 In addition to that, some of the charges to Medicare and Medicaid include prescription narcotics prescribed to patients addicted to opioids to entice the patients to stay at the facility in order for the bill to increase.Another technique used by the dream team was to move patients in and out of facilities when the patients have reached the maximum number of days allowed by Medicare and Medicaid.This was accomplished by using one of the corrupt physicians to see the patients and coordinate for readmission in the same or a different facility owned by Esformes.