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Balboa Ambulance Agreed to Pay $22,000 and Be Excluded for 5 Years for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Services Covered by the SNF Consolidated Billing Payment   

On December 7, 2021, Balboa Ambulance, Inc. (Balboa), San Diego, California, entered into a settlement agreement with OIG in which they agreed to pay $22,347.89 and be excluded from participation in all Federal health care programs for five years under 42 U.S.C. 1320a-7a and 42 U.S.C. 1320a-7(b)(7). The settlement agreement resolves allegations that Balboa presented claims to Medicare Part B for ambulance transportation to and from skilled nursing facilities (SNFs) where such transportation was already covered by the SNF consolidated billing payment under Medicare Part A. OIG's Office of Audit Services and Office of Counsel to the Inspector General, represented by Senior Counsels Srishti Sheffner and Andrea Treese Berlin with the assistance of Chief Investigator Amber Mahmood and Paralegal Specialist Jennifer Hilton, collaborated to achieve this resolution.

Action Details

  • Date:December 7, 2021
  • Enforcement Types:
    • CMP and Affirmative Exclusions