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New York Medicaid-Medicare Fraud Frequently Asked Questions

What Is Medicaid Fraud?

Medicaid fraud occurs when someone knowingly makes false statements to get Medicaid to pay for medical services. It can involve providers billing for services not provided, performing unnecessary tests, providing contraindicated medical services or supplies, making unnecessary referrals, or charging separately for services usually offered at a packaged rate. A Medicaid fraud investigation can lead to both state and federal charges.

A Medicaid recipient can be charged with Medicaid fraud if they make false statements on a Medicaid application, loan their Medicaid card to another person, intentionally receive duplicative medical services or supplies, or re-sell items provided by Medicaid.

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What Is Medicare Fraud?

Medicare fraud occurs when a person or company tries to collect Medicare reimbursement money under false pretenses. It can involve submitting duplicate billing for medical treatment, billing for medical services that were not performed, intentionally misrepresenting services performed, or submitting fraudulent cost reports. Medicare fraud, whether it is intentional or not, can be committed by a variety of health care professionals including physicians, assistants to physicians, and hospital administrators.

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What Is the Punishment for Medicaid Fraud?

Medicaid is jointly funded by each state and the federal government. Medicaid fraud can implicate both federal and state law. Penalties for Medical fraud can include restitution, fines, prison, program exclusion, and suspension of medical license.

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Contact the Law Offices of Stephen Bilkis & Associates

The skilled attorneys at the Law Offices of Stephen Bilkis & Associates have more than 20 years of experience successfully representing clients in New York charged with felonies and misdemeanors, and have the skill and resources to put on the best defense possible. Contact us at 800.NY.NY.LAW (800.696.9529) to schedule a free, no obligation consultation regarding your case. We represent clients in the following locations: Nassau County, Bronx, Brooklyn, Long Island, Manhattan, Staten Island, Suffolk County, Queens, and Westchester County.

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Client Reviews
My wife and I met under some unconventional circumstances. After I had some legal problems, Mr Bilkis and his firm continually got me out of trouble. I then had his firm represented my wife and he got her out of trouble! We are still married and got our ways straightened away. We both can't thank him enough for saving our lives and our families! J.P.
I contacted Stephen Bilkis' office for an issue regarding a family member and I could not be happier with the results. I have recommended the firm to friends and family, all of whom were also ecstatic with Mr. Bilkis and all members of his staff. P.R.
I was in need of legal assistance for a very sensitive matter for a family member. I contacted the law offices of Stephen Bilkis & Associates, PLLC and was met with staff whose demeanor was supportive, compassionate and professional. The lawyer handling our case had many years of experience and treated us as if we were his own family. Our experience was so good, and we became so close to all of the staff and all of the attorneys who assisted us, that we consider them our extended family and continue to send them our home baked gifts for the holidays. P.A.K.
I hired Stephen Bilkis and Associates to represent me on a legal matter a few months ago and am grateful for their swift action and resolution on my behalf. I was impressed with their professionalism and would recommend them to friends and family in a heartbeat. M.B.