Welcome to the Page, Wolfberg & Wirth, LLC Resource Page for information related to ambulance service compliance issues, such as ambulance restocking, anti-kickback statute compliance and more!  Check this Resource Page often for updates, correspondence, articles and analyses.

OIG Guidance on Waiver of Additional Copayments Arising From Retroactive Ambulance Increases

Download a copy of the OIG's recent guidance regarding the waiver of additional copayments created by the retroactive ambulance rate increases added by the healthcare reform law.

OIG Advisory Opinion 10-10

Download this OIG Advisory Opinion, dealing with the reciprocal waiver of copayments and deductibles by two, neighboring municipal ambulance providers.

OIG Approves Subsidy from Hospital to Ambulance Cooperative for Taking over the Provision of ALS Service - Issued August 18, 2009

In Advisory Opinion 09-13, the Office of the Inspector General (OIG) stated that it would allow parties to engage in an arrangement where a Hospital would pay a local Ambulance Cooperative a subsidy (cash, equipment, and services) to take over the provision of advanced life support (ALS) services that the Hospital was currently providing.

OIG Advisory Opinion 09-03 - Reciprocal Waivers of Copayments by Mutual Aid Providers

This is the first OIG Advisory Opinion to address the waiver of copayments by municipal ambulance providers furnishing backup or "mutual aid" ambulance services to one anothers' residents.

Corporate Responsibility and Health Care Quality: A Resource for Health Care Boards of Directors

Recent Court Case Illustrates Importance of Following Patient Refusal Guidelines

A recent federal court case illustrates the importance of having - and following - patient refusal guidelines. This case - Green v. City of New York - shows what can happen when a competent patient attempts to refuse EMS transport but the crew overrides the patient's wishes and transports the patient anyway. The U.S. Court of Appeals for the Second Circuit ruled in this case that where the patient was competent but unable to speak due to a degenerative neurological condition, the refusal of the EMS crew to follow the patient's wishes could constitute a violation of the Americans With Disabilities Act (ADA).

PWW Article - The Discounting Dilemma

OIG Advisory Opinion 99-2 - Discounting

OIG Advisory Opinion 04-10 - Payment of First Responder Costs

Advisory Opinion 03-11 - Ambulance Subscription Programs

Advisory Opinion 03-09 - Waivers of Copayments

OIG - "Corporate Responsibility and Corporate Compliance: A Resource for Health Care Boards of Directors"

OIG Compliance Program Guidance for Ambulance Suppliers

OIG Ambulance Restocking Safe Harbor Regulation

PWW Article - OIG Ambulance Restocking Regulations

OIG Advisory Opinion 02-03 - Ambulance Restocking

OIG Advisory Opinion 02-02 - Ambulance Restocking

OIG Advisory Opinion 00-9 - Ambulance Restocking

OIG Advisory Opinion 00-11 - Charitable Contribution by Hospital to EMS