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Medicaid and Medicare fraud has become a popular political issue during the 2006 New York State elections and many people have recently been investigated. While some of those investigated are guilty, others made innocent mistakes and yet more people are innocent of all the accusations against them.
The Health Department's Office of Medicaid Management reviews recipient utilization and investigates other charges of fraudulent behavior in order to take action against them. Some types of recipient fraud may be referred to government authorities other than the Health Department, such as Criminal Court.
Medicaid/Medicare Recipient Fraud
* Stating false facts on the application to receive medicaid despite being ineligible;
* Loaning Medicaid to another person;
* Forging or altering a prescription or fiscal order;
* Using multiple Medicaid cards;
* Intentionally receiving duplicative, excessive, contraindicated or conflicting health care services or supplies; and
* Re-selling items provided by the Medicaid program.
Legal Fees: $2,500
Medicaid/Medicare Provider (Medical Office) Fraud
* Billing for services that were not provided, e.g., a chest x-ray that was not taken.
* Duplicate billing which occurs when a provider bills Medicaid and also bills private insurance and/or the recipient.
* Requiring the recipient to return to the office for more visits when another appointment is not necessary.
* Taking unnecessary x-rays, blood work, etc.
* Upcoding, e.g., providing a simple office visit and billing for a comprehensive visit.
* Having an unlicensed person perform services that only a licensed professional should render, and bills as if the professional provided the service.
* Billing for more time than actually provided, i.e., counseling, anesthesia, etc.
* Billing for an office visit when there was none, or adding additional family members' names to bills.
* Accepting payment from another provider, including sharing in the reimbursement paid by the Medicaid program, as a result of referring a patient to the other provider.
Legal Fees: $2,500-$8,500
Why Retain An Attorney?
The person deposing you can get you to confess to things you haven't even committed! Your "meeting" will be a very stressful event with an empowered government employee accusing you of serious offenses. You need to make sure that you are prepared before the meeting, and that you have competent defense that will protect you from unfair and improper questioning. Therefore, if you've received a notice accusing you of medicaid or medicare fraud, it is important to immediately retain a competent attorney who has experience defending medicaid or medicare fraud cases. A competent attorney can often save you more money than his legal fees by negotiating with the government. He would also work to prevent you from getting arrested and convicted of a crime.
Medicaid and medicare fraud could be a felony crime. Such conviction can haunt you for the rest of your life, for example when you search for a job. It can also potentially result in a deportation from the United States for anyone who's not a citizen. Therefore, before you are deposed by by the investigator, you must be carefully prepared by your attorney who must explain what questions you should anticipate.
Why Retain The Storobin Law Firm?
1. We are experienced in defending people in this particular area of law. You do not want to hire an attorney who's even more scared than you are and has never defended people accused of Medicaid/Medicare fraud.
Supreme Court (Criminal) Justice Joseph Silverman declared that David Storobin is "an asset to the legal profession" who's "very hardworking, mature and dedicated" and "diligent and concerned about the quality of his work".
3. We charge a flat fee you can afford.
4. All the legal work is performed by a lawyer, not an uncertified paralegal.
5. The right lawyer can often save you more money than his legal fees.
We offer a free consultation. You may call us 24/7 at (800) 391-8392.
Lawyers Makes A Big Difference.Get The Right Law Firm – The Storobin Law Firm!
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