May 21, 1997 Emcare Inc.
One of the nations largest emergency physician staffing companies, Emcare Inc., has agreed to pay $7.75 Million Dollars to settle claims asserted in a qui tam case filed by Theresa Semter.
The allegations of the case were that Emcare engaged in “upcoding,” a practice in which a medical provider bills federal health insurance programs for more expensive procedures than what were actually performed, or bills for services which were more expensive than those which were actually provided, by submitting claims which contain codes that have been assigned to those more expensive procedures or services.
As part of the settlement, the relator who filed the qui tam case will receive approximately $1.5 Million Dollars for having filed the case.
See U.S. Dept of Justice Press Release 5/21/97