2016-698 Emergency Svc - North State Medical Transport - Application for Services Franchise by Ordinance

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medical necessity and covered transports for distribution to appropriate facility personnel. Marketing personnel shall only use marketing and training materials which have been approved. IV. GIFTS AND HOSPITALITY FOR CUSTOMERS AND REFERRAL SOURCES A. NSMT occasionally may provide modest gifts to customers and parties who may be in a position to make referrals,but any gift from NSMT should have a fair market value of less than $100 (irrespective of NSMT's cost). The aggregate value of all such items given to any individual in any consecutive twelve month period must be less than$300. The purpose of the gift may not be to reward or induce referrals. B. In addition,NSMT may occasionally give customers and referral sources branded promotional items of minimal value related to a health care professional's work or for benefit of patients. Gifts may not be given in fog ii of cash or cash equivalents such as gift cards. C. It is appropriate for NSMT to meet with potential customers and referral sources to discuss its services, contract negotiations, and sales terms. It is appropriate for NSMT to pay for occasional hospitality only in the form of modest meals, receptions and other events for such personnel in settings that are conducive to the exchange of information. Hospitality extended in such situations should comply with the guidelines in A above(i.e., no more than$100 per event per person and$300 during any consecutive twelve month period.) It is also appropriate to pay for reasonable travel costs of attendees when necessary(e.g., for site tours or demonstrations of non-portable equipment). However, it is not appropriate to pay for meals, hospitality, travel, or lodging of guests of such persons or any other person who does not have a bona fide professional interest in the information being shared at the meeting. D. If an employee of NSMT, or anyone acting on behalf of the employee, would like to offer a nominal item or service not specifically authorized, or which exceeds the amount specified in this policy, the employee must seek review and prior approval from the Compliance department. V. AUTHORIZED INCENTIVES FOR INDIVIDUALS TO RECEIVE PREVENTIVE HEALTH CARE A. Incentives given to individuals to promote the delivery of preventative care are specifically recognized as exceptions to these health care fraud and abuse laws. Preventive care is defined in 42 CFR 1003.101 to mean items and services that; 1. are covered by Medicare or Medicaid; and are either pre-natal or post-natal well-baby services or are services described in the Guide to Clinical Preventive Services published by the U.S. Preventive Services Task Force (available online at http://odphp.osphs.dhhs.gov/pubs/guidecps). Such incentives may not be in the form of cash or cash equivalents and may not be disproportionate to the value of the preventive care provided.NSMT must receive fair market value compensation for the preventative services themselves(as distinct from the incentives to obtain such services). In accordance with this exception,NSMT has authorized that employees of NSMT, or anyone acting on behalf of NSMT, to offer the following incentives to receive preventative care(as defined above)without charge or at a reduced charge to NSMT's patients or potential patients in a reasonable and necessary quantity solely for the patient's use: a) health care pamphlets and similar informational items or training tapes are permissible if they are of nominal value and serve a genuine educational function; 24