Medicaid Fraud

Protecting New York State Counties and Taxpayers

To uncover fraud or abuse, counties throughout New York State are turning to Bonadio to perform operational, policy compliance, billing, and medical necessity audits of selected laboratories, pharmacies, transportation companies, and physicians receiving reimbursement from their Medicaid programs. Bonadio has a well-qualified team of auditors, compliance experts, medical review staff, and investigators who have experience with Medicaid, compliance, and claims auditing.

Bonadio performs Medicaid regulatory documentation audits for compliance, provider claims audits, and Medicaid program contract audits. We have many years of utilization review and claims adjudication experience from the viewpoint of the insurance industry, specifically, disability, health maintenance organizations, and the independent physician association, and we also partner with insurance carriers and attorneys to conduct comprehensive utilization reviews of provider claiming patterns.