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Medicaid fraud?? Conflict of conscious


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Dont beat me up too bad here but I feel I am having a conflict of conscious. I have been in EMS (both fire and private) for nearly 3 years now. Time and time again, I see, on the private side, patients who are getting an ambulance ride when they really do not qualify. Attached are the forms in use in Ohio. One is for wheelchair/ambulette's, the other for ambulance/stretcher transport. At the bottom, it clearly says, "False certification constitutes Medicaid fraud." The social workers at the hospital like to use "qualifiers" to make it acceptable. With as busy as we are, I feel we shouldnt take patients who do not qualify for our service because, its fraudulent and I fear of somehow getting implicated or in trouble. My former private employer would decline these trips if we questioned them (patient was walking around, had family that could transport, etc). My current employer essentially says we are there to transport and to conduct the trip, document it and let billing sort it out. I feel the current employers feelings on it set some unsuspecting patient up to get a bill they may have not expected.

Anyone ever run in to this problem??

PCS forms.jpg

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