NY top Medicaid Fraud attorney Inna Fershteyn discusses provider fraud cases, Medicaid fraudulent billing practices including upcoming, kickbacks, unnecessary treatments and other issues on Russian Hit TV program with journalist Alexander Grant.
Thursday, October 31, 2013
Ambulete Companies attorney Inna Fershteyn: Logistics care and Medicaid fraud investigations
Interview with NY attorney Inna Fershteyn regarding Ambulette Companies in NY, Logistics Care, audits of ambulette companies, medicaid fraud issues and new laws affecting ambulette companies in the state of NY.
http://BrooklynTrustAndWill.com/
Medicaid Fraud attorney Inna Fershteyn - ESTATE PLANNING CONFERENCE
NY Medicaid Fraud attorney INNA Fershteyn discusses Medicaid Fraud issues involving providers -Fraud involving Doctors, Fraud involving Ambulet companies, Fraud involving pharmacies and how to avoid being prosecuted for insurance and Medicaid fraud and to protect yourself and your assets from being sued.
Call 718-333-2394 to find out more information or visit us at
Law Offices of Inna Fershteyn
1517 Voorhies Ave, Suite 4
Brooklyn, NY 11235
Tel. (718) 333-2394
www.BrooklynTrustAndWill.com
Join our Estate Planning blog
http://advanced-legal.blogspot.com
Mahopac Woman Worth Millions Charged in Medicaid Fraud
MAHOPAC, N.Y. – A Mahopac woman has been indicted on eight
felony charges for allegedly scamming nearly $30,000 in Medicaid
benefits, despite being employed, owning millions in real estate and
having hundreds of thousands of dollars in the bank.
Acting state Welfare Inspector General Catherine Leahy
Scott said Elizabeth Makaj, 44, applied for and received $29,310 in
Medicaid benefits in New York City between 2005 and 2009, and never
disclosed a 2006 purchase of a $2.05 million rental property, or that
she had a bank account with $270,000. She also claimed to live in the
Bronx while actually living in Mahopac.
According to the business networking website LinkedIn, Makaj is a database administrator at Hudson Valley Hospital Center. According to New York City permit records, her husband, Zef Makaj, owns TJAN Realty and owns 2363 Lyons Ave. in the Bronx, a 28-unit apartment building. The adjacent property at 2362 is a 12-unit building owned by Makaj Realty Inc.
The couple own 291 Agor Lane in Mahopac, which they bought for $875,000 in November 2005.
Elizabeth Makaj was arrested Friday after an investigation
by the Bronx District Attorney’s Office and the state Office of the
Welfare Inspector General.
Scott said in a statement, “My investigators found that the
defendant stole from a program designed to help those who need
affordable health insurance. Eligible recipients of these benefits must
meet certain income criteria in an application process that requires an
honest disclosure of income and assets. Here, the defendant falsified
information on her application in order to fraudulently obtain benefits
to which she was not entitled.”
Makaj is charged with eight counts of first-degree offering
a false instrument for filing, a felony; and eight counts of
second-degree offering a false instrument, a misdemeanor. Each felony
count carries a sentence of 16 months to four years. Makaj was released
without bail and is due back in state Supreme Court in the Bronx on Nov.
21.
Source: Hudson Valley Reporter
NY Attorney INNA Fershteyn discusses Medicaid Fraud Investigations and Healthcare Law compliance on Russian hit TV show with Alexander Grant
NY top Medicaid Fraud attorney Inna Fershteyn discusses provider fraud cases, Medicaid fraudulent billing practices including upcoming, kickbacks, unnecessary treatments and other issues on Russian Hit TV program with journalist Alexander Grant.
Tuesday, October 29, 2013
NY MEDICAID FRAUD ATTORNEY INNA FERSHTEYN on Russian TV show: Avoiding Medicaid FRAUD and ABUSE
NY TOP Estate and Medicaid planning attorney Inna Fershteyn discusses New York Medicaid Fraud cases, Russian doctors accused of Medicaid fraud, Ambulet companies and Medicaid compliance, Billing for services not rendered, Double Billing, Substitution of generic drugs, Unnecessary services, Kickbacks, upcoding, fraudulent or incorrect billing and what are some actions that a Medicaid provider can do that will constitute defrauding the Medicaid Program. For more information please call attorney Inna Fershteyn at 718-333-2394 or join our blog at http://advanced-legal.blogspot.com/
Providers - New York State Office of the Medicaid Inspector General
The Medicaid program is made up of a network of health care providers, coordinators and services that help millions of New Yorkers every year. This includes direct care providers and managed care plans that coordinate services. The vast majority of health care professionals and organizations in the Medicaid program want to follow the rules. Other providers have engaged in unacceptable practices, which means that they can not participate in the Medicaid program. As an aid to health care professionals and organizations, OMIG provides access to the list of these Medicaid Terminations and Exclusions.
Providers may also see fraud in their day to day activities. Some examples of fraud may include:
- Billing for unnecessary services – Ordering and then subsequently charging the Medicaid program for services a patient does not need;
- "Phantom" billing – Billing Medicaid for services or for dispensing products that the patient never received, such as patient visits that never took place, dental fillings for teeth that had previously been extracted, medical equipment that was never delivered;
- Multiple billing – Intentionally sending bills to Medicaid for the same procedure or office visit more than once;
- Improper Upcoding – Intentionally billing Medicaid for a more expensive treatment or medication than the one the patient actually received;
- Kickbacks – When Medicaid providers such as physicians, hospitals, dentists, clinics, etc., give money, items of value, or other considerations to other healthcare providers in exchange for referrals or for business; and
- Selling drugs/forging or altering prescriptions – When a Medicaid patient fills a legitimately authorized prescription, written by an authorized physician, and then sells the contents for profit, that is fraud. Altering the amount of the prescription, or stealing a prescription pad from a doctor and then using is also fraud.
Providers can contact the Medicaid Fraud Hotline by calling 1-877-87 FRAUD (1-877-873-7283) to report Provider fraud.
If you are subject of OMIG investigation, please contact
Law Offices of Inna Fershteyn
1517 Voorhies Ave, Suite 4
Brooklyn, NY 11235
Tel. (718) 333-2394
www.BrooklynTrustAndWill.comWhat to do if you became a subject of Medicaid Fraud Investigation in NY?
Many of my clients recently received Medicaid Fraud Investigation letter from Human Resources Administration, Bureau of Fraud Investigation. If you do not qualify for the Medicaid Benefit and you may have made false statements about the your income, your marital status, your living arrangements, or in other words your actions were not in accordance with legal requirements of Medicaid Benefits, you will receive a Fraud investigation letter telling you that you are under investigation for Medicaid Fraud and that you need to appear for an Interview with an Investigator.
Upon receipt of such letter, it is imperative
that you contact an attorney IMMEDIATELY. Remember, in order to qualify
for the most Medicaid programs in New York City, you have to be New York City
Resident and you have to be financially eligible. Very often such cases
have criminal consequences. Make sure to protect yourself and your family from
being criminally charged and imprisoned for something that could be resolved by
a professional attorney.
When you apply for Medicaid, you fill out an application, and you are expected
to disclose all sources of income, not just from your
work, but also from any other source. It may be the rental income that
you have, or any gifts that you receive or any dividends from a business.
Moreover, if your income or marital status changes, you are required to report
all changes immediately to the Medicaid Office and not wait until your Medicaid
certification expires.
If you are already a Medicaid recipient and a discrepancy with the facts of
your case turn up, you will become a target of a Medicaid Fraud Investigation.
If you have been a target of an Investigation, your case would be assigned to
an Investigator with a Bureau of Fraud Investigation (BFI). There are
several steps or actions that they can conduct:
- Investigation
can take from weeks to months
- Investigators
gather all information they can about
- They
may contact your employers
- They
may contact your neighbors
- They
may contact your tenants
- They
may follow you
- They
may take photos of your business, your home, and your cars
- They
may contact the DMV; verify your address and your car registration,
- They
may use specialized search to look up property purchase and mortgage
information.
At some point, the investigator will call you
in for an Interview. Many people don’t know their legal rights, and in
this case, how to act, if you receive a letter from Investigator. You may feel
like being under pressure, you may start talk with investigator to clarify the
situation, but this is the wrong way to do. Everything that you say to an
Investigator, every statement that you make, the Investigator may use against
you and you can be prosecuted. Besides you can assume that the
Investigator has a lot of information about you. However they still want you to
come in and hope to get some self-incriminated statements or get some harder to
obtain documents, such as your tax returns, or any other missing pieces to
build their case against you.
Important thing is, do not speak with them,
you don’t have an obligation to speak with them directly. In this case you need
professional help from attorney, who has better experience and knows such
cases, how to handle and to protect your legal rights and, the most important
thing how to avoid prosecution and all of the criminal consequences.
For example: One of our clients, who received
such letter, is a very well established person. He owns a house, where he lives
with his family, two cars and runs his own business. Attorney Inna Fershteyn
managed to completely close the case without any financial or legal
consequences for the client. Another example is when a family was investigated
for Medicaid Fraud and during the interview it turned out that this is their
second investigation, which is considered to be second degree offence and is
definitely can become a criminal case. Attorney Inna Fershteyn settled the case
so that the clients only had to pay a fine and avoided any criminal
prosecutions and therefore kept their record clean.
When you call Law Office of Inna Fershteyn and Associates we will contact Investigator to shut down
any communications between investigator and client, we will meet with
Investigators to work out deal, and bring case to settlement before case is
referred to district attorney’s office.
If you are a target of a public benefits fraud
investigation, do not take any chances and call the lawyer. Your case may be
relatively easy to resolve. Do not make it worse by speaking with an
Investigator, you have no duty to speak with them, protect yourself and call us
today, we will answer your questions and show you what can be done.
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