South Carolina Ambulance Company Settles False Claims Allegations for $800,000

The Williston Rescue Squad Inc., (Williston Rescue) located in Williston, South Carolina recently settled allegations under a False Claims qui tam action that it provided medically unnecessary ambulance transports to Medicare beneficiaries.  Under Medicare regulations ambulance companies are only reimbursed for non-emergency transportation services if the patient is confined to bed or has a medical condition such that any other form of transportation, such as a van, would endanger the patient’s health.

Sandra McKee filed the qui tam action under the provisions of the False Claims Act.  McKee is a clinical social worker at a health care facility that routinely works with patients transported by Williston Rescue.  The $800,000 settlement resolved the allegations that Williston Rescue submitted claims for reimbursement to Medicare for routine, non-emergency transportation services that were not medically necessary and that the company created false documents to make the transports appear to meet the Medicare requirements for such services.

McKee will receive $160,000 as her share of the recovery under the False Claims Act’s provision for bringing this fraud to the government’s attention.

Posted in Case Studies, False Claims, Healthcare Fraud, Qui Tam, SettlementsNo Comments

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