Gem Ambulance
Outcome
OIG enforcement action against Gem Ambulance for healthcare fraud. Penalty: $1.1 million.
Details
Gem Ambulance — OIG Enforcement (2022)
OIG took enforcement action against Gem Ambulance in NJ in 2022 involving healthcare fraud violations in the Assisted Living / Long-Term Care sector.
Penalty: $1.1 million
Violation types: Healthcare Fraud
Entity type: Skilled Nursing Facility
Penalty type: Fine
Location: NJ
Source: Gem Ambulance Agreed to Pay $1 Million for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Services Covered by the SNF Consolidated Billing Payment
How Crucible Prevents This
Crucible's compliance monitoring controls for Assisted Living / Skilled Nursing would have detected the patterns underlying this violation through automated screening, documentation enforcement, and real-time alert escalation.
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