Medicaid and Medicare Fraud

Medicaid and Medicare are massive federal health care programs administered by the state. Its expansion in the Affordable Care Act was justified, in part, by cost savings through targeting fraud. Therefore, federal and Nevada officials are aggressive in their prosecution of doctors, health care clinics and others suspected of fraudulent billing or other crimes.

Las Vegas Medicare Fraud Lawyer

Health care fraud is a serious criminal offense with serious criminal consequences that can land you in state or federal prison. If you are under investigation for this serious offense then contact an experienced Las Vegas Medicaid and Medicare fraud defense attorney at Pariente Law Firm, P.C.. Call (702) 966-5310 to talk to Michael Pariente today. Discuss your case with a medicaid fraud attorney for a case in the Las Vegas region, including North Las Vegas, Henderson, Paradise and anywhere in Clark County.

Michael Pariente represents health care professionals and corporations involved in a medicaid fraud cases in both state and federal court. Corporations, like individuals, can the held liable when their profits are derived by the theft of taxpayer dollars. Corporations and individuals convicted of Medicaid fraud may also be administratively excluded from future Medicaid participation.

Info on Medicare and Medicaid Fraud Defense

 

Common Accusations in Medicare / Medicaid Fraud

These cases are investigated and prosecuted by the Medicaid Fraud Control Unit (MFCU) at the state level and by the U.S. Department of Justice at the federal level. Medicaid fraud investigations target health care providers who receive money by Medicaid for health care services including doctors, dentists, Medicare billing specialists, accountants, nurses and pharmacists. The investigations for medicaid fraud also target clinics, hospitals, pharmacies, nursing homes and other health care facilities.

The most common medicaid crimes include:

  • billing for services not performed;
  • overbilling for services that were not medically necessary; or
  • fraudulently billing for expensive therapy-related services.

Medicaid Fraud in Behavioral Health Services Cases

The submission of billing to Medicaid for various behavioral health services that were never provided to Medicaid recipients is particularly common. Behavioral health providers that contract with Medicaid often provide medication management, mental health service, and psychological therapy to Medicaid recipients.

Many of these cases begin when an employee who knows about the fraudulent acts of his or her employer report the crimes. In many of these cases, a criminal defense attorney will help the employee during the process of reporting the misconduct and cooperating with authorities.

In many of these cases, the criminal defense attorney will work to secure a promise from the authorities not to prosecute on criminal charges for medicaid or medicare fraud. Depending on the circumstances, the employee may qualify as a whistleblower after reporting fraudulent practices to the authorities. In those select cases, it is important to hire an attorney experienced in litigating qui tam and retaliation claims under the False Claim Act.

Additional Information on Medicaid Fraud in Nevada

Medicaid Fraud Form – The Division of Health Care Financing and Policy from the Nevada Department of Health and Human Services provides a form to report possible Medicaid fraud, abuse and waste by health care professionals in the State of Nevada.

Division of Health Care Financing and Policy
1100 E. William Street, Suite 101
Carson City, Nevada 89701
Telephone No.: (775) 684-3676

Medicaid Fraud Control Unit (MFCU) – Information from the Nevada Attorney General on medicaid fraud investigations and prosecutions by the MFCU. The MFCU in the office of the Nevada Attorney General is responsible for investigating and prosecuting provider fraud, patient abuse and neglect of the elderly and elder exploitation.

President’s Financial Fraud Enforcement Task Force – The task force was created to investigate and prosecute financial crimes and fraud.

Finding a Medicaid Fraud Attorney in Nevada

If you or your employer has been accused of Medicaid or Medicare fraud then contact an experienced criminal defense attorney to discuss the case. Michael Pariente, with Pariente Law Firm, P.C., represents clients on a variety of white collar crimes throughout the greater Las Vegas area including North Las Vegas, Henderson, Paradise and anywhere else in Clark County or the surrounding counties in the State of Nevada including cases prosecuted in the U.S. District Court, District of Nevada, Las Vegas Division.

These serious criminal accusations often result in serious criminal penalties against the individuals and corporation accused of wrongdoing. Without the proper represention at the earliest stages of the case, those accused of medicaid fraud can face long prison sentences in federal or state prison. Call today to discuss your case and your best defense.

Contact Us

Pariente Law Firm, P.C.

3960 Howard Hughes Pkwy. #615

Las Vegas, NV 89169

 

(702) 966-5310

 

[email protected]

 

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