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Responding to an accusation of Medicaid fraud

On Behalf of | Oct 25, 2018 | Uncategorized |

If you are a doctor or medical provider, you will be aware of the ongoing problem of Medicaid fraud in the health sector. Medicaid is a government funded program that helps families with a low income to be able to afford medical services. While the program creates many positive possibilities for patients and medical providers, it also creates windows for fraudulent activity.

In the state of Michigan, Medicaid fraud is a significant issue, and because of this, Medicaid fraud investigators work to eradicate the issue. The government also has put in place initiatives to encourage the reporting of Medicaid fraud suspicions.

This means that innocent medical providers are often falsely accused of being involved in fraud. This can, of course, be a stressful situation. If you have been accused of Medicaid fraud in the state of Michigan, it is important that you learn how to respond appropriately.

What could constitute Medicaid fraud?

Many medical providers can be charged with Medicaid fraud even if they believe themselves to be innocent. An inaccurate billing can be enough to bring about charges. In addition, mistakenly billing patients who are ineligible for Medicaid programs could be considered fraudulent by investigators. This is why it is important that medical providers accused of fraud take action to defend themselves, and take the situation seriously, even if they know that they are innocent.

Responding to a fraud investigation

An investigation into medical provider Medicaid fraud should be taken as seriously as any other fraud investigation. You have the right to remain silent upon questioning from a Medicaid fraud investigator. You also have the right to be accompanied by a lawyer while reviewing any documents relating to your billing history.

The consequences of being charged with Medicaid fraud can be severe in the state of Michigan. They could range from fines in the form of wage garnishment, to the loss of your license to practice your profession. It is vital that you protect the integrity of your career when responding to a Medicaid fraud accusation by taking action quickly.