Ambulance
This archive displays posts tagged as relevant to ambulance services and ambulance service fraud.
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June 30, 2020
Clifford P. Shomake and Kimberly Clyde “Casey” Conner, the owners of Guam Medical Transport, were sentenced to 6 years and 5.25 years, respectively, following their guilty pleas to charges arising from their conspiracy to defraud Medicare and TRICARE by submitting claims for reimbursement for medically unnecessary ambulance services that GMT provided to patients with end stage renal disease, despite knowing that the individuals did not qualify for ambulance transport under applicable regulations. Defendants admitted that the conspiracy resulted in improper payments to GMT of approximately $10.8 million, and restitution in that amount was also ordered. DOJSeptember 27, 2019
Meridian Mobile Health, L.L.C., based in Bangor, Maine and doing business as Capital Ambulance, will pay $138,300 to resolve claims that it violated the False Claims Act by billing Medicare for non-emergency transportation. The ambulance company, which voluntarily disclosed the billings to the U.S. Attorney's office, claimed that it had been provided with incorrect and/or incomplete information from Eastern Maine Medical Center regarding discharged patients in need of transportation. USAO MEAugust 29, 2019
International SOS Assistance, Inc. and related entities and individuals have agreed to pay $940,000 to resolve claims that they overbilled TRICARE for air medical evacuation services provided to military service members and their families. International SOS was alleged to have negotiated discounts from third-party air ambulance services, but failed to pass those discounts on to TRICARE. The case was brought by a whistleblower who used to be a flight desk manager for International SOS; he will receive an award of $165,000. USAO EDPAAugust 15, 2019
North Carolina ambulance company Gate City Transportation has been ordered to pay $5.25 million in restitution for falsely billing the state's Medicaid program for convalescent ambulance services when, in fact, the company was providing only medical van service to ambulatory and wheelchair-bound patients. During the investigation, agents confiscated more than $5 million in cash and property, which will be applied to the restitution. USAO MD NCJuly 10, 2019
Rural Metro of Southern Ohio, Inc. has agreed to pay $275,116 to resolve allegations of submitting, or causing the submission of, false claims to Medicare. In a qui tam suit brought by Nicholas Ratterman, a former employee, Rural Metro was alleged to have billed Medicare for medically unnecessary overnight hospital discharge ambulance transports between 2013 to 2017. As part of the settlement, Ratterman will receive about $44,000. USAO EDKYJune 20, 2019
Hart to Heart Ambulance Services, d/b/a Hart to Heart Transportation Services, has agreed to pay $1.25 million to settle allegations that it defrauded Medicare by submitting claims for medically unnecessary services, violating the False Claims Act. Allegations were first brought to the government’s attention by former employee, Bryan Arvey, who alleged that from 2010 to 2017, Hart to Heart management pressured employees to falsify claims for non-emergency ambulance transports, such as hospital discharges. For aiding in the recovery of public funds, Arvey will receive a share of $251,000. USAO MDQuestion of the Week — Is it time for a legislative fix to limit sky high air ambulance costs?
Posted 06/14/19
