Ohio Hospital Association

Compliance Update

May 21, 2002                                                                         www.ohanet.org

In this Issue:

1.  CMS Proposes Changes to EMTALA and Provider-Based Rules
2.  OIG Approves DME Consignment Closet Arrangement
3.  Physician Group Restructuring Will Not Lead to Sanctions
4.  Washington to Take a Closer Look at Group Purchasing Organizations
5.  Michigan Emergency Physicians Settle False Claims Case for $1.6M
6.  Tales of Fraud and Malfeasance at HHS

OHA Meetings, Seminars & Announcements
Compliance on the Internet

Compliance Quote of Note

1. CMS Proposes Changes to EMTALA and Provider-Based Rules

The Centers for Medicare & Medicaid Services May 9 issued its proposed inpatient prospective payment system (PPS) hospital rules for fiscal year 2003. The rules include proposed improvements and simplifications to the Emergency Medical Treatment and Labor Act (EMTALA) and the provider-based designation regulations.  OHA Bulletin 02-006 summarizes the major provisions.

Proposed EMTALA Changes

Highlights of the proposed EMTALA changes include:

ü       The proposed rules clarify that EMTALA does not apply to hospital inpatients or off-campus provider-based facilities, unless they are dedicated emergency departments. 

ü       The proposal introduces the concept of a “dedicated emergency department,” defined as a specially equipped and staffed area of the hospital that is used a significant portion of the time for initial evaluation and treatment of outpatients for emergency medical conditions.  In the new rule, CMS assumes a patient who presents to a location that is not a dedicated emergency department is not seeking emergency services unless the patient requests them. 

ü       In addition, the proposed rules recognize that hospital-owned ambulances may operate under an emergency medical services system (EMS) in transporting patients pursuant to EMS protocols, instead of only transporting patients to the owner-hospital emergency department. 

ü       Hospital property is still defined to include property within 250 yards of the main buildings, but it specifically excludes non-hospital property such as physician offices, rural health centers, skilled nursing facilities and restaurants and shops.

ü       The rules incorporate earlier guidance from the OIG that a hospital may not seek, or direct a patient to seek, prior authorization form an insurer until a screening and any necessary stabilizing treatment is initiated.

ü       A hospital must contact the Medicare+Choice plan to obtain pre-authorization for any post-stabilization care for enrolled beneficiaries.

Proposed Provider-Based Changes

Among other changes, the proposed rule included provisions regarding provider-based determinations, including:

ü       Facilities treated as provider-based will be grandfathered until the start of the hospital’s first cost reporting period beginning on or after July 1, 2003 (instead of the previous effective date of October 1, 2002).

ü       Instead of submitting a provider-based determination application, providers may seek advance determination by submitting an attestation that the facility meetings the applicable criteria to be considered provider-based.  If the facility is located on the hospital’s main campus, the hospital must maintain documentation of meeting the criteria and make it available to CMS upon request.  If the facility is not on the main campus, it must submit the documentation to CMS when it submits its attestation.

ü       CMS proposes to simplify the requirements applicable to facilities located on the main campus of the hospital.

ü       A facility that is not located on the campus of the main provider cannot be considered provider-based if the facility is owned by two or more providers through a joint venture.

ü       In addition to the previously identified facilities, independent diagnostic testing facilities that furnish only services paid under a fee schedule, such as facilities that furnish only screening mammography services or only clinical laboratory tests or a combination of these services are exempt from the provider-based rules.

The proposed rule was published in the Federal Register May 9 at www.gpo.gov/su_docs/aces/aces140.html. CMS is soliciting comments on several specific proposals.  Comments will be accepted until July 8 and a final rule will be published later this year.

2. OIG Approves DME Consignment Closet Arrangement

In advisory opinion 02-4, the OIG concludes that a durable medical equipment (DME) company’s portable oxygen equipment consignment closet would not generate any remuneration; and, therefore, would not violate the anti-kickback statute. 

Under the arrangement at issue, the DME company will place an inventory of its portable oxygen equipment on-site at certain hospitals, physician offices and clinics for distribution to patients pursuant to a written agreement.  The patients would be bound for home, have physician orders and have elected to obtain the equipment from the DME company.  The hospital, physician or clinic will notify the DME company of the patient’s name and insurance information so the DME company can bill the patient and/or the insurer for the equipment.  In addition, participating hospitals, physicians and clinics will provide a list of local DME suppliers to patients in order to protect patient freedom of choice.

In a short opinion, the OIG notes that no remuneration flows between the DME supplier and its potential referral sources, the hospitals, physicians and clinics.  Therefore, the arrangement does not implicate the anti-kickback statute.

3. Physician Group Restructuring Will Not Lead to Sanctions

The OIG will not impose sanctions on two physicians who propose to reorganize their radiation oncology practice to separate the professional and technical components of the organization.  In advisory opinion 02-5, the OIG stated the mere reorganization of an existing, unified group practice into two legal entities does not create a substantial risk of fraud or abuse when the practices’ ownership and operations remain substantially the same.  However, in approving the restructuring, the OIG cautioned that any difference in ownership or operations might lead to a different conclusion.  In addition, the OIG expressed no opinion regarding the application of the Stark laws to the arrangement. 

4. Washington to Take a Closer Look at Group Purchasing Organizations

In testimony April 30 before the Senate Judiciary Committee’s antitrust and competition subcommittee, the General Accounting Office (GAO) said that hospitals’ use of group purchasing organization (GPO) contracts does not guarantee that providers will save money.  In fact, according to the GAO report, hospitals often can get better prices on products by contracting on their own with manufacturers.  This trend seems especially true for large hospitals.  Further, even when hospitals are able to save by using a GPO, price savings seems to have little to do with the size of the GPO and more to do with its relationships with key manufacturers of particular health care products.

Discussions in the Senate committee hearing stemmed from allegations that GPOs have become gatekeepers in the medical supply industry, using their influence to allow favored manufacturers to win contracts while stifling competition and innovation from other manufacturers.  The GAO pledged to investigate group purchasing activities in further studies this year.  Members of the Senate committee urged the GPO industry to self-regulate and create a code of conduct to prevent questionable practices and conflicts of interest, while Senators Herb Kohl (D-WI) and Mike DeWine (R-OH) asked the Justice Department and Federal Trade Commission to re-examine guidelines that have to date protected GPOs from federal antitrust scrutiny.

To see the Senate Judiciary committee hearing transcript, click here or contact OHA.

5. Michigan Emergency Physicians Settle False Claims Case for $1.6 M

In a press release issued May 13, the Department of Justice’s (DOJ’s) Civil Division announced a $1.6 million settlement with Medical Center Emergency Physicians, P.C., an emergency physician group practice in Michigan.  Through a whistleblower’s qui tam suit, the Department of Justice learned of alleged billing irregularities, including upcoding and billing for services more extensive than those actually provided.  The whistleblower, a former employee of the group practice’s billing vendor, will receive approximately $280,000.  The DOJ said this settlement is the latest in a series of settlements with other clients of the billing vendor, Emergency Physicians Billing Services of Oklahoma City.

The DOJ worked cooperatively with the Office of Inspector General of the Department of Health and Human Services, the Federal Bureau of Investigation, the Defense Criminal Investigative Service, the Program Integrity Branch of the TRICARE Program, the Department of Defense, the Office of Personnel Management and the Michigan Medicaid Fraud Control Unit in conducting the investigation.

6. Tales of Fraud and Malfeasance at HHS

According to Janet Rehnquist, Inspector General for the Department of Health and Human Services (HHS), some government employees could be misusing government debit cards and checkbooks.

In testimony this month before a House oversight subcommittee, Rehnquist updated Congress on an ongoing Office of Inspector General (OIG) investigation into employees’ use of International Merchant Purchase Authorization Cards (IMPACs).  HHS began issuing the debit-style cards and checks to allow its various agencies and offices to make small, incidental office purchases without having to complete cumbersome purchase order paperwork.  But in some cases, employees have used the cards for personal reasons – at grocery stores, jewelers, restaurants, and movie theatres.

To date, the Inspector General has reviewed hundreds of department transactions and has deemed 21 cases worthy of further inquiry that could culminate in criminal prosecution.  The investigation has uncovered many other purchase irregularities generally resulting from administrative errors.  Rehnquist blamed these errors on the department’s lack of centralized policy guidelines regarding the use of IMPACs.  The OIG plans to continue its investigation, pursue criminal allegations where fraud is discovered, and work with the Department to develop clear purchase procedures to educate its employees.  Click here or contact OHA for a copy of Rehnquist’s testimony.

OHA Meetings, Seminars & Announcements

OHA Compliance Telephone Briefing Series Underway

It’s not too late to register for the 2002 OHA Compliance Briefing Series!  The series features seven sessions on targeted topics for hospital compliance officers and others.  The one-hour sessions take place via teleconference, and fees are paid per phone line —  so many hospitals use the briefings to train staff.  Contact OHA’s Center for Education (614/221-7614) for more information.  May’s session featured an inside view of Medicaid Fraud Investigations by Bob Cochran of Schottenstein, Zox & Dunn, a former Assistant Attorney General with valuable information about the state’s role in fraud investigations.  Upcoming topics include:

ü       June 11, 11:00 a.m., “Development of Local Medical Review Policies,” Melanie Alexander, Director of Fiscal Intermediary Medical Review/Medical Policy, AdminaStar Federal, Cincinnati

ü       July 9, 11:00 a.m., “Anti-Kickback Issues,” Mike Phillips, Calfee, Halter & Griswold, Cleveland

ü       September 10, 11:00 a.m., “Inpatient Coding Compliance:  Key Issues,” Charlene Wolf, Quality Management Consulting Group, Columbus

ü       October 8, 11:00 a.m., “Compliance Issues Concerning the Pharmaceutical Industry,” John Green, Porter, Wright, Morris & Arthur, Dayton

ü       November 12, 11:00 a.m., “The Changing EMTALA Landscape: Off Campus Facilities and Other Considerations,” Gretchen McBeath, Bricker & Eckler, Columbus

ü       December 10, 11:00 a.m. Topic TBA

Compliance Officers to Meet at OHA Annual Meeting

The OHA Compliance Officers Network and the Society of Ohio Healthcare Attorneys (SOHA) will co-present a luncheon as part of the OHA 2002 Annual Meeting: “limitless vision, boundless opportunities.”  This annual event will be held at the Greater Columbus Convention Center in Columbus June 3 & 4.  Join fellow compliance officers at the luncheon, which will be held Monday June 3rd and will feature a discussion of HIPAA pre-emption of Ohio privacy rules.

OHA has an impressive roster of speakers for the many tracks for this year’s annual meeting.  Tuesday’s dedicated Compliance Track couldn’t be timelier with Seth Wolf, an attorney with Rolf & Goffman Co., LPA, discussing EMTALA Compliance and Karen Smith of Bricker & Eckler discussing provider-based determinations – two hot topics with pending federal regulatory changes.  The Compliance Track also features Scott Taebel of vonBriesen, Purtell & Rope, s.c., with “What Happens When the Feds Come Calling and What You Can Do About It” and Quintin Lindsmith of Bricker & Eckler on the growing threat of whistleblower suits. 

In addition, Diane Signoracci of Bricker & Eckler will lead two sessions in the Finance Track on Monday, June 3 -- one on DRG claims investigations, and another on medical necessity, documentation and Advance Beneficiary Notices.  Peter Pavarini of Schottenstein, Zox & Dunn and Richard Cameron of Clark/Bardes Consulting will help participants re-assess hospital-physician relationships in the Physician Relations Track.

You have to see the program to believe the many speakers and sessions being offered at the OHA Annual Meeting!  The registration fee for OHA members is only $60 for both days (the Compliance Network/SOHA Luncheon is extra) or $50 for a single day: a real bargain considering the quality of programming – most of which is eligible for continuing education credits.  Check out the program and registration materials online at http://www.ohanet.org/education/2002intro.htm

Coding and Reimbursement 2002 Seminar Series -- Modifier Madness

"Practice makes perfect" is the theme of this hands-on, technical, full-day education program.  You will practice how to code and submit claims for several outpatient services, including ambulatory surgery, emergency services, and IV therapy.  The patient care examples include complex procedures with problems written into them.  Your challenge, lead by national expert Andrea Clark, is to improve documentation, strengthen proper use of modifiers, claims submission, reporting and reimbursement. In addition, you will learn ways to fine-tune your APC auditing and expand auditing capabilities. Join OHA either June 11, 2002, Holiday Inn French Quarter in Perrysburg or June 12 at the Holiday Inn Columbus East.  Contact the OHA Center for Education for registration information and materials.

Compliance Update Now Available Via E-Mail

The OHA Compliance Update is now sent to your individual e-mail address.  If you would like to receive your own copy or would like to be removed from our mailing list, please send your e-mail address to Brenda Slagle at OHA (brendas@ohanet.org).  All issues of the OHA Compliance Update are also available in the OHA Compliance Center at http://www.ohanet.org/compliance/

Compliance on the Internet

Federal Bureau of Investigation, Health Care Fraud Unit (http://www.fbi.gov/hq/cid/fc/hcf/hcf.htm).  Check out the FBI’s slick Web site.  It includes short descriptions of several criminal health fraud prosecutions involving home health agencies, nursing homes, physicians and more. 

Also take a look at their health care fraud video, “Shattered Faith:  White Collar Crime in America – Health Care Fraud.”  The video starts out, “Many of the players in health care fraud schemes are people you'd never expect to be criminals: doctors and pharmacists, nurses and physical therapists.  Health care frauds have risen astronomically, now costing government and private health insurers upwards of $95 billion a year.  Government health programs, like Medicaid and Medicare, are the targets for about 44 percent of this fraud.  Private insurers bear the rest.”  Wow.

Compliance Quote of Note

“We believe there are a number of misconceptions in the provider industry concerning the extent to which EMTALA requires physicians to provide on-call coverage. . . . We also note that there is no predetermined “ratio” that CMS uses to identify how many days that a hospital must provide medical staff on-call coverage based on the number of physicians on staff for that particular specialty.  In particular, CMS has no rule stating that whenever there are at least three physicians in a specialty, the hospital must provide 24 hour/7 day coverage.”

Centers for Medicare & Medicaid Services
67 Fed.Reg. 31478 (May 9, 2002)