tci Medicare Compliance & Reimbursement - 2006 Issue 1

ENFORCEMENT WATCH: Ambulance Transports A Target For Investigators

Company gets caught altering medical documentation to justify claims.If patients' medical records don't reflect medical necessity for non-emergency ambulance transportation, fraud suspicions may arise.A jury convicted New Bern, NC-based ambulance company Convalescent Transports, Inc. and its president Brian Conner of 343 health care fraud counts, U.S. Attorney Frank D. Whitney recently announced.   Conner and his company also face one count of conspiracy to commit health care fraud and two counts of obstructing an investigation.From 1999 to 2002, the company fraudulently billed for transporting patients to routine dialysis treatments, claiming that the patients were...

To read the full article, sign in and subscribe to tci Medicare Compliance & Reimbursement.


Keep pace with evolving Medicare regulations — and onboard your team — with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI's Medicare Compliance & Reimbursement Alert will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, payer policies, the fee schedule, OIG target areas, and more.

  • Current newsletters added each month
  • Fully searchable archives - over 4200 articles
  • ALL years/issues back to 2003 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles
Access to this feature is available in the following products:
  • tci Medicare Compliance & Reimbursement +Archives

demo
request yours today
 subscribe
start today
 newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.