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What Are Common Examples Of Medicaid Fraud?

Information is power. Protect yourself from Medicaid fraud. Get the facts

Medicaid fraud can take many forms. From single acts of fraud to large-scale, nationwide criminal activity, some doctors and health care professionals attempt to defraud this government program created in 1965 to provide health care to people who are disabled, elderly or have low incomes.

Federal Anti Kickback Statute

Physicians, dentists, mental health professionals and institutions that commit fraud take precious resources away from people who legitimately need this program. The Houston attorneys at Brewer & Pritchard are committed to working for whistleblowers and patients who come forward to do the right thing. We believe the people who commit these crimes need to be held accountable for their actions.

Learn more about different types of Medicaid fraud. Help stop the abuse

In general, most of the fraud cases we handle at Brewer & Pritchard involving the Medicaid system fall into four main categories:

  • Medical Billing Fraud - A provider bills for services not performed, or a nursing home or hospital continues to bill for services rendered to a patient who may have died or left the facility.
  • Unnecessary Services - A provider falsifies the diagnosis and symptoms on a patient's records and bills to obtain payment.
  • Upcoding - Billing for Medicaid services involves the use of a complex system of codes. A provider is committing fraud by "upcoding," or billing for a more expensive procedure.
  • Unbundling - A group of procedures that are done together will often have a special reimbursement rate. Providers that "unbundle" these procedures and bill for them separately might receive more money than they would have under the regular reimbursement rate.

If you need legal assistance for your Medicaid fraud whistleblower claim, contact us. Explore your options.

You might think you don't need a lawyer to report Medicaid fraud. You might think you can handle your claim on your own. We respect your desire to solve your problem on your own. We understand your perspective. We share your values. We believe in hard work, a commitment to excellence and getting the job done right. That's why we would be proud to work with you and help you resolve your legal matter on your terms.

The sooner you contact Brewer & Pritchard, the sooner we can research your case, file the necessary paperwork and do whatever needs to be done to make things right. Give your Medicaid fraud case the attention it rightfully deserves. Contact us today.

Brewer & Pritchard - driven to succeed, focused on results.