City of Dallas to Pay $2.47 Million in Allegations of Medicare/Medicaid Fraud

Details

Published on Tuesday, 07 June 2011 12:19

Hits: 824

City of Dallas to Pay $2.47 Million in Allegations of Medicare/Medicaid Fraud

The City of Dallas has agreed to pay $2.47 million to the U.S. government to resolve allegations that it violated the False Claims Act and the Texas Medicaid Fraud Prevention Act by upcoding its claims submitted to federal healthcare programs.

Read more: City of Dallas to Pay $2.47 Million in Allegations of Medicare/Medicaid Fraud

Latest State Provider Violations

Details

Published on Wednesday, 28 March 2012 14:24

Hits: 1125

Here are the latest and greatest state violations according to TDSHS... (sorry we have gotten behind on these updates)

Advanced Cardiac and Trauma EMS, Inc., Weslaco, TX. December 19, 2011, reprimanded for violating EMS Rules §157.11(c)(2)(D), 157.11(d)(7), 157.11(i)(2), 157.11(j)(1), 157.11(j)(7)(A) and 157.11(m)(1) related to failing to prominently display vehicle authorization and failing to have EMS ambulance vehicle(s) adequately equipped and supplied at all times. (Texas EMS Magazine March/April 2012)

Ambulance Transportation Services, LLC, McAllen, TX. December 30, 2011, reprimanded for violating EMS Rules §157.11(i)(2), 157.11(j)(1), 157.11(m)(1) and 157.11(m)(5) related to failing to have EMS ambulance vehicle(s) adequately equipped and supplied at all times and failing to have crew members properly identified by name, certification level and /or provider name. (Texas EMS Magazine March/April 2012)

Bovina EMS, Bovina, TX. December 19, 2011, assessed a $500.00 administrative penalty for violating EMS Rules §157.11(j)(5), 157.11(j)(7)(A) and 157.11(m)(1) related to failing to have EMS ambulance vehicle(s) adequately equipped and supplied at all times. (Texas EMS Magazine March/April 2012)

Dallam Hartley Counties Hospital District, dba Dalhart EMS, Dalhart, TX. September 6, 2011, assessed a $2,700.00 administrative penalty for violating EMS Rules §157.11(m)(1), 157.11(m)(3), 157.11(m)(4), 157.16(c), 157.16(d)(14) and HSC §773.050(a) related to failing to staff an EMS ambulance vehicle deemed to be in-service and/or response ready with appropriately and/or current certified personnel and monitoring the quality of patient care provided. (Texas EMS Magazine March/April 2012)

Halo Medical Services, LLC., DeSoto, TX. October 31, 2011, assessed a $500.00 administrative penalty for violating EMS Rules §157.11(d)(1), 157.11(j)(5)(A), 157.11(j)(7)(A) and 157.11(m)(11) related to failing to have EMS ambulance vehicle(s) adequately equipped and supplied at all times. (Texas EMS Magazine March/April 2012)

Julian Leija, dba Christian EMS, Elsa, TX. September 26, 2011, assessed a $250.00 administrative penalty for violating EMS Rules §157.11(i)(2), 157.11(j)(4) and 157.11(m)(1) related to failing to have EMS ambulance vehicle(s) adequately equipped and supplied at all times. (Texas EMS Magazine March/April 2012)

Lazbuddie Volunteer Fire Department, Inc., dba Lazbuddie EMS, Lazbuddie, TX. December 2, 2011, reprimanded for violating EMS Rules §157.11(d)(1), 157.11(j)(5) and 157.11(m)(1) related to failing to have EMS ambulance vehicle(s) adequately equipped and supplied at all times. (Texas EMS Magazine March/April 2012)

Medex Transportation Services, Inc., McAllen, TX. January 19, 2012, reprimanded for violating EMS Rules §157.11(h)(2), 157.11(i)(2), 157.11(j)(1) and 157.11(m)(11) related to failing to have EMS ambulance vehicle(s) adequately equipped and supplied at all times. (Texas EMS Magazine March/April 2012)

Medical and Trauma Specialist, McAllen, TX. December 19, 2011, assessed a $500.00 administrative penalty for violating EMS Rules §157.11(i)(2), 157.11(j)(4), 157.11(j)(5), 157.11(m)(1), 157.11(m)(5) and 157.11(m)(11) related to failing to have EMS ambulance vehicle(s) adequately equipped and supplied at all times and failure to properly identify crew by name, certification level and/or provider name. (Texas EMS Magazine March/April 2012)

Medtran Services, LLC, dba Medtran Service Company, Houston, TX. December 19, 2011, assessed a $500.00 administrative penalty for violating EMS Rules §157.11(m)(20) and 157.16(d)(19) related to failing to notify the department within one day of a change in medical director.  (Texas EMS Magazine March/April 2012)

New Deal Volunteer Fire Department, dba New Deal Fire/EMS, New Deal, TX. September 22, 2011, reprimanded for violating EMS Rules §157.11(m)(1), 157.11(m)(4), 157.16(d)(14) and HSC §773.050(a) related to failing to staff an EMS ambulance vehicle deemed to be in-service and/or response ready with appropriately and/or current certified personnel. (Texas EMS Magazine March/April 2012)

Palm Valley EMS, dba Texas Medical Transport, McAllen, TX. December 19, 2011, reprimanded for violating EMS Rules §157.11(c)(2)(D), 157.11(j)(7)(I) and 157.11(m)(1) related to failing to prominently display vehicle authorization, failing to have present emergency response guide book and failing to assure that vehicles are maintained, operated, equipped and staffed. (Texas EMS Magazine March/April 2012)

Pro-Med EMS, LLC, San Juan, TX. January 17, 2012, assessed a $22,500.00 administrative penalty for violating EMS Rules §157.11(m)(2), 157.11(m)(2)(A), 157.11(m)(3), 157.11(m)(8), 157.11(m)(9), 157.11(m)(10), 157.11(m)(12), 157.16(c), 157.16(d)(12) and 157.16(d)(19) related to failing to monitor staff by not adhering to a continuous quality improvement plan and/or not reviewing patient care reports and failure to give the department information upon request.  (Texas EMS Magazine March/April 2012)

Pro-Med EMS, LLC, San Juan, TX. August 23, 2011, assessed a $450.00 administrative penalty for violating EMS Rules §157.11(d)(7), 157.11(j), 157.11(j)(7)(A) and 157.11(m)(1) related to failing to have EMS ambulance vehicle(s) adequately equipped and supplied at all times; failing to have written protocols with equipment, supply and medication list present on EMS ambulance vehicle(s); and failing to have provider name and license number displayed on EMS ambulance vehicle(s).  (Texas EMS Magazine March/April 2012)

Royalty Ambulance Service Inc., Pharr, TX. November 5, 2011, assessed a $500.00 administrative penalty for violating EMS Rules §157.11(d)(1), 157.11(j)(4) and 157.11(m)(1) related to failing to have EMS ambulance vehicle(s) adequately equipped and supplied at all times. (Texas EMS Magazine March/April 2012)

South Star Ambulance Service Inc., Weslaco, TX. December 16, 2011, assessed a $250.00 administrative penalty for violating EMS §157.11(j)(1), 157.11(i)(2) and 157.11(m)(1) related to failing to have EMS ambulance vehicle(s) adequately equipped and supplied at all times. (Texas EMS Magazine March/April 2012)

St. Michaels Ambulance, LLC, Weslaco, TX. September 29, 2011, assessed a $500.00 administrative penalty for violating EMS Rules §157.11(i)(3), 157.11(j)(5) and 157.11(m)(1) related to failing to have EMS ambulance vehicle(s) adequately equipped and supplied at all times and failing to store and maintain all solutions and pharmaceuticals in accordance with FDA recommendations. (Texas EMS Magazine March/April 2012)

Vitalis Healthcare System, Inc., dba Vitalis Medical Transport Service, McAllen, TX. September 13, 2011, assessed a $500.00 administrative penalty for violating EMS Rules §157.11(i)(2), 157.11(j)(1) and 157.11(m)(1) related to failing to have EMS ambulance vehicle(s) adequately equipped and supplied at all times. (Texas EMS Magazine March/April 2012)

Wolfforth EMS, Wolfforth, TX. December 30, 2011, reprimanded for violating EMS Rules §157.11(m)(1), 157.11(m)(4), 157.16(d)(14) and HSC §773.050(a) related to failing to staff an EMS ambulance vehicle deemed to be in-service and/or response ready with appropriately and/or current certified personnel. (Texas EMS Magazine March/April 2012)

And as always, if you have a complaint against an ambulance company in the state of Texas you can go to their website at http://www.dshs.state.tx.us/emstraumasystems/qiinvestigations.shtm, or you can call them at (800) 452-6086.