MEDICAID INVESTIGATION PROCESS

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Presentation Description

There are many facilities related to medical in Las Vegas like regulatory compliance services , Medicaid investigations, etc. In this blog we will mention about the Medicaid investigation process and its penalties in Las Vegas.

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Presentation Transcript

MEDICAID INVESTIGATION PROCESS:

MEDICAID INVESTIGATION PROCESS

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In Las Vegas, Medicaid is health insurance that helps many poor people who are unable to afford Medical care pay for some or all of their medical bills. This program is only available to people and families with low-income who fit into an eligibility group that is recognized by federal and state law. Medicaid doesn’t pay money directly to you, instead it sends payments directly to your health care providers. Medicaid investigation in Las Vegas is very common as there are many Medicaid frauds. The mission of the  Medicaid investigations  unit is to eliminate fraud in the Medicaid program through the investigation and prosecution of criminal violations, the assessment of civil penalties, and the collection of damages pertaining to fraud .

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In the administration of the Medicaid program and fraud by providers of medical assistance and the investigation and criminal prosecution of the physical abuse of patients and the misappropriation of private funds of patients in Medicaid funded health care facilities by providers. There are many facilities related to medical in Las Vegas like  regulatory compliance services , Medicaid investigations, etc. In this blog we will mention about the Medicaid investigation process and its penalties in Las Vegas .

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Here it goes : MEDICAID FRAUD INVESTIGATIONS PROCESS - Medicaid fraud control unit are state law enforcement agencies. Medicaid fraud control unit have authority under their respective state and federal laws to investigate and prosecute violations of all applicable state laws . It includes investigations like : billing fraud involving the Medicaid program abuse and neglect of residents within facilities that receive Medicaid payments, and misappropriation of patient funds by such health care facilities.

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MFCUs investigate providers- doctors, nurses, pharmacies, DME companies, dentists, counselors, hospitals, home health agencies and others, they don’t investigates patients or recipients concerning the receipt of Medicaid benefits. Each MFCUs employs a team of investigators, attorneys, and auditors. The MFCUs has the authority to investigate and prosecute fraud within the administration of state Medicaid program itself. In particular, the MFCU collaborates with the state Medicaid program integrity offices. While the MFCU and state program may investigate similar conduct regarding improper billing, the state program must refer all cases of suspected fraud to the MFCU.

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