City of Dallas Pays $2.5 Million for False Medicare and Medicaid Ambulance Charges
Thursday, June 09, 2011
Accused of bilking the federal government and the state of Texas out of $40 million, the city of Dallas has reached a settlement to resolve fraudulent claims involving the Medicare and Medicaid programs.
According to a press release from the U.S. Attorney’s Office, “Ambulance services generally are coded either as basic life support level or advanced life support (ALS). ALS transports are reimbursed at a higher rate by both Medicare and Medicaid. The U.S. and Texas contend Dallas directed its billing contractor [Southwest General Services] to code every 911-dispatched transport at the ALS level.” At least 40% of the transport calls should have been billed at the lower rate.
The scam was revealed by a whistleblower, Douglas Moore, who worked in the auditing department at Dallas City Hall.
The overcharges totaled $40 million. However, the federal and state governments agreed to accept only $2.47 million from Dallas, which did not have to acknowledge any wrongdoing.
-David Wallechinsky, Noel Brinkerhoff
City Agrees to Pay Feds $2.5 Million to Get Rid of Charges It Overbilled for Ambulances (by Robert Wilonsky, Dallas Observer)
Whistle-Blower's Suit Alleges Fraud by Dallas Fire Officials, Ambulance Billing Service (by Selwyn Crawford, Dallas Morning News)
- Top Stories
- Unusual News
- Where is the Money Going?
- U.S. and the World
- Appointments and Resignations
- Latest News
- For Donald Trump, the Honeymoon was Over Before It Even Began
- Acting Director of the Indian Health Service: Who Is Mary L. Smith?
- Director of the Agency for Healthcare Research and Quality: Who Is Andrew Bindman?
- Director, Agency for Toxic Substances and Disease Registry: Who Is Ileana Arias?
- Secretary of Treasury: Who Is Steven Mnuchin?