• The Gist: Pressure to cut costs in Medicaid can mean opportunities for attorneys and records reviewers in these cases.
By Elizabeth E. Hogue, Esq.
Many providers are aware that state Medicaid programs are under enormous pressure from the federal government to identify instances of fraud and abuse and to recoup as much money as possible. These enforcement efforts are primarily based on the Deficit Reduction Act (DRA).
The State of New York is one of the first states to take aggressive action against home care agencies in an operation called “Home Alone.” Enforcement actions have included the following: A number of home health aides provided services …
• To obtain more information about fraud and abuse enforcement in a book entitled Medicare/Medicaid Fraud and Abuse: A Practical Guide for Providers, send a check for $30 that includes shipping and handling made out to Elizabeth E. Hogue, Esq. to Fulfillment, 107 Guilford, Summerville, SC 29483. To obtain an 80-minute video or DVD on fraud and abuse compliance presented by Elizabeth Hogue, send a check for $105 to the above address.