Medicaid Fraud Attorney
Medicaid fraud investigations usually start because of the following factors: an unusually high number of Medicaid claims, a computer-generated analysis of Medicaid claims and billing codes, an anonymous call to a Medicaid fraud hotline, or a whistleblower who hopes to get a financial reward.
Medicaid Fraud Investigation Questions
Why am I being investigated?
You have the right to bring an attorney or other representative with you to any interviews or meetings with the investigator. You also have the right to consult with your lawyer before providing any documents or answering any questions.
You have the right to remain silent. You do not have to answer the investigator’s questions. If you are a Family Health Plus or Medicaid recipient, your benefits cannot be stopped solely because you refuse to answer.
What are my rights during the investigation?
How you respond to the investigation depends on your particular facts and circumstances. Some questions and requests for documents are appropriate; others may be improper. Sometimes it makes sense to cooperate with the investigator and negotiate a resolution; other times you must fight to protect your rights.
Should I answer the investigator’s questions?
Medicaid fraud penalties range from restitution or repayment of what you received from Medicaid to harsh prison sentences. Some of the possible consequences include:
monetary fines, penalties, and restitution orders
disqualification from receiving Medicaid benefits
civil judgments and liens on any real property you own
garnishment of your wages
criminal prosecutions and a possible prison sentence
suspension or loss of professional licenses
exclusion from participating in Medicaid as a provider
depending on your immigration status, you could be deported
What are the possible penalties and consequences?
Are you being investigated by Medicaid?
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Depending on the nature of the investigation, the investigator may be willing to negotiate a financial settlement to avoid any court cases or criminal prosecutions. If you cannot pay the full amount of the settlement at once, the investigator will ask you to sign an installment note. You will receive a statement every month until the settlement amount is paid in full.
A Medicaid fraud attorney can help you by negotiating a settlement that reduces or eliminates penalties and interest – and, most importantly, by negotiating an agreement that your case will not be referred for criminal prosecution.
Will the investigator negotiate a settlement?
Medicaid fraud and abuse may involve either recipients or providers. When a recipient of Family Health Plus or Medicaid benefits is investigated, the investigator may suspect that the recipient did not tell the truth or failed to disclose important information about their income and assets when they applied for benefits. Some common types of Medicaid fraud and abuse involving recipients include:
What is Medicaid fraud and abuse?
Medicaid providers include any individual or company that is paid by Medicaid for providing services, treatment, or products to beneficiaries. Examples of Medicaid Providers include:
occupational and physical therapists
hospitals and nursing homes
home health care agencies
ambulance, ambulette and other medical transportation companies
diagnostic testing labs
durable medical equipment suppliers
Who is a Medicaid Provider?
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Mar 02, 2016
Inna Fershtein did a great job fighting for me and my best interests. Most situations that require an attorney aren't good, but she made my situation as good as possible for me. She stood beside me throughout the entire process. She is very personable, easy to talk to. I will definitely use her again when I need legal services. Highly recommended!
When me and my wife got the HRA letter we don’t know what to do. My friend referred me to her and gave me her phone #. I call the office and next day i got an appointment. They work fast and all the person who work there they are very nice. They do all the work for you. If you want something done right She is the lawyer you have to call.
Sep 12, 2014
I received from Bureau of Fraud Investigation at 250 Church Street and could not sleep at night. I did some research and several people recommended the Law Office of Inna Fershteyn. After meeting with her, I hired her right away and was not disappointed in the end. She settled my case within 2 weeks, which allowed me to sleep at night again. Hopefully I will never have to deal with anything like this again, but I would recommend Inna highly if anyone else is in the same shoes as me again.
Apr 02, 2014
I would like to express my appreciation to the attorney Inna Fershteyn and her office. She helped me when my case was investigated by Medicaid. She negotiated it with the investigator, so I ended up keeping my insurance and closing my case.
Sep 17, 2013
I needed help to reinstate participation of my ambulette company with Medicaid Program. Inna Fershteyn provided fast and reliable services and helped me keep my company up and running. I would defifnitely recommend Inna Fershteyn to anyone who is looking for legal representation.
Jul 20, 2013
Attorney Inna Fershteyn represented us in very difficult case involving medicaid. She submitted documents for us, represented us during hearing and actually won the case. We were very nervous as we were accused of medicaid fraud but everything actually resolved in our favor.
May 28, 2013
Attorney Inna Fershteyn assisted my family with Medicaid fraud investigation case. It sounded very scary when we received a letter from Medicaid Fraud unit and were asked to come in for an "interview". She attended an interview on our behalf and worked out a compromise where we actually got to keep our Medicaid. Very grateful as our situation was very stressful.