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  • Caresource Confidential Fraud Waste And Abuse Reporting Form

Get Caresource Confidential Fraud Waste And Abuse Reporting Form

Confidential Fraud, Waste, and Abuse Reporting Form Please use this form to tell us about any fraud, waste, and abuse concerns you may have. This information will be confidential. Give as much information.

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How to fill out the CareSource Confidential Fraud Waste And Abuse Reporting Form online

Filing a report using the CareSource Confidential Fraud Waste And Abuse Reporting Form is a crucial step in addressing any concerns related to fraudulent activities. This guide provides clear instructions to help users complete the online form accurately and effectively.

Follow the steps to successfully complete the form online.

  1. Click ‘Get Form’ button to access the CareSource Confidential Fraud Waste And Abuse Reporting Form and open it in your browser.
  2. Fill in the information regarding the individual you are concerned about. Include their name, address, and phone number in the specified fields.
  3. Select the appropriate option for the individual's role (e.g., Employee, Member, Provider, Other) by checking the corresponding box.
  4. Describe your concern in the designated text area, providing as much detail as possible. If more space is needed, attach additional pages.
  5. If you prefer to remain anonymous, you may skip this step. However, if you wish to provide your contact information, fill in your name, address, and phone number in the given fields.
  6. Attach any supporting documents that may assist in your report by using the designated section or indicating where these documents can be found.
  7. Once all fields are filled out, review your information for accuracy. After confirming everything is correct, you can choose to save changes, download, print, or share the form as needed.

Complete the CareSource Confidential Fraud Waste And Abuse Reporting Form online today to help combat fraud and abuse.

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If you wish to report fraud being committed by a medical provider, call 614-466-0722 or click here for the Attorney General's office to make an anonymous report.

This activity may include: Presenting false or fraudulent claims to Medicaid for payment. Making or using a false statement regarding a false claim. Conspiring to violate the federal FCA. Knowingly misusing, wasting or abusing government funds. Billing for services never provided, substandard quality care or upcoding.

There are several ways to contact the Hotline: Toll-free phone: 1-800-HHS-TIPS (1-800-447-8477), 8:00 am - 5:30 pm, Eastern Time, Monday-Friday. Fax: 1-800-223-8164 (10 pages or less, please) TTY: 1-800-377-4950. Mail: HHS TIPS Hotline. P.O. Box 23489. Washington, DC 20026. (Note: please do not send any original documents)

These are examples of issues that can be reported to a Compliance Department: suspected Fraud, Waste, and Abuse (FWA); potential health privacy violation, and unethical behavior/employee misconduct.

The Office of Inspector General (OIG) Hotline accepts tips and complaints from all sources on potential fraud, waste, and abuse.

Examples of Fraud, Waste and Abuse Billing for services not rendered. Altering medical records. Use of unlicensed staff. Drug diversion (e.g. dispensing controlled substances with no legitimate medical purpose) Kickbacks and bribery. Providing unnecessary services to members.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232