ABOUT ME
Norman Spencer. is the founding partner of this law firm. He earned his law degree at The Ohio State University. Mr. Spencer is a skilled defense attorney who has successfully represented hundreds of clients on state and federal levels.
Mr. Spencer also represents individual and business clients in all stages of federal, state, and local criminal investigations, grand jury proceedings, criminal prosecutions, administrative disciplinary matters, and forfeiture cases. He handles cases involving allegations of Medicaid fraud, Medicare Fraud, Insurance Fraud, No-Fault and Workers’ Compensation Fraud, tax fraud and evasion, money laundering, bank fraud, mail and wire fraud, securities fraud, trademark counterfeiting, bribery, and illegal kickbacks.
New York Medicaid Fraud Lawyer
If you’re here, you are probably looking for information on New York Medicaid Fraud and doing some homework before speaking with a New York Medicaid Fraud lawyer.
Well, you’re in the right place. Here, you’ll find all information resources about Medicaid Fraud in New York, including our informative videos and the many answers to common questions we have published over the years.
Our law firm has handled hundreds and hundreds of Medicaid fraud cases in New York. We represent people investigated and by the Human Resources Administration Bureau of Fraud Investigations, Medicaid Inspector General, the District Attorney, and the Attorney General’s Office.
We also help individuals charged with Medicaid fraud and healthcare fraud in criminal courts, both state and federal.
If you have any questions about your case, please explore this site and if you want to speak with us about your case, give us a call for a FREE telephone consultation (212) 461-1414.
Let’s see how benefits recipients can be involved with Medicaid Fraud.
- Misrepresenting household income on benefits applications
- Not disclosing household composition (an example of that is an unmarried couple with children when the mother applies for Medicaid and doesn’t disclose the father’s income)
- Allowing another individual to use your Medicaid card to obtain services
- Receiving the benefits in New York while living elsewhere.
- Changing or forging prescriptions
- Re-selling products obtained through Medicaid
Medicaid Fraud is called fraud because when people receive health benefits to which they are not entitled, it costs government the money. What most people don’t realize is that the government pays hundreds if not thousands of dollars a month for each recipient’s health benefits, even no Medicaid services are ever used.
We have represented hundreds of clients accused of Medicaid fraud and we know that things are often more complicated than what they seem. Many individuals don’t intent to violate the law, many don’t understand their obligations, and many don’t even read English when they sign the benefits applications prepared by others. We have seen countless times unsuspecting people being taken advantage by unscrupulous case workers and Medicaid service providers’ representatives. We have seen it all and we know how to defend each and every Medicaid fraud case.
If you have been investigated for Medicaid fraud in New York, please explore this site. Here you will find the answers to all your questions. Make sure to watch our informative videos. Then, reach out to us. We will always take your call.
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If you received A letter from NYC Bureau of Fraud Investigations, don’t take chances. Speak with an experienced New York Medicaid fraud lawyer
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FAQ
Our FAQ are Listed Below
What Is Medicaid Fraud?
Since you’re browsing this website, you probably have an idea about Medicaid fraud. However, in my practice I’ve found that many clients (or prospective clients) have a very vague understanding of Medicaid fraud is and many don’t connect the term “fraud” to their circumstances.
Well, let’s define Medicaid fraud. In a nutshell, Medicaid fraud is submitting any false or inaccurate information to the government in order to obtain Medicaid services (if you are a Medicaid recipient) or get paid by Medicaid (if you are a Medicaid service provider).
Many people think that submitting a false statement is something complicated and big, but in reality, it’s pretty simple. Let’s say you’re a New York Medicaid recipient. You tell the HRA that your income is lower that it is and because of this you qualified for the program. That’s a false statement Medicaid fraud. What if you simply don’t disclose everything, without actually lying? For example, you’re asked to list your household income, including the income of your entire family, and you don’t include your spouse’s income. That’s also a false statement and fraud.
Most New York Medicaid fraud investigations start because the government finds some discrepancy between what they have on their databases and what applicants told them. A classic example is someone who applies for Medicaid claiming a low income while they are employed on the books (paying taxes, etc), which the investigators track down. Click here to see how Medicaid fraud cases are triggered.
If you have been investigated Medicaid fraud New York, please call our office today to speak with a very experienced NYC Medicaid fraud lawyer.
Bureau of Fraud Investigations Interview Letters
In most New York Medicaid fraud cases you’ll know there is a problem when you receive a letter from the Human Resources Administration that looks like this:
Don’t be fooled, this is not just an “interview”. This is what they used to call an “interrogation” although no one is going to yell or threaten you. You will meet with two BFI investigators. You will be asked many questions and asked to provide many documents to the investigations.
What you don’t know is that by the time you receive this letter, the investigator has done a large about of homework and knows much more about you than you think. The reason they still want to speak with you is because you will make admissions and self-incriminating statements that will be used against you if you’re prosecuted.
What most people don’t realize is that you don’t have to speak with the investigators at all. You have a right to be represented by a lawyer and unless you know what you’re doing, you should have a lawyer handle your Medicaid fraud case.
Here is why you should never speak with any investigators.
If you received an HRA BFI letter about your eligibility for Medicaid/Family Health Plus, give me a call today.
NYC Bureau Of Fraud Investigations
We represented a number of NYC teachers accused of Medicaid fraud. If you are teacher working for the NYC BOEd, you need to be very careful if you are investigated for any offense, including Medicaid fraud.
Unfortunately, the BOEd judges you guilty before proven guilty. This means that as soon you’re arrested (literally within the next few days) you will receive a letter from the Board of Education informing you that some action will be taken simply because you were arrested. You could be re-assigned or even suspended while your case is pending.
If you’re a NYC teacher accused of fraud, give me a call so we can discuss your case.
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