tci Medicare Compliance & Reimbursement - 2010 Issue 17

Industry News: Ambulance Companies Go All Out to Grab a Bigger Piece of the Federal Pie

Prosecutors pursue new vehicles of Medicare fraud As a settlement in a district court case in the Eastern District of New York recently brought to light, even ambulance companies have joined the healthcare fraud brigade to make their quick millions. What Medicare Law Says Under Medicare "Part B" -- Supplementary Medical Insurance for the Aged and Disabled -- Medicare covers medically necessary ambulance services. Ambulance services are deemed medically necessary "if they are furnished to a beneficiary whose medical condition is such that other means of transportation are contraindicated." (42 CFR 410.40) Although "bed-confinement" is itself neither...

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