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Find out what you’ll need to do to get these claims paid. Expansion of the Prior Authorization Model for Repetitive, Scheduled Non-Emergent Ambulance Transports (RSNAT) will begin as early as Dec. 1 for some independent ambulance suppliers, according to a notice in the Aug. 27 Federal Register. Medicare Part B Coding and Coverage Prior authorization […]
The post Prior Authorization for Non-Emergent Ambulance Transports Back on Track appeared first on AAPC Knowledge Center.
Two owners of Guam Medical Transport (GMT) were sentenced to prison terms today for their roles in a health care fraud and money laundering scheme that resulted in a loss to the United States of approximately $ 10.8 million, one of the largest single Medicare ambulance fraud cases ever prosecuted by the Justice Department.
Assistant Attorney General Brian A. Benczkowski of the Justice Department’s Criminal Division, U.S. Attorney Shawn N. Anderson of the Districts of Guam and the Northern Mariana Islands, Special Agent in Charge Eli S. Miranda of the FBI’s Honolulu Field Office, Special Agent in Charge Justin Campbell of IRS Criminal Investigation (IRS-CI) Seattle Field Office and Special Agent in Charge Timothy DeFrancesca of the U.S. Department of Health and Human Services Office of the Inspector General (HHS-OIG) Los Angeles Regional Office made the announcement.
According to their admissions at the plea hearing, from approximately March 11, 2010, to approximately March 21, 2014, the defendants engaged in a conspiracy to defraud Medicare and TRICARE by submitting claims for reimbursement for medically unnecessary ambulance services that GMT provided to patients with ESRD.
As part of the scheme, the defendants directed GMT employees to remove from internal documents references to GMT patients’ ability to walk because they knew that Medicare and TRICARE would not provide reimbursement for the patients.
The post Guam Ambulance Company Owners Sentenced to Prison for Their Roles in Medicare Ambulance Fraud Scheme appeared first on The Coding Network.
The Lee County Fiscal Court (“Lee County”) and the previous executive of its emergency vehicle administration, Joseph Broadwell, have consented to determine common charges that Lee County Ambulance abused the False Claims Act, a bureaucratic law that disallows the accommodation of false or deceitful cases, consenting to pay $ 253,930 to the national government.
The post Lee County Ambulance Service and its Director Agree to Pay $ 253,930 to Resolve Allegations of False Claims to Medicare appeared first on The Coding Network.
Nursing documentation :
A #20 gauge catheter was started in his left forearm. There was a good blood return. 250 cc’s of 0.9 Normal Saline was then started per pump and infused over 1 hours. The patient tolerated the treatment well. Start time 1315. Stop time 1340.
The pt was transported to hospital as a direct admit via ambulance. The EMTs took the IV bag of 0.9 Normal Saline with the pt to finish giving it to him in the ambulance.
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No doubt your provider’s office or group practice has sent patients via ambulance to the hospital, now Medicare wants ambulances to bring patients to you. This a 2020 change for medical coding of transports and for providers. And it may affect evaluation and management (E/M) coding in providers’ offices. Ambulances Redirected The Centers for Medicare […]
The post Medicare Clears Ambulance Transport to Providers appeared first on AAPC Knowledge Center.
Thanks in advance!
The owner and managers of Arrow-Med Ambulance, Inc. plead guilty in connection with claims of fraud to Medicare and Medicaid. The accusation was of them using ambulances for medically unnecessary transports.
The post Owner of Ambulance Company Pleads Guilty To Health Care Fraud appeared first on The Coding Network.
Liberty Ambulance Service, located in Jacksonville, has agreed to a $ 1.2 million settlement. This is in response to allegations that it, for more than 10 years, fraudulently billed federal health benefits providers for transportation of patients.
The post Liberty Ambulance Service investigated for fraudulently billing federal agencies appeared first on The Coding Network.