Charge for services that supposedly aren't covered by Medicaid, i.e. non scratch lenses. When approved by Medicaid, this is a covered service. Charging for an extra Medicaid covered examination. Bill Medicaid for a resident who is no longer eligible, or who is no longer at the facility due to death or discharge. Facility owner may require certain providers, such as pharmacies or laboratories, etc., to pay a certain portion of the money to the facility owner for access to the residents.
Payment can take the form of cash, vacation trips or other compensation.
Providing generic medications when a specific name brand drug is ordered and billed. Agency billing for a longer visit than provided. Agency billing for a professional visit when an unskilled unlicensed person was sent to the home. Agency billing for more services than were actually provided, i.e. bath, when no bath was given. Billing for more staff than actually are care providers.