New OIG Advisory Opinion Allows No Bills for Municipal Residents, But Bills for Non-Residents
On July 9, 2013 the OIG posted Advisory Opinion 13-08, concerning a Fire Protection District ("District") policy of only billing individuals that reside outside the fire protection district for emergency medical services. Here, the District does not bill any residents or their insurers (including federal health care programs) for emergency medical services. But it does bill all...
OIG Issues Updated Special Advisory Bulletin on Excluded Individuals
OIG Report on Claims with G Modifiers
CMS Publishes New Fraud and Abuse Measures
Significant Impact on Ambulance Services
Important New OIG Advisory Opinion Issued
OIG Reaffirms Position on Discounting Ambulance Rates to SNFs
Court Case Illustrates Importance of Following Patient Refusal Guidelines
A federal appeals court ruled that an EMS agency whose personnel allegedly failed to follow the wishes of a competent patient could be liable under the Americans With Disabilities Act (ADA) as well as under state tort law for transporting the patient against his will.
In Green v. City of New York (read the entire court case by ...
PWW Article - The Discounting Dilemma
OIG Ambulance Restocking Safe Harbor Regulation
Ambulance Restocking - Final Safe Harbor Regulation
[Federal Register: December 4, 2001 (Volume 66, Number 233)]
[Rules and Regulations]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
PWW Article - OIG Ambulance Restocking Regulations
The final "safe harbor" regulation on ambulance restocking was published by the OIG in the Federal Register on December 4, 2001. The regulations, which become effective on January 3, 2002, establish "safe harbors" under the Federal Anti-Kickback Statute to permit, under certain conditions, the replenishing of drugs, linens and supplies by hospitals to ambulance services. There are some significant changes from the proposed regulations published last year.
In brief, the safe harbor...