Category: OIG Compliance Program Guidance for Ambulance Suppliers
Appendix A-Additional Risk Areas
1. ‘‘No Transport’’ Calls and Pronouncement of Death If an ambulance supplier responds to an emergency call, but a patient is not transported due to...
VI. Conclusion
This ambulance compliance program guidance is intended as a resource for ambulance suppliers to decrease the incidence of fraud and abuse as well as errors...
V. Kickbacks and Inducements
A. What Is the Anti-Kickback Statute? The anti-kickback statute prohibits the purposeful payment of anything of value (i.e., remuneration) in order to induce or reward...
IV. Medicaid Ambulance Coverage
The Medicaid program, a joint federal and state health insurance program, provides funds for health care providers and suppliers that perform or deliver medically necessary...
III. Specific Fraud and Abuse Risks Associated With Medicare Ambulance Coverage and Reimbursement Requirements
Ambulance suppliers should review and understand applicable ambulance coverage requirements. Ambulance suppliers that are not complying with applicable requirements should take appropriate, prompt corrective action...
II. Elements of a Compliance Program for Ambulance Suppliers
A. Basic Elements of a Compliance Program The following basic components have become accepted as the building blocks of an effective compliance program: 1. Development...
I. Introduction
Compliance Program Guidance for Ambulance Suppliers The OIG recognizes that the ambulance industry is comprised of entities of enormous variation: some ambulance companies are large,...