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A consulting company has asked whether its second opinion services, medical guidance, and home care services are exempt from VAT, and if file management is also exempt. The DGT ruled that the exemption applies if the services are for therapeutic, diagnostic, or preventive purposes and are provided by healthcare professionals acting in their own name.
Cuestión planteada Aplicación de la exención del artículo 20.uno.3º de la Ley a los servicios realizados por la consultante y en su caso, si la exención, también ampara a actividades accesorias necesarias para la prestación de la asistencia sanitaria como la gestión de los expedientes de los pacientes.
La exención del artículo 20.uno.3º de la Ley 37/1992 requiere que los servicios sean de asistencia médica, quirúrgica o sanitaria (diagnóstico, prevención o tratamiento) y prestados por profesionales médicos o sanitarios. La exención se extiende a actividades accesorias necesarias para la asistencia sanitaria, como la gestión de expedientes, pero no a actividades ajenas como el seguimiento telefónico de la calidad del servicio. Para que la exención sea aplicable en mediaciones, el mediador debe actuar en nombre propio respecto a la prestación sanitaria.
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