FRAUD. $______ RECOVERY

Pages7-7
The parties agreed to resolve the plaintiff’s claims for
worker’s compensation damages for the total sum of
$420,000 in a confidential settlement between the
parties.
REFERENCE
Courier Driver vs. Employer. 04-11-22.
Attorney for plaintiff: J. Eric Chrisholm of Keches Law
Group in Milton, MA.
FRAUD
$602,000 RECOVERY
Medicaid fraud – Medical response company
accused of billing for treatment provided by fire
department – Defendant billed State Medicaid
program for “Advanced Life Support” services
while providing only “Basic Life Support” services.
Hartford County, CT
In this action, the Connecticut Attorney General
accused a medical response company of improper
billing to Medicaid. The matter was resolved with
a settlement.
The respondant, American Medical Response of Con-
necticut, is an ambulance company operating in the
greater Hartford/Northeast Connecticut area. The
respondant provides emergency and non-emer-
gency medical transportation service for Central and
Northeastern Connecticut. The respondant’s business
practices include providing both Basic and Ad-
vanced Life Support services, which are billable under
Medicaid.
The respondant was subject to a state and federal in-
vestigation regarding its alleged non-compliance with
state and federal primary service area responder laws
and billing laws. Investigators concluded that be-
tween January 1, 2014 and December 31, 2019, the
respondant billed the State Medicaid program for
“Advanced Life Support” services while providing only
“Basic Life Support” services. Specifically, investigators
found that respondant had billed Medicaid for Ad-
vanced Life Support services even when fire depart-
ments including those in West Hartford, Milford and
North Haven had already provided them.
The matter was resolved with a settlement for
$601,759 to remediate the alleged overcharges, as
well as a consent decree. Per the terms of the de-
cree, the respondant will cease and desist the at-is-
sue billing practices, will to submit to quarterly
compliance monitoring and reporting for one year,
and to pay a $25,000 civil penalty.
REFERENCE
Attorney General William Tong vs. American Medical
Response of Connecticut. 03-29-22.
Attorneys for plaintiff: Michael Cole, General Karla
Turekian and Shawn Rutchick of Attorney General’s
Office in Hartford, CT.
MOTOR VEHICLE NEGLIGENCE
Head-on Collision
$33,000 GROSS VERDICT
Motor vehicle negligence – Head-on collision –
Plaintiff’s vehicle struck by defendant’s vehicle
which swerved into plaintiff’s lane of travel –
Cervical injuries – Headaches – Shoulder injuries –
Conservative care with chiropractic treatments.
Suffolk County, MA
In this motor vehicle negligence matter, the
plaintiff driver alleged that the defendant driver
was negligent in causing a collision between the
vehicles. As a result of the collision, the plaintiff
suffered injuries to her head, neck and shoulders.
The defendant driver denied the allegations and
disputed the plaintiff’s claim of injuries and
damages.
The female plaintiff was operating her vehicle in her
lane of travel when the defendant’s vehicle, proceed-
ing toward the plaintiff in its own lane of travel, sud-
denly swerved into the plaintiff’s travel lane and
collided with the plaintiff’s vehicle. The force of the im-
pact caused the plaintiff to suffer damages.
She was taken from the scene by ambulance and re-
leased from the emergency department following
complaints of headaches. She also experienced
shoulder and neck pain for which she sought conser-
vative care with chiropractic treatments. The plaintiff
incurred medical specials of approximately $6,500.
VERDICTS BY CATEGORY 7
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