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Most Common Medicaid “Rip Offs”


Medicaid fraud can take many forms. Here are some of the more common schemes:
  • Billing for “phantom patients” who did not really receive services

  • Billing for medical services or goods that were not provided

  • Billing for old items as if they were new

  • Billing for more hours than there are in a day

  • Billing for tests that the patient did not need

  • Paying a “kickback” in exchange for a referral for medical services or goods

  • Charging Medicaid for personal expenses that have nothing to do with caring for a Medicaid client

  • Overcharging for health care services or goods that were provided

  • Concealing ownership in a related company

  • Using false credentials

  • Double-billing for health care services or goods that were provided

If you suspect any of these schemes or other possible fraud, report it. Information on how you can report fraud and who you should contact can be found at Reporting Fraud and Abuse in Your State.

If you have questions about Medicaid that do not directly involve fraud or abuse, you can find additional information at Medicaid Consumer Information.

Last Modified on Thursday, September 16, 2004