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© 2023 by The Law Offices of Eric J. Hoffman - This is not legal advice. Call for info.

Franklin County Medicaid Fraud Lawyer

Top Franklin County Medicaid Fraud Lawyer

Former Prosecuting Attorney General of Franklin County Medicaid Fraud

Mr. Hoffman is a former prosecuting attorney general assistant who specialized in medicaid fraud. Charges and/or accusations of medicaid fraud are very serious and deem the most professional and experienced attention. A medical practitioner in this precarious situation risks potentially huge financial penalties, the loss of their practice, and even jail time. Some of the most common types of medicaid fraud are kickbacks, misdiagnosis, billing fraud, and  self referrals. Our offices are equipped with defense strategies and 34 years of experience in the field to represent medical professionals in all degrees of medicaid fraud.

What is Franklin County Medicaid Fraud and Abuse?
 

"Medicaid fraud can be committed in one of three ways:

 

  1. When a person knowingly makes or causes to be made, a false or misleading statement or representation to obtain reimbursement from the Medicaid program

  2. When a person solicits or accepts payment in exchange for services covered under the Medicaid program with the purpose of facilitating or committing a fraud;

  3. When a person falsifies, alters, or destroys documents necessary for reimbursement from the Medicaid program after submitting billings to Medicaid".

- Ohio State Bar Association

 
Penalties of Franklin County Medicaid Fraud
 
  • Greater than $150,000: 3rd Degree Felony, 36 Months in Prison, and $10,000 in Fines

  • Greater than $7,500: 4th Degree Felony, 18 Months in Prison, and $5,000 in Fines 

  • Greater than $1,000: 5th Degree Felony, 12 Months in Prison, and $2,500 in Fines. 

  • Less than $1,000: 1st Degree Misdemeanor, 180 days in jail, and $1,000 in fines. 

*All Maximum Penalties Listed 

- Ohio State Bar Association 

Types of Franklin County Medicaid Fraud and Abuse:
 

  • Billing for services not performed

  • Billing duplicate times for one service

  • Falsifying a diagnosis

  • Billing for a more costly service than performed

  • Accepting kickbacks for patient referrals

  • Billing for a covered service when a noncovered service was provided

  • Ordering excessive or inappropriate tests

  • Undervaluing the amount owed by the insurer to a health care provider under the terms of its contract

  • Denying a valid claim

- National Conference of State Legislatures

34 Years of Franklin County Medicaid Fraud Experience!