From the May 2, 2019 Department of Justice Press Release: A 46-year-old Houston man has been ordered to federal prison following his conviction of conspiracy to commit health care fraud, announced U.S. Attorney Ryan K. Patrick. Full Press Release can be found here www.justice.gov/usao-sdtx/pr/ambulance-owner-sent-prison-health-care-fraud
Kevin Fairlie contributes article discussing the ongoing DOJ investigations into fire-based EMS Services.
The article appears in the May 3, 2018 issue of the Paramedic Chief Leadership Briefing. Please follow the link to the Paramedic Chief Leadership Briefing to learn more about how, for the past two years, the Department of Justice, through its local U.S. Attorney offices, along with the Department of Health and Human Services’ Office of Inspector General, has been actively investigating fire-based services for improperly billing Medicare for ALS ambulance transports when a BLS level service should have been billed.
Firm founding member, Kevin Fairlie, will be presenting the annual update at this year's premiere EMS conference for the nation's EMS leaders - Pinnacle 2018
Follow the link here to register for Pinnacle 2018 and participate in its many leaderships sessions including the Legal Update described as : "Each year Pinnacle addresses current legal issues, recent cases and legal strategies for EMS leaders. This session will cover new developments in EMS and healthcare law, including new regulations, medical decision-making, risk management, workplace conduct, healthcare compliance and other timely topics."
Kevin Fairlie will be Presenting at the Missouri Association of Fire Chiefs' Winter Conference at Big Cedar Lodge on February 23rd and 24th
Mr. Fairlie will lead a 3 hour discussion covering the increased scrutiny of fire based EMS services by the DOJ and OIG as it relates to Medicare fraud as well as the changing reimbursement landscape for EMS providers. More information can be found at the Missouri Association of Fire Chiefs website.
A recent article at Bloomberg reads in part: " How does an emergency medical technician support Medicare fraud claims against an ambulance company without access to billing records and other claim specifics? “Let me show you!” wrote one federal judge in Pennsylvania." Full article here
Kevin Fairlie Contributes Article to Fall 2017 EMS Connection Publication Detailing Increased DOJ Oversight of Emergency Based Services
Historically, when it came to EMS services, most of the scrutiny from the Department of Justice (DOJ) and the Centers for Medicare and Medicaid Services (CMS) was focused on non-emergency basic life support transports. 2017 has seen a significant shift from this previous trend. Read the full article in the Fall 2017 issue of EMS Connection.
Kevin Fairlie Invited Speaker at the Missouri Ambulance Association’s Annual Board Member and Management Training conference on June 14th, 2017
Kevin will lead three one hour sessions covering timely employment law issues including the proper handling of internal investigations, social media in the EMS workplace and changing drug laws. Joining Kevin in these sessions will be attorney J.P. Hasman. J.P. is a shareholder in the St. Louis office of Ogletree, Deakins where he counsels and defends employers regarding all aspects of the employment relationship. More information on the sessions is below.
Proper Handling of Internal Investigations
Social Media in the EMS Workplace – Risks and How to Avoid Them
Changing Drug Laws and the Impact on Employment Drug Testing and Enforcement
Kevin Fairlie authors article in Spring EMS Connections publication: "The EMS Compliance and Regulatory Landscape under the Trump Administration: A Look into the Future"
Mr. Fairlie is again a featured contributor to the "Legal Corner" in this month's EMS Connections magazine. You can read his thoughts on the future of regulatory oversight for EMS Agencies and find the full article at EMS Connections
Fairlie Law Managing Member, Kevin Fairlie, will be speaking again at the nation's leading conference for EMS leaders. Mr. Fairlie will be presenting at two Pinnacle Power Seminars: "What you Don't Know Can Hurt You: How to Manage Regulatory and Other Investigations" and "Bending the Curve to Achieve Financial Sustainability." You can find more information about the renowned Pinnacle EMS conference at their website here.
Missouri Medicaid Audit and Compliance (MMAC) to Conduct Onsite Audits of Missouri Ambulance Providers
On December 22, 2016, MMAC issued a Memo indicating that it will begin conducting onsite audits to determine whether information provided during provider enrollment is accurate. MMAC stated that it would conduct audits for providers it classifies as Moderate or High risk to the Missouri Medicaid program. Missouri Ambulance Providers are listed as moderate risk entities by MMAC. Therefore, Missouri Ambulance Providers should be reviewing their Medicaid enrollment and revalidation information and take steps to ensure that information provided to MMAC is correct.
If you have questions on this process, please contact the firm for further assistance. You may contact Kevin Fairlie directly here