Skilled Nursing Facility

Medicare improperly covered ambulance rides from hospitals to SNFs

The OIG reports that Medicare improperly paid $1.9 million to ambulance providers for transport from hospitals to SNFs from 2014 to 2016. As a result of this former study, the OIG released an updated report on September 11 regarding hospital-to-SNF transfer billing practices. The OIG audited 99 ambulance providers from 2015 to 2017 and found that 99% of claim lines billed were done so incorrectly, and Medicare erroneously paid $849,170 to providers.

The OIG recommends that CMS develop a fraud prevention model specifically focused on ambulance transports from hospitals to SNFs in order to deter future incorrect payments.