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Medicaid Fraud

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, [...]