Compliance Perspectives

Colin May on Non-Emergency Medical Transportation Fraud [Podcast]

6 snips
Sep 11, 2025
Join Colin May, a Professor of Forensic Studies and Criminal Justice at Stevenson University, as he delves into the alarming rise of fraud in non-emergency medical transportation. He discusses various schemes like billing for unprovided services and overcharging for tolls. Colin stresses the importance of training frontline employees to spot irregularities and highlights the potential of technology in pre-trip screenings to enhance oversight. Tune in to discover how providers can safeguard their services and patients against these fraudulent practices.
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INSIGHT

NEMT Is Essential But Vulnerable

  • Non-emergency medical transportation (NEMT) serves low-income, elderly, and disabled patients to reach appointments and pharmacies.
  • The service is ripe for many fraud types including billing for no-shows, closed facilities, ineligible beneficiaries, and upcoding.
ANECDOTE

Extreme Real-World Fraud Examples

  • Investigations revealed billing for dead patients and trips to closed facilities.
  • Cases also included ineligible beneficiaries being billed while hospitalized or deceased.
INSIGHT

Enforcement Activity Has Spiked

  • Enforcement activity is increasing with many open civil and criminal cases across multiple states.
  • Nearly 300 open NEMT cases were reported in fiscal year 2024, with additional ambulance-related cases increasing the total.
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