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  • Caresource Confidential Fraud Waste And Abuse Reporting Form

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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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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
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
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 workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
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