Compliance

LifeQuest has an unblemished compliance record. We fully understand and comply with the complex regulations governing state and federal health programs.

In the event your service is selected for an audit in the future, you will have confidence in knowing your claims were submitted properly. We minimize your service’s risk of having to pay back damages, interest, penalties or worse.

“… we were placed on a prepay audit utilizing another third-party medical billing provider.  … the transition [to LifeQuest] was seamless. … In a very short time we were taken off of the prepay audit due to the diligent efforts, professionalism, knowledge and practices of LifeQuest. We now have a team of knowledgeable personnel taking our revenue resources to higher levels.” 

EMS Chief Danny West, Cherokee County Fire & Emergency Services     Read More

LifeQuest does not risk submitting your ambulance claims as covered if criteria established by Centers for Medicare and Medicaid Services (CMS), Medicare Administrative Contractors (MACs), and Medical Assistance are not met. We will make sure the claim is prepared and submitted appropriately for payment. We have assisted several clients in major Medicare ambulance billing and coding audits – none of which had to reimburse Medicare for claims inappropriately submitted.

Examples of Healthcare Fraud Investigations – Fiscal Year 2015

“The following examples of Healthcare Fraud Investigations are written from public record documents on file in the courts within the judicial district where the cases were prosecuted.”

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U.S. Charges 243 People in $712 Million Medicare Fraud Cases

“The U.S. Justice Department charged 243 people, including 46 doctors, nurses and other medical professionals, with defrauding the Medicare system of $712 million through false billing.”

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Houston in top 4 for possible Medicare ambulance fraud

“Medicare paid out $18 million in questionable ambulance rides in Houston, one of four major cities which together accounted for half of the potentially fraudulent transports in the nation, according to a new government audit.”

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Ongoing investigation of ambulance billing fraud nets another guilty plea

“During the past five years, federal authorities have charged eight Philadelphia-area ambulance companies with filing fraudulent claims that have cost the Medicare program more than $18 million.”

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Ky. ambulance co. settles Medicare fraud case for $1M

“The federal government alleged that for six years Trans-Star Ambulance Services filed false claims for transports that were not medically necessary.”

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