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Compliance: Do You Know How to Avoid These 5 Types of Medicaid Fraud?

Posted on 27. May, 2015 by in Hot Coding Topics

Medicaid auditors could be reviewing your files—make sure you aren’t violating any of these common issues.

If you’re worrying about whether your state Medicaid provider might head your way for an audit, keep in mind that you only have to stress if you’re doing something you shouldn’t be—and one way to find out if that’s the case is to check in on the most common types of Medicaid fraud.

Fortunately, the Arkansas Medicaid Fraud Control Unit recently published five examples of common Medicaid fraud types Read on for the list, as well as examples to help you steer clear of these issues.

1. Billing for Services Not Rendered: This type of fraud occurs when “a provider bills for treatments or procedures which are not actually performed,” the Arkansas Medicaid Fraud Control Unit says on its website.

An example would be pediatricians who automatically report...

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