Ohio Hospital Association

Compliance Update

June 25, 2002                                                                         www.ohanet.org

In this Issue:

1.  OIG Solicits Hospital Suggestions on Compliance Guidance
2.  OIG Issues Advisory Opinions – One a Rare Negative Conclusion!

3.  House Hears CMS and OIG Plans to Fight Medicaid Fraud and Abuse
4.  CMS Attempts to Clarify EMTALA On-Call Requirements
5.  Scully, Rehnquist Testify on Ways to Fix DME Payment Problems

OHA Meetings, Seminars & Announcements
Compliance on the Internet

Compliance Quote of Note

1. OIG Solicits Hospital Suggestions on Compliance Guidance

The Office of Inspector General of the Department of Health and Human Services (OIG) is planning to revise its compliance program guidance for the hospital industry and is asking hospitals for their recommendations. Noting the many changes in government health programs, such as Medicare and Medicaid, since the last set of hospital-specific compliance guidance was published in 1998, the OIG says it plans to revise and update the guidelines this year. The agency, responsible for investigating provider fraud and abuse, believes hospitals are in excellent positions to provide feedback on problems and inefficiencies within compliance programs.  The OIG solicitation to hospitals appeared in the June 18 Federal Register.  Hospitals should submit comments by August 19 to: 

Department of Health and Human Services, Office of Inspector General
Attention:  OIG-12-CPG
Room 5527 A, Cohen Building
330 Independence Avenue, SW
Washington, DC 20201 

Those who do not wish to submit comments on their own may send ideas and suggestions to Mary Gallagher, for inclusion in OHA’s recommendations.

2. OIG Issues Advisory Opinions – One a Rare Negative Conclusion!

The OIG has issued several recent advisory opinions, adding to its efforts to provide meaningful advice on the application of the anti-kickback statute and other OIG sanction statutes in specific factual situations.  In Advisory Opinion 02-9, the OIG concluded a proposed arrangement under which a physician is the sole owner of an endoscopy center, while continuing practice in a group, fits within the safe harbor protecting investment interests in single-specialty ambulatory surgical centers.  In Advisory Opinion 02-8, the OIG assures a parish (county) ambulance district that owns an ambulance service and bills insurance only for parish residents it will not impose administrative sanctions.  The OIG points to CMS Carrier Manual Section 2309.4 to allow the wavier of co-payments and deductibles by the ambulance district. 

The OIG issued a rare negative opinion in Advisory Opinion 02-7, posted June 12, 2002.  Under the proposed arrangement, a mobile x-ray provider proposes to waive Medicare Part B cost-sharing amounts for full dual eligibles (Medicare beneficiaries who qualify for full Medicaid benefits) who reside in nursing facilities.  The waiver program was developed to address a state Medicaid rule forbidding Medicaid coverage of x-ray services provided by entities owned by non-practitioners.  In concluding the arrangement would generate prohibited remuneration and could elicit administrative sanctions, the OIG pointed to factors such as: 1) the waiver of co-payments and deductibles is not based on individual financial need and is not applied uniformly to all beneficiaries; 2) nursing facilities are referral sources for the x-ray company; and 3) the waiver would give the x-ray company a competitive advantage over competitors. 

3. House Hears CMS and OIG Plans to Fight Medicaid Fraud and Abuse

According to testimony offered June 13 in Congress, the Bush Administration will devote more than $10 million from the Health Care Fraud and Abuse Control account to develop a comprehensive Medicaid program integrity plan geared toward reducing improper payments this year.   

Officials from Centers for Medicare & Medicaid Services (CMS) and the OIG testified before the House Government Reform Committee that the funding would be used to coordinate a federal oversight strategy based on risk management techniques.  In partnership with existing state Medicaid Fraud Control Units and the National Association of State Medicaid Directors, the agency officials pledged to improve cooperation and information sharing to better investigate and pursue cases of abuse.  The officials added that the strategy would strive to implement recent General Accounting Office recommendations, which have centered on agency weaknesses in reducing identified “risk areas” in the Medicaid program, performing ongoing risk assessments, and monitoring the effectiveness of improvement efforts. 

Click here for the CMS and OIG testimony or contact OHA for copies.

4. CMS Attempts to Clarify EMTALA On-Call Requirements

CMS finally responded to the American Hospital Association’s comments and questions about the Emergency Medical Treatment and Active Labor Act (EMTALA) on-call requirements in two program memoranda issued to regional administrators June 13, 2002.  In program memorandum S&C-02-34, CMS published seven questions and answers responding to “concerns that the implementation and enforcement of EMTALA for on-call physicians is not being applied consistently across the country.”  CMS emphasizes the flexibility hospitals have to meet the on-call requirements of EMTALA and states it does not require coverage 24 hours per day, 365 days per week.  In addition, CMS explains an on-call policy that exempts senior medical staff does not constitute a per se violation of EMTALA.  However, on-call lists must identify individual physician names, not medical group names, to meet regulatory requirements.   

Program memorandum S&C-02-35 specifically addresses on-call arrangements that entail one physician providing on-call coverage simultaneously at several hospitals.  CMS announced that is has revised its policy to allow simultaneous on-call, as long as all hospitals involved are aware of the on-call schedule so each hospital adequately meets its EMTALA obligation.  These EMTALA on-call clarifications will be added to the State Operations Manual at its next revision.

5. Scully, Rehnquist Testify on Ways to Fix DME Payment Problems

According to CMS and the OIG, “inherent reasonableness” authority and competitive bidding procedures within HHS could go far to fix discrepancies in Durable Medical Equipment (DME) reimbursements. 

Tom Scully, CMS Administrator, testified before the Senate Appropriations Committee this month to report that the agency would soon release a final regulation granting the HHS the authority to adjust Medicare Part B medical supply payments that are unreasonably high or low.  Scully also alluded to early indications from a demonstration project being overseen by CMS that competitive bidding practices eventually could net a $5 billion savings over 10 years. 

Janet Rehnquist, chief of the OIG, agreed with Scully, and highlighted previous OIG studies that have shown Medicare pays more for medical equipment than the Veterans Administration or the Federal Employees Health Benefits Plan. She also unveiled a report from her agency showing that Medicare paid substantially more for maintenance on rented equipment than repairs for purchased equipment. 

See Scully’s testimony and Rehnquist’s testimony online or contact OHA for copies.

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.  June’s session featured a discussion of the development of Local Medical Review Policies by AdminaStar’s Director of Fiscal Intermediary Medical Review/Medical Policy, Melanie Alexander.  Upcoming topics include:

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

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

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

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

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

 And Don’t Forget the 2002 Coding and Reimbursement Telephone Briefing Series!

Join OHA and nationally recognized billing consultant Duane Abbey, Ph.D. for the 2002 Coding and Reimbursement Telephone Briefing Series.  Each session runs from 9:00 a.m. until 11:00 a.m. and features a different hot topic each month.  Contact the OHA Center for Education for details about the year’s remaining sessions. 

Ø        July 18, 9:00 a.m., “ED Coding, Billing & Reimbursement”

Ø        August 15, 9:00 a.m., “Assuring Charge Master Compliance”

Ø        September 19, 9:00 a.m., “HIPAA for Coding, Billing & Reimbursement”

Ø        October 17, 9:00 a.m., “Conducting Coding, Billing, Reimbursement Audits”

Ø        November 21, 9:00 a.m., “ED and EMTALA Compliance”

Ø        December 19, 9:00 a.m., “DME Coding, Billing & Reimbursement”

Compliance on the Internet

American Hospital Association, Compliance Issues Page (www.aha.org/compliance):  The American Hospital Association has compiled advocacy and other resources on compliance issues, including EMTALA, lab unbundling, False Claims Act and gainsharing.  Find correspondence with legislators, regulators and courts about many hot compliance topics.

Compliance Quote of Note

“Sadly, the last sentence of that section is a horrible amalgamation of negatives arranged like an inside joke prompting laughter only from seasoned and sadistic bureaucrats.”

-Chief U.S. District Judge James R. Nowlin
interpreting IRS tax exemption regulations in

St. David’s Health Care System v. U.S.

Order Granting Plaintiff’s Summary Judgment Motion
Civil No. A-01-CA-046, June 7, 2002