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Gem Ambulance Agreed to Pay $1 Million for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Services Covered by the SNF Consolidated Billing Payment

On November 10, 2022, Gem Ambulance LLC d/b/a Gem Mobile Health (Gem), Lakewood, New Jersey, entered into a $1,060,513.82 settlement agreement with OIG. The settlement agreement resolves allegations that Gem 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 Paralegal Specialist Jennifer Hilton, collaborated to achieve this resolution.

Action Details

  • Date:November 10, 2022
  • Enforcement Types:
    • CMP and Affirmative Exclusions