We see these cases fairly often. Unscrupulous ambulance companies transport patients to the hospital even where not medically necessary. "Medically necessary ambulance transportation requires that a patient's medical condition is such that other methods of transportation are contraindicated, but [defendant] submitted a high rate of ambulance claims for patients who could have been transported by wheelchair van or other means. The complaint cites accounts from numerous former [defendant] employees about management's pressure and directions to falsify documentation to make Medicare reimbursement more likely." The brave whistleblower received a 20% share of the $1,250,000 recovery for his contribution to the case.
The full press release can be found here.
Together we can continue to bring these fraudsters to justice.