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 …

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 …

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 …

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 …

How to Survive a Medicaid Fraud Investigation

Receiving a Medicaid fraud letter can be intimidating. Alone, the average person does not possess adequate knowledge to understand why they are being interviewed, and where their Medicaid fraud investigation may lead. Without proper guidance from an experienced professional, they may end up tarnishing their Read More …

Why an MFCU Expansion Would Increase Medicaid Fraud Recovery Rates

Over the last several years, particularly since the start of President Trump’s administration, the topic of Medicaid fraud has seen a consistent spike in popularity among not just national headlines, but political discourse as well. Furthermore, although direct legislation regarding the matter has not yet Read More …

Medicaid Fraud Cases on the Rise

There is little doubt concerning the fact that Medicaid, a public health coverage program, helps millions of low-income people every day. With affordable or even zero cost aid provided by the taxpayer-funded program, countless elders, pregnant women, children from low-income families, disabled people, and others Read More …

The Link Between Medicaid Fraud and the Opioid Crisis

There is little doubt to the notion that the Medicaid program helps millions of Americans in need of affordable and quality health care. As one of the nation’s most well-funded federal programs, Medicaid allows more than 70 million Americans to receive necessary health care and Read More …