Prohibited Air Ambulance Relationships

6.4.3 – Prohibited Air Ambulance Relationships (Rev. 102, Issued: 02-01-05, Effective: 01-01-05, Implementation: 02-14-05) Do not apply the “deemed” reasonable and necessary determination if there is a financial or employment relationship between the person requesting the air ambulance service and the entity furnishing the service; an entity under common ownership with the entity furnishing the service; or a financial relationship between an immediate family member of the person requesting the service and the entity furnishing the service. Only one exception is available for this provision. When the referring hospital and the entity furnishing the air ambulance services are under common ownership, the above limitation does not apply to remuneration by the hospital for provider based physician services furnished in a hospital, reimbursed under Part A and the amount of the remuneration is unrelated directly or indirectly to the provision of air ambulance services.