Sean McKenna in Fierce Health Payer: Hospitals, Ambulance Companies Share Fraud Liability Burden


Throughout the first half of 2015, a number of fraud cases and investigations have focused on ambulance services, particularly for non-emergency transportation. In some instances, these cases have implications for both ambulance companies as well as hospitals...

Although there has been a rash of activity over the last several months, ambulance fraud has been scrutinized at the federal level for several years, Sean McKenna, a partner at Haynes and Boone LLP in Dallas and co-chair of the firm's Healthcare Practice Group, said in an exclusive interview with FierceHealthPayer: AntiFraud. McKenna previously served as an Assistant U.S. Attorney for the Northern District of Texas and worked at the Office of Counsel to the Inspector General for the Department of Health and Human Services.

"We're seeing a lot of scrutiny because the perception still is that this area is ripe with abuse," said McKenna, pictured right. "Even large companies and chains have settled civilly for upcoding the severity from a BLS [basic life support] to an ALS [advanced life support], or transportation that didn't have the requisite medical necessity documentation."

Excerpted from Fierce Health Payer. To read the full article, click here.

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