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Medicaid Fraud

What is Medicaid Fraud?

By Arthur Stock Medicaid pays for approximately 20% of all healthcare expenses in the United States, over $600 billion each year. Well over 500,000 healthcare providers, ranging from hospital chains to individual doctors to ambulance helicopter pilots, receive payments from Medicaid every year. Inevitably a few of the providers will try to defraud the [...]

What are Medicaid Fraud Control Units?

By Lane L. Vines Medicaid provides health insurance coverage for certain low-income people, families and children, pregnant women, the elderly, and people with disabilities. While Medicaid is funded jointly by the States and the federal government, the program is administered by the individual States, according to federal requirements. Significantly, Medicaid fraud reportedly costs taxpayers [...]

How to Report Dentist Medicaid Fraud

By Daniel Miller In every state, Medicaid covers comprehensive dental services for all enrolled children. Additionally, almost every state Medicaid program provides emergency dental services to enrolled adults. About two-thirds of the state Medicaid programs additionally cover at least some non-emergency dental services for enrolled adults. See id. Whistleblowers play a central role in [...]

What Happens During a Medicaid Fraud Investigation?

By Shauna Itri What is Medicaid Fraud? Medicaid is a health insurance program for low-income individuals that is jointly funded by the State and Federal government. Medicaid covers children, the elderly, blind and/or disabled and other people who are eligible to receive federally assisted income maintenance payments. On occasion, individuals, doctors, medical professionals, hospitals [...]

What are the Potential Medicaid Fraud Penalties?

By Joy Clairmont The potential penalties for healthcare providers found liable for committing Medicaid fraud are significant. If an entity is liable for Medicaid fraud in violation of the False Claims Act, the possible penalties include: civil monetary penalties for each false claim submitted, treble damages based on the amount defrauded from Medicaid, costs, [...]

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