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OIG Proposes Safe Harbor for Cost-Sharing Waivers for Emergency Ambulance Services

On October 3, 2014 the Office of the Inspector General is set to publish a Proposed Rule that would establish a new safe harbor under the Anti-Kickback Statute (AKS) that would permit waivers of cost-sharing amounts for emergency ambulance services furnished by State or municipally-owned ambulance providers and suppliers.  But, there are conditions that must be met in...


Proposed Rule to Increase Fraud and Abuse Penalties

On May 12, 2014, the Department of Health and Human Services (HHS) issued a Proposed Rule that would significantly enhance the Office of the Inspector General’s (OIG) authority to impose civil money penalties (CMPs).  The OIG has the ability to impose CMPs on providers who participate in Federal health care programs for various activities related to health care fraud, patient abuse, and...


8 Big Findings From the OIG’s Utilization Report

September 25, 2013, the Department of Health and Human Services Office of Inspector General (OIG) released a Report, Utilization of Medicare Ambulance Transports, 2002-2011, that takes a critical look at the growth of Part B Medicare ambulance transports since 2002.  The Report finds that since...