Professional Ambulance to Pay $300K to Resolve Claims of Medically Unnecessary Ambulance Runs
Sunday, December 23, 2018
Providence-based Professional Ambulance, LLC, will pay $300,000 to resolve allegations that it improperly billed the Medicare and Medicaid programs for medically unnecessary ambulance runs, according to a Civil Settlement Agreement signed on Friday.
The settlement resolves claims by the United States and the State of Rhode Island under the federal and state False Claims Acts.
$250,000 of the recovery will go to the federal government on behalf of the Medicare program; the remaining $50,000 will be returned to Medicaid.
GET THE LATEST BREAKING NEWS HERE -- SIGN UP FOR GOLOCAL FREE DAILY EBLASTThe matter was settled prior to litigation, without an admission of liability or wrongdoing.
The Investigation
An investigation by the United States Attorney’s Office, the U.S. Department of Health and Human Services - Office of Inspector General (HHS-OIG), and the FBI determined that between 2012 and 2015, Professional Ambulance billed the Medicare and Medicaid programs for the cost of transporting patients who were not eligible to travel by ambulance because they were sufficiently mobile.
The investigation focused on dialysis patients, who require regular trips to and from a treatment facility to receive care, but who, the United States alleged, did not require ambulance transport, or whose condition was not accurately documented in reports.
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