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Question on medical billing in Medicare and Medicaid fraud

The elderly population is growing at a rapid rate in Kentucky and around the nation. As people age, health may deteriorate, and it can be difficult to know when a symptom is serious and when it is not. Doctors will often counsel patients to err on the side of caution and if there is any doubt to call for an ambulance. A case of Medicare and Medicaid fraud was recently brought against an ambulance company.

The company, in Breathitt County, was charged with transporting patients when their conditions did not warrant it. The case alleged that employees entered false information on claims in order to justify the transport. The owner of the ambulance company was fined $240,000 and sentenced to a year and a day in prison. The owner's wife and a manager of the company were both given probation for their alleged participation.

The defense attorney in the case has recently entered an appeal seeking to overturn the sentences in the case. The prosecution had argued that the owner of the ambulance company had hired a billing consultant as a cover for the scheme. The company owner has reportedly stated that he hired the company to help with proper billing procedures.

A person charged with fraud, as with any crime, is presumed innocent until and unless proven guilty in a court of law. It is widely believed that medical billing can be confusing and difficult for anyone. A person in Kentucky who is facing Medicare and Medicaid fraud charges may benefit from a consultation with a criminal defense attorney who can review the case and advise the client on the available legal options.

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Green Chesnut & Hughes PLLC
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