Evaluating The Case And Consequences With Medicaid Fraud Lawyers In Orange County, NY

by | Jul 6, 2016 | Lawyers

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In New York, Medicaid recipients are required to provide detailed information each year. This information determines if the individual is still eligible for the insurance benefits. However, some individuals may provide inaccurate details to acquire coverage. This act is referred to as Medicaid fraud. Medicaid Fraud Lawyers Orange County NY define individuals who are accused wrongfully of this infraction.

Perjury and Presenting False Evidence

All applicants who attempt to acquire Medicaid are warned of the penalties of perjury. This act involves the sharing of false information to acquire Medicaid benefits. This act could lead to criminal charges and imprisonment. For this reason, all applicants must provide a complete list of all income sources on their application. If the caseworker identifies new income sources that weren’t reported, they will deny the application.

Using Another Beneficiary’s Benefits

Individuals who use another beneficiary’s benefits are committed Medicaid fraud. This is the act of presenting false identification for the purpose of acting health care illegally. The discovery of this act could also lead to imprisonment based on the criminal charges that apply. The beneficiary could also lose their benefits for the rest of their lives. If they knew about this criminal act, they could also face fraud charges themselves. Any beneficiary who believes that another party may have used their insurance coverage should report them to a local agency.

What are the Penalties for Medicaid Fraud?

The penalties for individuals and corporations are based on the classification of the crime itself. The crime of Medicaid fraud is based on the total value of benefits acquired. The penalty for misdemeanor offenses is a fine of $100,000 for policyholders. It is $200,000 for any corporation that is convicted of the infraction. Any felony infraction incurs a prison sentence of up to five years and a fine. The fine ranges between $250,000 and $500,000.

In New York, Medicaid recipients are required to provide information to their caseworker each year. This is necessary to re-establish eligibility. The caseworker verifies all information to eliminate fraudulent reporting. Additionally, they monitor how the benefits are used. Any individual who is charged with insurance fraud should contact Medicaid Fraud Lawyers Orange County NY through Mark Aberasturi or their Google+ page today.

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