Q/A: Fighting NEMT Fraud & Waste

Q/A: Fighting NEMT Fraud & Waste

Sufian Chowdhury, CEO of Kinetik, addresses a critical issue plaguing the non-emergency medical transportation (NEMT) industry: widespread fraud and inefficiency. He outlines how Kinetik is leveraging technology to close loopholes that have long enabled practices like phantom rides, excessive mileage claims, and billing code manipulation. These aren’t just administrative errors—they directly inflate healthcare costs and erode trust in the system.

Kinetik’s platform offers a digital overhaul of legacy systems that often rely on manual paperwork and outdated communication methods. Real-time eligibility checks prevent ineligible ride requests from ever being scheduled. Each trip is tracked and documented digitally from the moment it’s scheduled to the time the patient is dropped off, providing full traceability. These digital records reduce opportunities for data manipulation and simplify audits.

Sufian emphasizes that automation doesn’t just cut costs—it creates a more transparent and accountable environment for both providers and payers. This also helps ensure that patients are receiving the services they’re actually entitled to, without delays caused by backend errors or billing disputes. In short, it’s not just about catching fraud after it happens; it’s about making it harder to commit in the first place.

Read more about Kinetik’s approach to securing the NEMT system: HIT Consultant – Kinetik CEO Sufian Chowdhury on Fighting NEMT Fraud & Waste

 

About client

Safe and cost effective solution

Divine Right Transportation provides safe and cost effective transportation to addiction and recovery programs, pharmacy trips, doctors appointments, clinic visits, physical therapy, diabetes treatment, dialysis treatment, oncology trips, and more.

Their company strive to provide safe and timely social assistance and health-related transportation needs to those who are under-served with limited income.

Partnership with Kinetik

After three years of operating only in California, Divine Right Services was ready to expand its non-emergency medical transportation footprint in 2022. But with more states, more regulations and more rides to process, Divine Right would need a massive infusion of billing staff.

Instead, they brought on RCM Pro billing services from Kinetik.

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Challenge

Quickly schedule and manage patient trips with full visibility into transportation benefit utilization. Trip Scheduler and Trip Assistant improves patient flow and lets healthcare workers get back to providing care.

Solution

With the nation’s largest digitally integrated NEMT transportation network, Kinetik is your partner for scalability. Trip Scheduler streamlines trip assignment and provides full ride visibility.

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Impact

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Robert McBride

Founder and CEO at Divine Right Transportation

Billing can be very labor-intensive and manual. Kinetik has automated a huge part of the process and allows our people to deliver a better customer experience because they are not pushing paper.

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Robert McBride

Founder and CEO at Divine Right Transportation

Billing can be very labor-intensive and manual. Kinetik has automated a huge part of the process and allows our people to deliver a better customer experience because they are not pushing paper.

What our clients say

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Brian Lawrence

Head of Financial Department at HCA Healthcare

Superior to any other service we have ever used. They taught our team how to build email and SMS automation from scratch. In the past, our employees were unsure how automation worked.

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Brian Lawrence

Head of Financial Department at HCA Healthcare

Superior to any other service we have ever used. They taught our team how to build email and SMS automation from scratch. In the past, our employees were unsure how automation worked.

avatar

Brian Lawrence

Head of Financial Department at HCA Healthcare

Superior to any other service we have ever used. They taught our team how to build email and SMS automation from scratch. In the past, our employees were unsure how automation worked.

avatar

Brian Lawrence

Head of Financial Department at HCA Healthcare

Superior to any other service we have ever used. They taught our team how to build email and SMS automation from scratch. In the past, our employees were unsure how automation worked.

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