June 27, 2019

Ambulance Operator Settles FCA Suit over Medical Necessity Issues

Hart to Heart Ambulance Services agreed to pay $1.25 million to settle a qui tam suit alleging that the company submitted false claims to Medicare for ambulance services that were not medically necessary.  Company management allegedly pressured and directed employees to falsify documentation to support the medical necessity of ambulance services for certain patients, although such patients could have been transported by wheelchair van or other means.  The whistleblower case was brought by a former employee of Hart to Heart, who will receive approximately $251,000 as his share of the settlement proceeds.