New Medicaid Look Back Period in 2022

While 2022 may be months away, it is extremely important that individuals looking to qualify for Medicaid or currently covered by Medicaid are aware of the new Medicaid Look Back Period several months in advance. The new Look Back Period was first scheduled to take Read More …

Cardiologist Sentenced to Prison for Decade-Long Health Care Scheme

Health care fraud is a serious crime with costly consequences. It can be committed by medical providers, patients, and others who intentionally deceive the health care system to receive unlawful benefits and payments. It affects everyone and has extremely detrimental impacts on society, from raising Read More …

How You Should Respond to an Investigation Letter from the HRA

If the HRA Bureau of Fraud Investigation has sent you or a family member a letter regarding Medicaid fraud, be sure to address such information with precaution. It is important to not ignore such letters, considering criminal and civil charges may arise from doing so.  Read More …

Fraud Alert – Medicaid Fraud Cases on the Rise

Unlicensed NJ Dentist Convicted In $2 Million Fraud Scheme Luis Omar Vargas was employed at Dental Express Broadway located at 161st Street in Manhattan when he and two others were arrested in both New York and New Jersey on healthcare fraud charges. It turns out Read More …

Why Would Medicaid Fraud Investigate You?

Why Would Medicaid Investigate You? Receiving a letter from the Human Resources Administration (HRA) indicates that either local or state government suspects that you are guilty of Medicaid fraud, and is not a matter to be taken lightly. A Medicaid Fraud conviction can result in Read More …

How to Report Suspected Medicaid Fraud

As of June 2018, Medicaid provides health coverage to over 66.9 million people around the country. This includes but is not limited to: eligible low-income adults, children, pregnant women, elders, and people with disabilities. Medicaid is administered by each state individually but is funded jointly Read More …

8 Common Medicaid Fraud Convictions

In today’s world, public healthcare programs require a very large expenditure of taxpayer dollars. Put in perspective, programs like Medicare and Medicaid accounted for 17.9 percent of the American GDP – over $2.6 trillion – nearly a decade back and in 2013, health spending was Read More …

What Happens If I’m Caught Lying to Medicaid?

Many people lie in order to gain something. In certain situations, it is important to determine if the gain is worth more than what you could potentially lose. More American citizens are taking advantage of government health care programs like Medicaid every single day and Read More …

What Is A Target Letter?

While the term “target letter” is really a blanket term, there have actually existed many different kinds of target letters over the years and from various sectors of the United States Department of Justice. In any case, it’s a letter through which the government can Read More …