CMS clarifies Medicare payment rules for SNF to SNF ambulance transportation


A skilled nursing facility discharging a Medicare Part A resident to another SNF is responsible for ambulance transportation fees, and no separate Part B claim should be made for that service, the Centers for Medicare & Medicaid stated in a recent memorandum.

Ambulance company reaches $8 million settlement to resolve charges over improper skilled nursing facility arrangements


The nation's second-largest ambulance services company has reached a settlement agreement over whistleblower charges of improper business dealings with skilled nursing facilities, Rural/Metro Corporation announced Tuesday.

Former TX administrator convicted of healthcare fraud, anti-kickback violations

A former nursing home administrator was found guilty of receiving illegal payments for referring residents for fraudulent ambulance transport services.

On the road to rationed healthcare

On the road to rationed healthcare

The Obama administration has determined that we will be able to supply healthcare to several million additional people without increasing the cost of doing so, and with no plan in place to increase the supply side of the equation: the healthcare providers. In fact, the administration would have us believe that we can increase the supply of the product with the same resources currently in play and save money at the same time.

Ambulance supplier's payment proposal could violate anti-kickback statute

One ambulance supplier's proposal to receive payments from skilled nursing facilities that use Medicaid transport services could overstep the bounds of an anti-kickback statute, according to an advisory opinion from the Department of Health and Human Services' Office of Inspector General.

Medicaid payment bundling sparks controversy in Ohio


Medicaid payment bundling is emerging as a key topic in national healthcare reform. As part of their research on bundling, federal lawmakers should pay attention to what is happening in Ohio.