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BH Grand River Southfield Agreed to Pay $260,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Services Covered by the SNF Consolidated Billing Payment

On August 31, 2023, BH Grand River Southfield, Inc., formerly known as Community Emergency Medical Service, Inc. (CEMS), Southfield, Michigan, entered into a $260,952.46 settlement agreement with OIG. The settlement agreement resolves allegations that CEMS 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, Andrea Treese Berlin, and Geoffrey Hymans with the assistance of Paralegal Specialist Jennifer Hilton, collaborated to achieve this resolution.

Action Details

  • Date:August 31, 2023
  • Enforcement Types:
    • CMP and Affirmative Exclusions