview
This article reviews a 2003 OIG advisory opinion concerning an emergency medical service billing arrangement involving waiver of patient cost-sharing in a government-operated setting. It discusses the type of EMS provider involved, the Medicare manual references cited by OIG, and the limitations noted for arrangements with non-governmental suppliers. The summary is relevant to compliance, ambulance billing, and anti-kickback analysis.
Why This Topic Matters
It helps readers understand how OIG viewed a government EMS cost-sharing waiver arrangement and why the approval was limited to a specific provider structure. The article is useful for compliance staff, ambulance billing professionals, and anyone evaluating public-sector EMS payment arrangements.
What You Will Learn
- The general subject of an OIG advisory opinion involving EMS cost-sharing waivers
- How Medicare manual references were used in the opinion
- Why the approval was limited to government-operated EMS services
- What compliance concerns arise when outside EMS suppliers are involved
Who Should Read This
- Compliance professionals
- Medical coders
- Ambulance billing staff
- EMS administrators
- Healthcare attorneys
- Revenue cycle professionals
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