How You Should Respond to a Medicaid or SNAP Investigation Letter from the HR

If the HRA Bureau of Fraud Investigation has sent you or a family member a letter regarding Medicaid or SNAP fraud, be sure to address such information with precaution. It is important to not ignore such letters, considering criminal and civil charges may arise from Read More …

Different Types of Medicaid Fraud and Penalties

The Federal Government and society place an enormous trust in physicians to work ethically, provide high-quality medical care, and submit truthful claims for payment. Medicaid, among other Federal health care programs, rely heavily on physicians’ medical judgment to treat patients with appropriate services. The Federal Read More …

How to Apply for NY Medicaid Reinstatement?

We know healthcare is a basic human right to which every individual should be entitled. It is also one of the most tedious categories to resolve when an issue such as Medicaid fraud occurs (read this Medicaid Fraud Investigation guide for more information about protecting Read More …

Medicaid Fraud – Case Updates in 2019

Medicaid is a type of insurance program that was created to provide health care services to people that are low-income or disabled at either a low cost or completely free. The downside to such a program, as with most government programs, is that there are Read More …

Update on Medicaid Fraud In New York

Medicaid is a federal and state program that provides individuals with low incomes, disabilities, or other conditions to receive medical treatment and care for a free or low cost. Unfortunately, as with any government program, Medicaid is prone to fraudulent use by individuals looking to Read More …

I Believe My Employer Has Committed Medicaid Fraud, How Do I Report It?

Reporting Medicaid Fraud for your employer Medicaid fraud costs the government billions of dollars every year, which averts funds that are meant to be used for lawful health care services away from those who truly need them. Violations by employers may include forging prescriptions, billing Read More …

What Is The Government Doing to Prevent Medicaid Fraud?

Healthcare fraud is a type of white-collar crime that involves the filing of inaccurate healthcare claims with the intent to turn a profit. While practitioner schemes include but are not limited to billing for services that have not been rendered, misusing codes on a claim, Read More …

How to Report Dental Medicaid Fraud

An issue which plagues the public medical system is Medicaid fraud, with dentistry being no exception to the problem. To counteract this public crisis it is imperative that it be reported; this not only stops the present case of fraud, it also discourages further fraud Read More …

6 Common Medicaid Fraud Penalties A Defendant May Face

Simply put, Medicaid fraud is far more common than you may think. In 2017 alone, according to the Department of Health and Human Services, Medicaid Fraud Control Unit (MFCU) convictions totaled 1,528 with the majority having to do with Personal Care Services (PCS) attendants and Read More …

The 3 Biggest Mistakes People Make in Medicaid Fraud Investigations

In the words of business magnate Daymond John, “Life is 20% what happens to you, and 80% how you respond.” While it may be a bit of an unusual connection, this quote is particularly relevant when it comes to dealing with the news that you Read More …