Ambulance/Medical Transport

Nelson Hardiman represents California ambulance companies and other medical transportation companies, including wheelchair and stretcher van companies. Nelson Hardiman counsels and assists ambulance and other medical transportation companies with a range of business, regulatory, and strategic challenges, including:

  • Business Transactions
    • Formation of entities and business structure
    • Ambulance Transportation Agreements with skilled nursing facilities, hospitals, and other providers
    • Purchase and Sale Agreements
    • Employment and independent contractor agreements
  • Regulatory Defense
    • Reimbursement audits and investigations by private and governmental payors, including Medicare and Medi-Cal
    • Medicare fraud and abuse investigations by Safeguard Services, Office of Inspector General, and the Federal Bureau of Investigations
    • Medi-Cal fraud and abuse investigations by the Department of Health Care Services Audits and Investigation Unit
  • Compliance
    • Licensing, operational, and reimbursement compliance
    • Medicare and Medi-Cal enrollment and changes of ownership
    • HIPAA and state patient data privacy and security requirements
    • Prepayment review corrective action plans
    • Documentation and claims processing solutions for documenting medical necessity, including non-emergency medical transports and dialysis clinic related transports.
    • Marketing practices and business development compliance
  • Litigation
    • Licensure denial appeals
    • Medicare and Medi-Cal overpayment appeals
    • False Claims Act civil defense
    • Exclusion and suspension appeals by government entities, including the Department of Health and Human Services Office of the Inspector General and California Department of Health Care Services