Choosing an Attorney for Medicaid Fraud Defense

Medicaid is a state program run to provide medical care to individuals with low income.  Medicare is the federal program providing medical care to old aged individuals. Medicare frauds refer to acts undertaken to make false healthcare claims. Such fraud schemes may include all or any of the following.

·         Misrepresentation of data on application

·         Loaning ID cards to another

·         Receiving more products or services than needed by providing false information

·         Reselling  Medicaid or Medicare supplies

·         Healthcare professionals prescribing unnecessary services,

·         Upcoding of services and equipments

·         Billing for undelivered services.

·         Taking referral fees from other doctors or fee-sharing.

Such fraudulent and abusive practices not just increase the unnecessary expenditure of the government, but also put people’s health at risk, especially when they are exposed to unnecessary procedures and treatments.

State and federal government constantly look for innovative ways and introduce several programs to prevent, identify and fight Medicaid fraud by service providers, patients and insurers

The Centers for Medicare & Medicaid Services (CMS) is working under the US Department of Health & Human Services to regulate several federal health care programs.

CMS takes significant initiatives to identify wrongful acts related to Medicare payments and fight the fraud in the Medicare programs. Apart from Medicare and Medicaid CMS also regulates the Children’s Health Insurance Program (CHIP), the Health Insurance Portability and Accountability Act (HIPAA) and the Clinical Laboratory Improvement Amendments (CLIA).

Many times individuals or organizations unintentionally caught in the grip of medical fraud cases. It is important to approach CMS Lawyer, and Compliance Attorney having extensive experience and expertise in defending the reputation of the individuals and organizations. It is prudent to make a thorough research to find the best CMS Lawyer to get best defense to avoid losing business and reputation to spurious charges.