Top Anchorage, AK Medicaid Fraud Lawyers Near You

Medicaid Fraud Lawyers | Anchorage Office

310 K Street, Suite 200, Anchorage, AK 99501

Medicaid Fraud Lawyers | Anchorage Office

421 West First Avenue, Suite 220, Anchorage, AK 99501

Medicaid Fraud Lawyers | Anchorage Office

601 West 5th Avenue, Suite 700, Anchorage, AK 99501

Medicaid Fraud Lawyers | Anchorage Office

188 West Northern Lights Blvd., Suite 1100, Anchorage, AK 99503-3985

Medicaid Fraud Lawyers | Anchorage Office

1029 West 3rd Avenue, Suite 300, Anchorage, AK 99501

Medicaid Fraud Lawyers | Anchorage Office

1600 A St, Suite 304, Anchorage, AK 99501

Medicaid Fraud Lawyers | Anchorage Office

510 L Street, Suite 500, Anchorage, AK 99501

Medicaid Fraud Lawyers | Anchorage Office

1049 West 5th Avenue, Suite 100, Anchorage, AK 99501

Medicaid Fraud Lawyers | Anchorage Office

420 L Street, Suite 400, Anchorage, AK 99501

Medicaid Fraud Lawyers | Anchorage Office

750 West 2nd Avenue, Suite 105, Anchorage, AK 99501-2167

Medicaid Fraud Lawyers | Anchorage Office

510 L Street, Suite 601, Anchorage, AK 99501

Medicaid Fraud Lawyers | Anchorage Office

1029 W. 3rd Avenue, Suite 550, Anchorage, AK 99501

Medicaid Fraud Lawyers | Anchorage Office

1031 West 4th Avenue, Suite 600, Anchorage, AK 99501

Medicaid Fraud Lawyers | Anchorage Office

420 L Street, Suite 400, Anchorage, AK 99501

Medicaid Fraud Lawyers | Anchorage Office

431 W 7th Ave., Suite 107, Anchorage, AK 99501

Anchorage Medicaid Fraud Information

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Lead Counsel Verified Attorneys In Anchorage

Lead Counsel independently verifies Medicaid Fraud attorneys in Anchorage and checks their standing with Alaska bar associations.

Our Verification Process and Criteria
  • Ample Experience Attorneys must meet stringent qualifications and prove they practice in the area of law they’re verified in.
  • Good Standing Be in good standing with their bar associations and maintain a clean disciplinary record.
  • Annual Review Submit to an annual review to retain their Lead Counsel Verified status.
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Find a Medicaid Fraud Attorney near Anchorage

The Average Total Federal Prison Sentence for Medicaid Fraud in Alaska

37.22 months*

* based on 2019 Individual Offenders - Federal Court sentencing in Alaska federal courts. See Sentencing Data Information for complete details.

What Is Medicaid Fraud?

Medicare and Medicaid are national medical health insurance programs that provide healthcare coverage. Medicare covers many of the healthcare expenses of people who are age 65 or older, people with a disability, or renal disease. Medicaid provides health care costs to people with low incomes. In most states, adults and dependent children are qualified to receive Medicaid with incomes up to 138% of the federal poverty line.

Medicaid and Medicare are subject to waste, abuse, and fraud. When fraud is involved, it can lead to criminal charges. Medicaid fraud involves making false representations or statements in order to obtain some benefit or payment that would not otherwise be provided. Fraud generally involves misrepresenting facts or concealing material facts. Medicare abuse usually involves practices that result in unnecessary cost or expense, and can also be the basis for criminal penalties.

What Are Some Examples of Medicaid Fraud?

Healthcare in the United States can be expensive and complicated. Billing government care providers, like Medicaid, requires following standard protocols. However, because of the size and scope of Medicaid, it can be subject to fraud or abuse. Common examples of Medicaid fraud may include:

  • Billing for services that are never performed
  • Billing for medical equipment that is not medically necessary
  • Unlawfully paying for patient referrals or provider kickbacks
  • Changing for a more expensive service than what was provided
  • Unbundling a combined medical procedure to charge as multiple procedures
  • Double billing or duplicate claims

Who Investigates Medicaid Fraud?

Medicaid is operated by a combination of federal and state agencies. Suspected Medicaid fraud can be investigated by multiple agencies or law enforcement agencies, including:

  • State health department fraud investigators
  • Office of Inspector General (OIG)
  • Centers for Medicare & Medicaid Services (CMS)
  • Internal Revenue Service (IRS)
  • Federal Bureau of Investigation (FBI)
  • Medicaid Fraud Control Unit

Financial fraud is often flagged by computer analysis that reviews health care records submitted to Medicaid. The CMS Fraud Prevention System (FPS) can look for suspicious activity or suspected patterns of fraud. After identifying suspicious activity, an investigation will further look into the health care providers involved to determine if there is evidence of provider fraud, including site visits, talking to patients, and reviewing the provider’s medical and billing records.

Can You Go To Jail for Medicaid Fraud?

Medicaid fraud can involve criminal and civil penalties. Health care fraud involving federal government healthcare agencies or programs is a felony offense. Under federal law, the penalties for federal health care fraud can include up to 10 years in federal prison time. If the fraud resulted in serious bodily harm to a patient, the penalties could increase to 20 years imprisonment. Felony convictions can harm your future job opportunities.

Healthcare providers are also prohibited from paying or accepting kickbacks for health care services. Violation of the Anti-Kickback Statute can result in up to 5 years in jail, thousands of dollars in fines, and Medicaid exclusion.

Unlawful self-referral involves a doctor referring a patient to medical services where the doctor has a financial interest. Violation of the Stark Law against physician self-referral can result in fines, restitution, punitive damages, and make the doctor ineligible for Medicare and Medicaid programs in the future.

What Happens If Someone Reports Me for Medicaid Fraud in Alaska?

If patients suspect their doctor has been improperly billing Medicaid for care, they may have an interest in reporting the doctor. Other doctors, health care workers, or family members may also report suspected Medicaid fraud. Under the False Claims Act (FCA), whistleblowers can recover up to 30% of the civil penalties recovered for fraud against the government.

What if You Are Accused of Medicaid Fraud?

If you are facing fraud allegations it does not necessarily mean you will be found guilty of any crime. You have legal defenses and constitutional protections to challenge the criminal charges in court with the right to legal counsel. There may be several viable defenses to a fraud charge, including improper billing caused by clerical errors or computer problems.

How Health Care Fraud Defense Lawyers Can Help

A federal fraud lawyer can help as soon as you learn about a fraud investigation. Legal representation can protect you from saying the wrong thing during a fraud interview. An experienced attorney can also inform you of your legal rights and the potential consequences of a plea agreement. A fraud attorney can also help negotiate favorable settlements to get the best possible resolution and avoid jail time or other severe penalties.

Best Time to Seek Legal Help

No matter what your legal issue may be, it is always best to seek legal help early in the process. An attorney can help secure what is likely to be the best possible outcome for your situation and avoid both unnecessary complications or errors.

Top Questions to Ask a Lawyer

  • What is the usual process to resolve my case? How long will it take to resolve this?
  • What are likely outcomes of a case like mine? What should I expect?

An experienced lawyer should be able to communicate a basic “road map” on how to proceed. The lawyer should be able to walk you through the anticipated process, key considerations, and potential pitfalls to avoid. Once you’ve laid out the facts of your situation to the lawyer, he/she should be able to frame expectations and likely scenarios to help you understand your legal issue.

How to Find the Right Attorney

  • Determine the area of law that relates to your issue. Attorneys specialize in specific practice areas around legal issues within the broad field of law.
  • Seek out recommendations from friends, family, and colleagues. A successful attorney or practice will typically have many satisfied clients.
  • Set up consultation appointments to get a better understanding of your case as well as gauge your comfort level with different attorneys. Find the attorney who is the right fit for your needs.

Common legal terms explained

Affidavit – A sworn written statement made under oath. An affidavit is meant to be a supporting document to the court assisting in the verification of certain facts. An affidavit may or may not require notarization.

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