Medicaid Fraud

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, [...]

Community Health Systems Settles Medicaid Fraud Allegations for $75 Million

A recent press release from the Department of Justice alleged that several hospitals within the nationwide Community Health System (CHS) chain made unlawful donations to various county governments in violation of state and federal Medicaid laws. The scheme occurred under New Mexico’s supplemental Medicaid program, which primarily served rural and under-served communities. This program [...]

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