IOAS Exception and Self-Referral

The in-office ancillary services (IOAS) loophole to the federal Ethics in Patient Referrals Act, also known as the self-referral law, has led to ongoing self-referral practices in advanced diagnostic imaging, anatomic pathology, physical therapy, and radiation therapy. There is mounting evidence that self-referral leads to over-utilization, mistreated patients, and billions of wasted Medicare dollars. It’s…

The in-office ancillary services (IOAS) loophole to the federal Ethics in Patient Referrals Act, also known as the self-referral law, has led to ongoing self-referral practices in advanced diagnostic imaging, anatomic pathology, physical therapy, and radiation therapy.

There is mounting evidence that self-referral leads to over-utilization, mistreated patients, and billions of wasted Medicare dollars. It’s time to get at the root of the problem and close this self-referral loophole.

Reforming the IOAS exception will ensure that Medicare patients receive the highest quality and safest health care most appropriate to their needs. It will also ensure Medicare policy incentives are properly aligned, saving the system billions of dollars. As a member of the AIM Coalition, ACLA supports proposed reforms to close this loophole and in doing so, serve the best interests of beneficiaries, providers, and our nation’s healthcare system.

Click here to see facts about self-referrals through the IOAS exception.

Read More

  • Joint Statement From The Alliance For Integrity In Medicare on California Senate Bill 2015

    April 24, 2014
    The undersigned organizations, as part of the Alliance for Integrity in Medicare (AIM), a broad coalition of medical specialty, laboratory, radiation oncology, physical therapy, and medical imaging groups committed to ending the practice of inappropriate physician selfreferral, strongly support Senate Bill 1215 for consideration in the Senate Business, Professions and Economic Development Committee. The overly-broad application of the in-office exception within the California physicianContinue Reading »...
  • Joint Statement From The Alliance For Integrity In Medicare On The Congressional Budget Office Scoring Of The IOAS Reform Proposal Provision Of The President’s FY 2015 Budget

    April 17, 2014
    The Alliance for Integrity in Medicare (AIM), a broad coalition of medical specialty, laboratory, radiation oncology, and medical imaging groups committed to ending the practice of inappropriate physician self-referral, is pleased about the release of the Congressional Budget Office’s score of President Obama’s FY 2015 Budget, released today. Specifically, AIM applauds the Congressional Budget Office statement that $3.4 billion in savings to the MedicareContinue Reading »...
  • ACLA on President’s FY 2015 Budget

    March 04, 2014
    (Washington, D.C.) – The American Clinical Laboratory Association (ACLA) today pointed to both beneficial and harmful provisions in the President’s FY 2015 budget: drastic funding cuts that would compromise the continued delivery of high quality clinical lab services to Medicare beneficiaries and a proposal that would preserve integrity in the lab services industry. ACLA urged congressional budget leaders to oppose provisions that would reduceContinue Reading »...
  • Joint Statement by AIM for Integrity in Medicare Applauding the Introduction of the Promoting Integrity in Medicare Act of 2013

    August 01, 2013
    The Alliance for Integrity in Medicare (AIM)— a broad coalition of medical specialty, laboratory, radiation oncology, and medical imaging groups committed to ending the practice of inappropriate physician self-referral – applauds the strong leadership of U.S. Representative Jackie Speier (D-CA14) as demonstrated through the introduction of The Promoting Integrity in Medicare Act of 2013. AIM supports this legislation, which addresses the ongoing misapplication ofContinue Reading »...
  • AIM Letter to Rep. Speier on Promoting Integrity in Medicare Act of 2013

    August 01, 2013
      The Honorable Jackie Speier U.S. House of Representatives 211 Cannon House Office Building Washington,DC 20515 Dear Representative Speier: On behalf of the members of the Alliance for Integrity in Medicare (AIM) — a broad coalition of medical specialty, laboratory, radiation oncology, and medical imaging groups committed to ending the practice of inappropriate physician self-referral — we thank you for introducing The Promoting IntegrityContinue Reading »...
1 2 3