New clients call me every day when they receive a letter from the Bureau of Fraud Investigation at the NYC Human Resources Administration. The letter says that their eligibility for Medicaid or Family Health Plus is being investigated.

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New clients call me every day when they receive a letter from the Bureau of Fraud Investigation at the NYC Human Resources Administration. The letter says that their eligibility for Medicaid or Family Health Plus is being investigated.
When the government investigates and prosecutes Medicare fraud, it has tremendous resources at its disposal.
Comparing dispensing data with purchasing data has become an important tool for Medicaid fraud investigators throughout the country, especially in investigations into pharmacists, pharmacies, and durable medical equipment (DME) supply companies.
The defendants admitted that they submitted false claims to Medicare by billing multiple times for physician supervision on days when the physician supervised only one HBOT session.
New York courts have held that individuals and their families do not automatically lose their New York residence status for Medicaid eligibility purposes merely by leaving the state, even if they remain outside the state for a substantial period of time.
Every year, the Bureau of Fraud Investigation conducts investigations and interviews of more than 5,000 New York City residents about their eligibility for Medicaid.
State and federal governments have made Medicaid fraud investigations a top priority. In New York City alone, more than 5,000 individuals are investigated every year for receiving Medicaid benefits they were not eligible to receive. Some of the more common types of Medicaid fraud include failing to report your actual income on an application or recertification, failing to include income from a spouse or rent received from a tenant, and failing to disclose your actual place of residence.
The owner of durable medical equipment companies has been sentenced to 13 years in prison after a jury convicted her of submitting false claims to Medicare.