The federal government alleged a Tampa ambulance company, AmeriCare, repeatedly claimed nonemergency ambulance transports that weren’t medically necessary from 2008 to 2016. The Department of Justice said evidence pointed to a systemic practice of submitting fraudulent claims in both Medicare and TriCare.
After proactive data analysis by Safegaurd Services was conducted as well as a series of investigations that involved overpayments collected from the provider, the investigations were subsequently referred to law enforcement and accepted for prosecution.
As a result, the company agreed to pay back $5.5M to settle their case rather than go through litigation in the U.S. District Court for the Middle District of Florida. Additionally, the company also agreed to a follow a corporate integrity agreement written by the Department of Health and Human Services Office of Inspector General.