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AHCCCS Fraud

Arizona Health Care Cost Containment System (AHCCCS) Fraud Attorney

Counsel for Medicaid And Healthcare Fraud Charges in Arizona

When it comes to dealing with the complexities of the Arizona Health Care Cost Containment System (AHCCCS), understanding the gravity and potential consequences of fraud is paramount. Accusations of AHCCCS fraud can lead to severe penalties, with implications affecting not just your financial stability but also your personal and professional reputation. In such circumstances, having a proficient attorney by your side is invaluable.

Pariente Law Firm, P.C. is a distinguished law firm that provides comprehensive legal services for clients grappling with AHCCCS fraud charges. With a wealth of experience in handling white-collar crime cases, our attorneys are adept at handling the intricacies of these cases and have a strong track record of providing robust representation for our clients.

For reliable and aggressive counsel against AHCCCS fraud charges, reach out to our team online or via phone at (702) 466-1871

What Is the Arizona Health Care Cost Containment System (AHCCCS)?

The AHCCCS is a crucial healthcare program that serves low-income residents in Arizona. Funded by both state and federal resources, its central goal is to ensure access to necessary medical care for those who may not otherwise be able to afford it.

AHCCCS covers a broad spectrum of healthcare services. These range from behavioral health services and outpatient clinics to rehabilitative services, home health care, and long-term care services. The program is designed to provide comprehensive healthcare coverage to its beneficiaries.

Eligibility for AHCCCS is primarily income-based, alongside other requirements. Registered healthcare providers are assigned a unique identification number, enabling the system to track services provided and payments received.

Examples of AHCCCS Fraud 

The AHCCCS has a robust legal framework designed to detect, prevent, and prosecute fraud. AHCCCS fraud can take many forms, all of which are serious offenses that can lead to severe penalties. Here are some common types of AHCCCS fraud:

  • Healthcare provider insurance fraud. This can occur when a healthcare provider double bills, uses their business to launder money, overcharges clients, or receives illegal incentives for patient referrals to other clients. 
  • Consumer healthcare insurance fraud. This can occur when false information and documents are generated and/or submitted to claim benefits, on healthcare applications, on applications for a certificate of authority, or concerning the financial status of an insurer or reinsurer. 
  • Organization AHCCCS fraud. Similar to healthcare provider insurance, this type of fraud involves falsifying claims and services by incorrectly coding services to upcharge, double billing, accepting kickbacks, misrepresenting services and supplies, and submitting falsified data. 
  • Member AHCCCS fraud. A member of the AHCCCS can face fraud allegations if they misrepresent their resources, citizenship status, income, residence, household composition, and/or medical condition and health. 

Penalties for AHCCCS Fraud in AZ

At the state level in Arizona, penalties for AHCCCS fraud can be severe. A conviction for healthcare fraud can lead to imprisonment for up to 20 years. In addition, penalties can include a civil fine ranging from $5,500 to $11,000 per act or per fraudulent bill.

On the federal level, the consequences are equally stringent. Under the federal False Claims Act, healthcare providers who knowingly submit fraudulent claims face serious fines. Depending on the specific act of fraud, you can also face other penalties. 

For instance, if the fraudulent act involved wire fraud or another face, you can also be charged with that offense. Wire fraud is punishable by 20 years of imprisonment in federal prison and a fine of $250,000. 

Call (702) 466-1871 to Schedule an Initial Consultation

At Pariente Law Firm, P.C., we are committed to understanding your unique situation, crafting a tailored strategy, and vigorously advocating on your behalf. What sets Pariente Law Firm, P.C. apart from others is not only our extensive experience but also our unwavering commitment to our clients. 

We believe in a client-centric approach, where your needs and interests are at the forefront of everything we do. Our dedication to upholding your rights and protecting your interests distinguishes us in the industry.

Contact our team to get started on your case today. 

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