acadian.ambulance.truck.2

[Editor's Note: This story has been corrected to reflect the current size of the class of plaintiffs. While 10,000 notices have been sent, thus far about 500 have responded.]

The class-action lawsuit against Acadian Ambulance for overbilling — Kiesha Desselle, et al. vs. Acadian Ambulance Service Inc. — is one step closer to ending after a fairness hearing in Avoyelles Parish Friday. Attorneys representing both sides presented terms for a settlement to 12th Judicial District Court Judge Mark Jeansonne, after Jeansonne’s initial ruling in favor of the plaintiffs in December 2012.

Acadian’s attorneys had planned to appeal the December ruling, which dictated that Acadian pay $17 million to the hundreds (and possibly thousands) of plaintiffs, but both parties reached a $5.9 million settlement before getting to the appeals process.

No one expressed any objections to the $5.9 million settlement at Friday’s hearing, meaning all that needs to happen now is for others who were overbilled to join the class before the late July deadline.

derrick earles
Attorney Derrick Earles

Derrick Earles, one of the attorneys representing Desselle, et al., explains to The IND that Friday’s final approval hearing was the chance for anyone to come forward with objections to the proposed settlement, and such objections are usually based on suspected collusion between the parties. “In our case we’ve been fighting for four years,” he says, so it was unlikely that anyone would suspect collusion.

The lawsuit charged that Acadian Ambulance, as The IND reported in this December 2012 story on Jeansonne's ruling, was billing customers higher prices than those agreed to with insurance companies via a practice called “balance billing.” When a third party was somehow involved in a claim, Acadian would lien the patient, the third party liability carrier and the patient’s attorney rather than submit a claim to the insurance company. It would then wait to see if the insured customer won anything in a settlement with that third party. If so, the company would bill the customer for the full amount.

The judge did not mince words in recounting Acadian's testimony during the trial:

“... [E]xtracting the truth from Acadian proved very difficult,” Jeansonne wrote. “At the outset, this Court recognizes that increasing one’s profit margin in not evil. However, when an entity attempts to skirt Louisiana law in order to increase profits, then seeking to increase profits becomes sinister.”

The judge further ordered Acadian to immediately discontinue its lien practices and stop billing the patient for the difference between the negotiated rate of reimburse and what Acadian wants to charge for patients who have health insurance and are involved in liability accidents.

The court explained that Acadian is a contracted health provider with companies like Blue Cross/Blue Shield and agrees as part of the contract to accept the patient’s health insurance as payment: “The result of this agreement is that Acadian agrees to file a claim with the patient’s health insurance carrier, agrees to accept the contract reimbursement rate from the health insurance carrier as payment in full, and agrees to only seek deductibles, co-insurance, or co-payments from a patient after receiving an explanation of benefits from the health insurance company.”

As far back as the 1990s Acadian implemented a company-wide policy for this class of patients.

The lawsuit began with three plaintiffs, Desselle and her son, both involved in a car accident, and Terry Dupuy, who was injured in a hunting accident, and is still growing.

"About 10,000 notices were sent out to putative class members," says Earles. "As of today just over 500 have responded to the notice." The deadline to join the class is July 24. For more information or to join the class, click here.

To post a comment, please log into your IND account. If you do not have an account, click the "register" button to create one. Facebook comments can be used as an alternative to creating an account at theIND.com.

feed-image RSS Feed
Loading
Chart
ABiz Stock Watch
o Home Bancorp 22.30 ▲0.38 (1.73%)
o Frank's International 22.98 ▼0.17 (-0.73%)
o IberiaBank Corp 64.52 ▼1.09 (-1.66%)
o LHC Group 23.43 ▼0.05 (-0.21%)
o MidSouth Bancorp 19.52 ▲0.02 (0.10%)
o Petroquest Energy 6.04 ▼0.37 (-5.77%)
o PHI Inc. 37.70 ▲0.37 (0.99%)
o Superior Energy 34.31 ▲0.71 (2.11%)
o Stone Energy 36.07 ▼1.98 (-5.20%)
o Teche Holding 71.82 (%)
o Facebook Inc. 72.36 ▼0.29 (-0.40%)
o Twitter Inc. 44.13 ▼1.06 (-2.35%)
o Gannett 32.88 ▲0.16 (0.49%)
NYSE:HBCP

Home Bancorp

Company ID [NYSE:HBCP] Last trade:22.30 Trade time:3:59PM EDT Value change:▲0.38 (1.73%)
NYSE:FI

Frank's International

Company ID [NYSE:FI] Last trade:22.98 Trade time:4:04PM EDT Value change:▼0.17 (-0.73%)
NYSE:IBKC

IberiaBank Corp

Company ID [NYSE:IBKC] Last trade:64.52 Trade time:4:00PM EDT Value change:▼1.09 (-1.66%)
NYSE:LHCG

LHC Group

Company ID [NYSE:LHCG] Last trade:23.43 Trade time:4:00PM EDT Value change:▼0.05 (-0.21%)
NYSE:MSL

MidSouth Bancorp

Company ID [NYSE:MSL] Last trade:19.52 Trade time:4:02PM EDT Value change:▲0.02 (0.10%)
NYSE:PQ

Petroquest Energy

Company ID [NYSE:PQ] Last trade:6.04 Trade time:4:01PM EDT Value change:▼0.37 (-5.77%)
NYSE:PHII

PHI Inc.

Company ID [NYSE:PHII] Last trade:37.70 Trade time:1:23PM EDT Value change:▲0.37 (0.99%)
NYSE:SPN

Superior Energy

Company ID [NYSE:SPN] Last trade:34.31 Trade time:4:04PM EDT Value change:▲0.71 (2.11%)
NYSE:SGY

Stone Energy

Company ID [NYSE:SGY] Last trade:36.07 Trade time:4:02PM EDT Value change:▼1.98 (-5.20%)
NYSE:TSH

Teche Holding

Company ID [NYSE:TSH] Last trade:71.82 Trade time:4:03PM EDT Value change: (%)
NYSE:FB

Facebook Inc.

Company ID [NYSE:FB] Last trade:72.36 Trade time:4:00PM EDT Value change:▼0.29 (-0.40%)
NYSE:TWTR

Twitter Inc.

Company ID [NYSE:TWTR] Last trade:44.13 Trade time:4:01PM EDT Value change:▼1.06 (-2.35%)
NYSE:GCI

Gannett

Company ID [NYSE:GCI] Last trade:32.88 Trade time:4:05PM EDT Value change:▲0.16 (0.49%)
Advertisement

Economic Indicators

  • Real Estate Data
    Real Estate
     
    Rentals
     
    Commercial
     
     
  • Energy Data
    Oil
     
    Gas
     
     
  • Taxable Sales
    Register
     
  • Unemployment Rate
    Employment
     
 

Read the Flipping Paper!

Click Here for the Entire Print Version of
ABiz
 
Advertisement
Advertisement