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...The Department of Health and Human Services’ inspector general’s office also found that some urban ambulance services got paid for an average distance of more than 100 miles per ride. That contrasts with a national average of just 10 miles for urban ambulance rides....
...In the end, they were stumped. “The transports may not have occurred,” the report said. For 46 ambulance companies, there was no record that patients got medical services in more than 9 out of 10 of the rides they billed for....
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Stumped? Clearly fraud