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.

Continue reading

Worker’s Compensation – Wage Replacement And Medical Benefits For Injured Employees

imagesWorker’s Compensation Laws were introduced for the first time in United States in the early 1900‘s and they were modeled after 19th century European laws. By 1920, most states had adopted similar laws and in 1948 Mississippi became the last state to adopt such laws.

4Worker’s Compensation Laws eliminated lengthy and expensive trials were the burden of proof was on the employee and removed a source of financial uncertainty for the employer. Each states has its own requirements concerning the coverage factors such as:

  • minimum number of employees
  • length of employment
  • familial relationship
  • self-employed workers and others.

Continue reading