Hospital to pay $2.5 million for Ambulance Fraud

The Medical Center, Navicent Health, in Macon, Georgia, has agreed to pay $2.5 million to settle a whistleblower-initiated False Claims Act case alleging the hospital billed ambulance trips to skilled nursing facilities as emergencies when, in fact, many trips were neither emergencies nor medically necessary.

Navicent Health owned and operated both the hospital and the ambulance service.

The settlement marks the end of a 27-month investigation initiated by relator Andre Valentine under the Georgia False Medicaid Claims Act.

“Ambulance billing has long been an area of potential fraud on the Medicare and Medicaid programs and this office will continue to vigorously investigate and pursue those who attempt to take advantage of the program” said U.S Attorney G.F. “Pete” Peterman.

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