How do I Recognize Medicaid Fraud

How do I Recognize Medicaid Fraud?

The Medicaid program is an important piece of the US healthcare system, unfortunately  this system is subject to fraud as many people try to scam the government. These scammers are not the individuals receiving Medicaid benefits; they are the service providers that then turn around and bill Medicaid. Here are some ways that you can recognize medicaid fraud.

Much like nursing home fraud, Medicaid fraud happens in such a way that there are few people who are able to spot when it actually does happen.  Since the system is so big, the government would be unable to audit every provider to ensure they are not making fraudulent claims.  That is where you can help.

Do you work in a facility that bills Medicaid?  Have you seen lately that the services provided often don’t match the bills sent to Medicaid?  Did you Recognize Medicaid Fraud? There are a number of ways that Medicaid fraud spreads.

Hospice Care Fraud – Hospice care is reserved for those that need specialized care at the end of their life.  This intensive care is to make the last days the most comfortable, and to help prepare the survivors for the loss of a loved one.  There are times when a hospice provider will bill for this end-of-life care for many months when it is not needed.

Too Many Services Fraud – Today many hospitals order unnecessary services in order to cover all options.  However, these multiple services may be an indication of fraud.  Sometimes called “phantom services” these are when the services are ordered, and billed for, but never actually provided.

Additional Hours Fraud – After major medical procedures, patients often need physical therapy.  This therapy may have 45 minute sessions, but the physical therapist charges for a full hour.  It seems minor, but this type of fraud is common.

Hospital Kickback Fraud – Doctors have their preferred providers.  But if a doctor sends a patient to a specialist that provides a kickback, or monetary reward, for the referral, both are engaging in fraud.

Medicaid fraud can be hard to see.  However, if you are working in a facility and you notice that something is going on that doesn’t seem to be right, you can speak up!  Your whistleblower lawsuit will help save the government, and ultimately the taxpayers, a lot of money.  You may earn a reward for your service.  Call Arentz Law Group at 1-800-305-6000 to talk with an attorney about your role in the potential qui tam lawsuit.

Arentz Law can Help with Your Whistleblower Lawsuit

Here at Arentz Law our goal is to ensure that justice is served.  We understand that individuals are often not able to navigate the complicated legal system, and they need an advocate that can be their voice.  Whether fighting against a pharmaceutical company that produces dangerous drugs, or initiating a lawsuit on behalf of the federal government, we are your source for legal help.

Do you know about fraud that is occurring in your workplace?  Is that fraud costing the US Government, and ultimately the taxpayers, money?  You can help ensure that these departments operate as efficiently as possible, and you could earn a reward for helping the government save money!

Are you ready to be a hero?  Are you ready to step up and do the right thing when many are not?  Are you ready to file a lawsuit on behalf of the government?  Then call a whistleblower attorney at Arentz Law Group, P.C. today at 1-800-305-6000.  We will work hard to ensure that your identity is kept safe, the fraudsters are brought to justice, and you earn a reward for your work!

 

Arentz Law has qui tam attorneys in Southern California that have helped whistleblowers across the country.  No matter what state you live in, a highly trained whistleblower attorney from Arentz Law can help you with your case.

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