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Medicaid or Nursing Home Billing Fraud

Medicaid or Nursing Home Billing Fraud

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

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.

National Association of Medicaid Fraud Control Units

Protecting Yourself and Medicare from Fraud

Medical Identity Theft

VA Benefits Fraud & Misuse

Social Security Fraud & Misuse

Financial Crimes Against Residents

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