Ineligible Medicare and Medicaid Beneficiaries
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The government takes a very hard line on healthcare providers who bill Medicare and Medicaid for services provided to beneficiaries who are not eligible for benefits or reimbursement. The government also prosecutes individuals who apply for and receive benefits by providing false information on their Medicaid applications.
If you are under investigation, have been charged with a crime, or have evidence that your employer is engaged in fraud, then you should consult with a Medicare and Medicaid fraud lawyer immediately. Do not delay. Time is not on your side. Call John Howley at (212) 601-2728 to schedule a free and confidential consultation. Examples of Ineligible BeneficiariesDental Medicaid Fraud
A dentist was sentenced to three years probation and a $1,000 fine after pleading guilty to submitting false claims to Medicaid. He was charged with several types of Medicaid fraud, including providing fraudulent dates of service so he could bill for more than one set of dentures every five years. Click here to read more.... Home Health Fraud A woman who owns a home health care agency in Jacksonville, Florida, was arrested on charges of stealing more than $400,000 from Medicaid. She is accused of billing for services to recipients who were not eligible for Medicaid. She faces up to 90 years in prison if convicted. Click here to read more.... Hospice Fraud Two hospice employees will share a $250,000 reward for blowing the whistle on their employer's Medicare fraud. Their lawsuit alleged that Harmony Care Hospice and its owner knowingly submitted false claims to Medicare for patients who were not eligible for hospice care reimbursement. Click here to read more.... Medicaid Eligibility A former public administrator in Montana pleaded guilty to submitting materially false Medicaid applications for wards in the custody of the Public Administrator’s office. The applications falsely stated that the wards had assets below the $1,000 threshold to be eligible to receive Medicaid benefits when, in fact, the wards had more than $1,000 in assets. Click here to read more.... Medical Device Fraud A territory manager for a medical device company was sentenced to one year of probation and forfeiture of $10,000 for altering patient medical records to make it appear that patients qualified for Medicare reimbursement for his employer's products when they did not qualify. Click here to read more.... Partial Hospitalization Program (PHP) A former clinical director at a mental-health clinic was sentenced to more than eight years in prison for helping his employer submit false and fraudulent claims to Medicare for individuals who were not eligible to participate in a Partial Hospitalization Program (PHP). Click here to read more.... |
John Howley, Esq.
The Howley Law Firm P.C. 350 Fifth Avenue, 59th Floor New York, New York 10118 (212) 601-2728 
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