Medicaid or Nursing Home Billing Fraud

Medicaid or Nursing Home Billing Fraud

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Medicaid Fraud
Medicaid Fraud Control Units (MFCUs) investigate issues like these:
  • Billing for goods or services not provided
  • Billing for "phantom" patients
  • Double billing
  • Billing for more expensive procedures than were performed
  • Billing for medically unnecessary goods or services
  • Billing for non-covered goods or services
  • Kickbacks
  • Managed Care Plans committing patient recruiting or enrollment fraud
  • Managed Care Providers billing Managed Care Plans for medically unnecessary services
Find Your State’s MFCU to Report Fraud
Find Your State’s MFCU to Report Fraud
What Happens Next?
  • What happens next depends on the state where you live. Each state has its own set of rules.

  • Check with your state's MFCU for next steps. 

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