tci Medicare Compliance & Reimbursement - 2003 Issue 18

Ambulance Services: QUICK TEST FOR MEASURING UP AMBULANCE COPAY KICKBACK RISKS

Municipally-owned ambulance services can put in place "insurance only" billing arrangements, usually a major compliance red flag, without running afoul of the anti-kickback statute - but only if they structure their programs properly. That's the message in the HHS Office of Inspector General's latest advisory opinion (No. 03-09), the most recent in a body of opinions that mark the terrain for waivers of ambulance copayments and deductibles. Released April 25, the opinion takes the measure of a fire district's proposal to treat local tax revenues as payment of otherwise applicable copays for residents of the area it serves. Since...

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