https://www.justice.gov/usao-edva/pr/ambulance-provider-agrees-settle-false-claims-act-allegations
An ambulance transportation company that operates throughout Virginia has agreed to pay $110,000 to settle allegations that the company submitted false claims to Medicare for ambulance transports, in violation of the False Claims Act.
The United States government alleged that, for a two-year period between 2014 to 2016, some of the claims submitted for reimbursement for non-emergency ambulance services provided to Medicare beneficiaries by LifeCare Medical Transports, Inc. (LifeCare), headquartered in Fredericksburg, were not medically reasonable or necessary, and/or not supported by the medical record.
A whistleblower suit, or qui tam action under the False Claims Act, is commenced by an individual, known as a “relator,” filing a complaint under seal in the U.S. District Court, and providing a copy of the complaint and other evidence to the local U.S. Attorney.