tci Medicare Compliance & Reimbursement - 2003 Issue 22

Ambulance: AMBULANCE SUBSCRIPTION PLAN STEERS PAST KICKBACK PERILS

Ambulance companies that charge an annual subscription fee in lieu of collecting Medicare Part B copays can avoid kickback sanctions from the HHS Office of Inspector General - if they know the ropes. That's clear from the OIG's latest advisory opinion (No. 03-11), which takes the measure of a subscription plan a non-profit ambulance services provider has been using since the early 1960s. The potential kickback risk in such arrangements, the OIG says, is that if the subscription fees are too low, the arrangement could amount to a routine waiver of Medicare Part B cost sharing amounts - a...

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