Medicaid Provider Fraud

Medicaid provider fraudWhen we get sick, the first thing that we do is ask for professional help, without even admitting that we might become victims of a Medicaid Provider Fraud. Medicaid providers, as a symbol of care and custody, usually inspire trust and confidence, making us expect that our provider will supply us nothing, but help.

Unfortunately, statistics say that Medicaid Provider Fraud is a well-spread phenomenon among scammers, which steal billions of dollars annually. Moreover, the Federal Government also counts on physicians to submit accurate and truthful claims information, by creating such programs as Medicare, Medicaid, and other health care policies. Let’s have a deeper insight into the concept of this type of fraud and analyze the possible countermeasures.

WHO CAN BE CHARGED WITH MEDICAID PROVIDER FRAUD?

First of all, every member of the health care community (individual, corporation, or other entity paid by Medicaid) can potentially become a scammer, including nurses, nurse aides, nursing homes, pharmacies, ambulance and transportation companies, chiropractors, podiatrists, licensed professional counselors, community care service providers, dentists, hospitals, medical equipment companies, speech therapists and others.

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How To Deal With Contractor Fraud

Contractor FraudOne of the most popular categories of fraud is the Contractor Fraud (also known as Home Building Fraud or Home Renovation Fraud). This term applies to the illegal practice of renovating, reforming, repairing, rebuilding personal property by misrepresentation of services, inflation of costs and project remuneration. It is usually practiced by small firms, or incredulous individuals that guarantee quick repairs for low prices. Generally, those repairs and upgrades are unnecessary, or even harmful for your property.

Do not forget that not all the contractors are con-artists – most of them are honest workers, but still be careful with all the warning signs that we will mention below and make sure you do everything possible to protect your budget and your property.

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Being Accused Of Money Laundering

Money LaunderingMoney Laundering is a complex type of fraud, which involves a conglomerate of participants, resources, and circumstances. It’s a criminal activity classified as a white-collar offense with a rich history and global cases. It is wrapped around illegal financial transactions with the objective to hide the criminal nature of the income. Sometimes this term is applied to other aspects of financial crimes, like violation of the securities, digital currencies, credit cards, traditional currency, terrorism financing and evasion of international sanctions. The penalties for these felonies vary according to the level of severity.

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RICO (The Racketeer Influenced and Corrupt Organizations Act)

RICO (The Racketeer Influenced and Corrupt Organizations Act)United States Federal Law does everything in its power in order to combat the continuing growth of criminal organizations. One of the countermeasures initiated in 1970, is an Act relating to the control of organized crime in the United States, also known as RICO (OCCA).

RICO stands for Racketeer Influenced and Corrupt Organizations Act. This term applies to a Federal Law, designed to combat organized groups running illegal business (i.e. racketeering), which may include the importation and sale of illegal drugs, gambling, money laundering, prostitution rings, bribery, drug trafficking, slavery, or any act involving murder, kidnapping, arson, robbery, extortion, dealing with obscene matter, terrorism, bankruptcy or security fraud, helping aliens to enter illegally the country, dealing with controlled substance, etc. Continue reading

Things You Should Know About Healthcare Programs Recipient Fraud

medicaid fraudEasy money have always been an attractive incentive for the majority of people. Some of us, are more likely to think that a little fraud will not lead to serious cases of criminal prosecution. For those who could not resist temptation – here are several things you should know about Medicaid Recipient Fraud.

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Drinking in Public Or Public Intoxication Law

Public Intoxication or Public Drunkenness LawConsciousness, morality and good manners – these are the things that distinguish us as human beings. We make an effort to exist in a healthy society, we work on our manners to educate our children in a better way, we choose to have an adequate behavior to prevent any kind of harm. Both state and local laws use various tools in order to preserve these values, and Public Intoxication Law is one of them.

Public Intoxication Law is a category of alcohol crimes that involves being intoxicated by alcohol in a public place. Intoxication in this context means having blood alcohol concentration (BAC) over legal limit of 0.08%, or being under the influence of drugs or prescribed medications. The term of public place includes indoors and outdoors areas, that are privately or publicly owned, generally open and accessible to people. In other words, Public Intoxication (also known as “drunk and disorderly”) is a law offense rated to public cases or a demonstration of drunkenness. State laws vary in the specifications where a person is allowed to consume beverages.

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LIQUOR LAW

Liquor lawAlcohol, whether we want it or not, has a big effect upon our lives. It is known as one of the main causes of all the legal contradictions. At least once in your life, you will encounter situations that will require specialized knowledge about Liquor Law.

Liquor law violations include control over serving, consuming, possession and sale of alcoholic beverages.

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Things You Should Know About Open Container Law

Opened Container LawEverybody wants a decent society to live in. We crave clean streets, educated children and a secure ambiance, which is why such measures like Open Container Laws in the United States are conceived. In the U.S. the presence of open containers of alcohol in certain public places is prohibited.

The concept of a public place is defined as a social place, indoor or outdoor, generally open and accessible to people. In this context, public areas such as sidewalks, parks and vehicles restrict the active consumption of alcohol. As a rule, bars and restaurants  do not fit in this category.

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Prescription Drug Fraud

prescription-drug-fraudPrescription Drug Fraud is a severe drug crime. Misinformation about your health state and/or your personality in order to get controlled substances from a pharmacist or doctor shopping are examples of law violation. In other words, drug fraud is a type of crime where legal or illegal drugs, are cut and altered in order to decline their value below which they are sold for. It became a national problem that increases each year and affects everybody in the health care system: doctors, nurses, pharmacists, patients, health insurance companies, etc. The term of Prescription Drug Fraud doesn’t include theft, burglary, back door pharmacies and illegal drug importation and distribution. Continue reading

Underage Drinking and Minor in Possession

Underage drinkingUnderage drinking problem is a major public health issue in the United States. Adolescents want to overcome social anxiety, lower their inhibitions in social situations, reduce stress and worries, increase courage, feelings and power, enhance sexual attractiveness and performance, satisfy the thrill seeking desires through alcohol consumption. This issue became one of the most well known cause of numerous legal disputes.

Alcohol consumption by youth in the United States (also known as underage drinking) is a term used for the concept of alcohol use by anyone under the minimum legal drinking age of 21. A lot of states have a minor in possession (MIP) – criminal offense concerning alcohol and drugs found in possession of minors, although some details regarding punishments vary from state-to-state. Some states provide a very strict strategy towards those who violate the MIP law and prosecute its felons; others have a different point of view about juvenile justice, providing probation by entering a court-ordered diversionary program and offering medical care. It is typically a misdemeanor for anyone under 21 to possess alcohol. Besides the fact that this is the minimum legal age to buy alcohol in all states, details tend to vary.

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