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The Emergency Medical Services Authority of Oklahoma City Billed and Was Paid for Advanced Life Support Transports That Were Not Medically Necessary

The Emergency Medical Services Authority of Oklahoma City (EMSA) inappropriately billed and Medicare paid for advanced life support (ALS) emergency transports in 2010. Of the 100 claims in our random sample, 10 were for ALS emergency transports that were not medically necessary. Based on the sample results, we estimated that EMSA improperly billed for at least 1,210 ALS emergency transports with an associated overpayment of at least $366,000.

Filed under: Centers for Medicare and Medicaid Services