Medicaid Billing Fraud

If you have questions regarding a possible claim, or would like to speak with an attorney regarding your rights, please fill out our "Medicaid Billing Fraud" form below.

Once you submit your information below, your free consultation form will be sent to a sponsored Massachusetts lawyer handling your field of law, for evaluation. That lawyer will review your form in accordance with the site terms and conditions.

Every patient in a nursing home, Medicaid facility, or personal care home deserves to be treated with dignity and respect and should be free from patient abuse, neglect or exploitation. It is important to ensure the financial integrity of the Medicaid Program through the investigation and prosecution of healthcare providers who fraudulently bill or abuse the Medicaid system.

Examples of Fraud

• Billing for medical services not actually performed
• Billing for a more expensive service than was actually rendered
• Billing for several services that should be combined into one billing
• Billing twice for the same medical service
• Dispensing generic drugs and billing for brand-name drugs
• Kickbacks - giving or accepting something in return for medical services
• Bribery
• Providing unnecessary services
• False cost reports
• Billing for ambulance runs when no medical service is provided
• Multiple passengers in an ambulance and separate billings for each passenger

Misrepresentation of Services
The Medicaid Fraud Control Section has detected situations in which providers bill for more expensive services than they actually render. For instance, a podiatrist who trimmed a patient's toenails may bill the Medicaid Program for a simple surgical procedure that is reimbursed at a higher rate or a pharmacist may dispense generic drugs, but bill the Program for more expensive brand name medication.

These types of fraudulent schemes also involve situations in which a provider renders a service that is not paid for by the Program, so they bill as if they rendered a service that is compensable. For example, pharmacies have dispensed medication which is non-compensable, but have billed the Program for a drug that is compensable. Additionally, since Medicaid does not pay for patients to be transported to their doctor for routine visits, some ambulance companies have billed the program for emergency transportation so as to obtain payment from the Medical Assistance Program.

There is no cost or obligation for this service. This form will be sent to:

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Free Medicaid Billing Fraud Consultation

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