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Extracted from Consolidated Report

This investigation was originally published as part of a larger consolidated report containing multiple investigations. View the consolidated PDF for the complete document.

El Dorado County Grand Jury • 2003-2004

Ambulance Billing

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Findings 6 findings

F1 Page 11
Rejected/Denied Medicare bills were improperly sent to patients. Additional effort was required by county employees to resolve disputes between Medicare Insurance and ABS.
F2 Page 11
ABS was requesting payments from patients through County Counsel even though the Medicare disputes were not resolved.
F3
A number of these disputed bills are not being resolved properly and patients are being billed.
F4 Page 11
Different billing terminology between Medicare and ABS caused confusion among patients. These differences caused difficulty when patients called Medicare to resolve the disputes.
F5
Lack of written policies and procedures in ABS resulted in improper handling of ambulance transport claims.
F6 Page 11
Lack of training resulted in improper coding on Medicare forms.

Recommendations 5

Agency Responses 1

Government agencies' official responses to this report's findings and recommendations. Click on a response to see the structured breakdown.