who is a good medicaid fraud lawyer

Full Answer

Do you need a Medicaid fraud attorney?

Medicaid/Medicare fraud is not an easy legal process to navigate on your own. If someone stole your identity, gained unlawful access to your healthcare number, and hurt you financially through a fraud scheme, an attorney can help you recover damages. Your lawyer will walk you through the steps of claiming reimbursement for healthcare fraud.

How to become a fraud lawyer?

Their job responsibilities may include:

• Reviewing statements and records for evidence of suspected fraud
• Train employees to prevent future cases of fraud
• Recognizing warning signs of potential wrongdoing

Can I be charged with Medicaid fraud?

You can be charged with Medicaid Fraud if the state’s attorneys believe that each of the elements of 35A.02 as described in the section above have been met. What is the punishment for Medicaid Fraud? The penalty range for a Medicaid Fraud conviction ranges from a Class C misdemeanor to a felony of the first degree, ...

What is considered fraud with Medicaid?

• Payments for any medical services, treatment, supplies, or equipment that you did not receive;
• Dates of service or provision of items that differ from the dates on which you actually received the service or items;
• Payments for ambulance transportation that was not provided to you; and

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What agency fights Medicare fraud?

the Office of the Inspector GeneralHave your Medicare card or Medicare Number and the claim or MSN ready. Contacting the Office of the Inspector General. Visit tips.oig.hhs.gov or call 1-800-HHS-TIPS (1-800-447-8477). TTY users can call 1-800-377-4950.

Who investigates Medicaid fraud Texas?

the Office of the Attorney GeneralThe Texas Medicaid Fraud Control Unit was created in 1979 as a division of the Office of the Attorney General. The unit has three principal responsibilities: Investigate criminal fraud by Medicaid providers.

How do I report Medicaid fraud in Texas?

To file a Medicaid complaint, contact the Austin headquarters.Mail: Medicaid Fraud Control Unit at the Office of the Attorney General, P.O. Box 12307, Austin, TX 78711-2307.Email: MFCU@oag.texas.gov.Phone: (512) 463-2011.Fax: (512) 320-0974.

What is Medicaid fraud Texas?

What is the current Texas law about Medicaid Fraud? (12) knowingly makes, uses, or causes the making or use of a false record or statement to conceal, avoid, or decrease an obligation to pay or transmit money or property to this state under the Medicaid program.

How to defend yourself against Medicaid fraud?

One of the only ways to properly defend yourself is by working with an Attorney General’s Medicaid Fraud Unit.

Why is it important to handle Medicaid fraud cases?

It is important that Medicaid fraud cases get handled timely and accurately. In the absence of a skilled and knowledgeable Medicaid attorney, healthcare professionals will oftentimes lose a case against them.

What happens after the government investigates a Medicaid fraud case?

After the government investigates the case on Medicaid False Claims Act, it decides on whether or not to pursue or drop the case. In case the government continues with the case, it serves the defendant with a complaint.

What is Medicaid fraud investigation?

Medicaid Fraud Investigation Process. As the government investigates during the interview, the case on false claims is examined. The prosecutor handling the case engages the government agency responsible for getting its opinion on the matter.

What is Medicaid fraud?

Medicaid fraud involves falsifying information to benefit from reimbursements beyond the actual cost of what services were provided. Several penal codes have been put in place to protect American citizens and punish those who try and defraud Medicaid. Unfortunately, some people get accused of crimes they didn’t commit.

How long do you have to be in prison for Medicaid fraud?

If the healthcare professional is convicted, they will spend a minimum of five years in a government correctional facility.

Where does Medicaid get its funding?

Medicaid receives funding from the Department of Social and Health Services (DSHS) and the Health Care Authority (HCA). Due to the oftentimes unregulated nature of these healthcare services, there several cases of Medicaid fraud that cost the federal government millions of dollars. In Medicaid fraud cases, it is crucial to retain the services ...

What is Medicare Fraud?

Medicare is a federal health insurance program that provides medical benefits including hospital care, nursing home care, certain doctor services, and may help cover prescription costs. There are different monthly plans that have different benefits and premiums. Medicare is available for people who are:

What Qualifies as Medicare Fraud?

Medicare fraud can involve many different forms. Generally, Medicare fraud involves a doctor or health care worker seeking unlawful compensation from Medicare insurance. Some common examples of Medicare fraud include:

Who Investigates Medicare Fraud Cases?

Medicare investigations generally fall under the jurisdiction of the Department of Health and Human Services (HHS), Office of Inspector General (OIG). The OIG handles whistleblower reports and complaints of fraud in the use of HHS programs, including Medicare and Medicaid.

Is Medicare Fraud a Felony?

Health care fraud involving Medicare is a federal felony. It is a crime for whoever knowingly and willfully executes a scheme to defraud any healthcare benefit program. The penalties for a federal government fraud conviction include up to 20 years in federal prison.

Do You Need a Medicare Fraud Lawyer?

A Medicare fraud attorney can provide legal representation in a criminal, civil, or administrative action. Medicare fraud is a criminal offense, with severe penalties, including jail time, fines, and a permanent criminal record. In addition, the defendant may face financial penalties and triple damages if found guilty of government fraud offenses.