- You can call the national fraud hotline at 1-800-MEDICARE to report fraud to the OIG.
- The OIG also has an online form you can fill out to report Medicare fraud. This form is available at https://forms.oig.hhs.gov/hotlineoperations/report-fraud-form.aspx.
- When you report to the OIG, any identifying information you provide about yourself will remain confidential. The OIG won't tell your health care providers that you reported them. ...
- You can report to the OIG regardless of who you are. You don't have to be a Medicare beneficiary or a health care provider to file a fraud complaint.
- You also can report fraud by sending a written account through the mail to the HHS Office of the Inspector General at HHS Tips Hotline, PO Box 23489, Washington, DC ...
What do you need to know about Medicare fraud?
Contact: Provider fraud or abuse in Original Medicare (including a fraudulent claim, or a claim from a provider you didn’t get care from) 1-800-MEDICARE (1-800-633-4227) or. The U.S. Department of Health and Human Services – Office of the Inspector General.
How to report Medicare fraud?
Start your online complaint with HHS-OIG by selecting an option below. We accept complaints about fraud, waste and abuse in Medicare, Medicaid and other HHS programs and from HHS employees, grantees and contractors who are reporting wrongdoing at HHS and its programs (whistleblowers) for the first time.
How do I report fraud, waste or abuse of Medicare?
If you suspect a fraud has occurred, you should report it, providing as many details as you can, in any of the following ways: Call Medicare’s help line at 800-633-4227. Call the Office of Inspector General directly at 800‑HHS‑TIPS (800‑447‑8477, or …
How do you report medical fraud?
Dec 01, 2021 · By Phone. 1-877-7SAFERX. (1-877-772-3379) OR. refer to your plan’s general contact and/or fraud-reporting information. If You'd Like Assistance Reporting Suspected Fraud, the Senior Medicare Patrol (SMP) is Here to Help. Call or Locate Your Local SMP Online.
What You Need to Know
HHS-OIG’s Hotline reviews and investigates thousands of complaints each year. We recommend you review Before You Submit a Complaint to understand the type of complaints we do and do not investigate and the complaint process.
How to Contact the OIG Hotline
Start your online complaint with HHS-OIG by selecting an option below. We accept complaints about fraud, waste and abuse in Medicare, Medicaid and other HHS programs and from HHS employees, grantees and contractors who are reporting wrongdoing at HHS and its programs (whistleblowers) for the first time.
Línea Directa de Comunicación del OIG – Sección de Operaciones
Contactar la línea directa de comunicación del OIG es tan fácil. La línea directa de comunicación del OIG acepta la información y quejas de todas las fuentes sobre la posibilidad de fraude, despilfarro, abuso ó mala administración dentro de los programas del Departamento Estadounidense de Salud & Servicios Humanos (U.S.
How to report Medicare fraud?
If you suspect a fraud has occurred, you should report it, providing as many details as you can, in any of the following ways: 1 Call Medicare’s help line at 800-633-4227. 2 Call the Office of Inspector General directly at 800‑HHS‑TIPS (800‑447‑8477, or TTY 800‑377‑4950). 3 File an online report with the Office of Inspector General.
How to contact Medicare for a report?
Call Medicare’s help line at 800-633-4227. Call the Office of Inspector General directly at 800‑HHS‑TIPS (800‑447‑8477, or TTY 800‑377‑4950). File an online report with the Office of Inspector General.
Who investigates Medicare cases?
The Office of Inspector General of Medicare investigates and prosecutes many such cases, some of which are brought to light by Medicare beneficiaries who notice something that doesn’t look right and report it.
Do you have to identify yourself when reporting a suspected fraud?
You are not required to identify yourself when reporting a suspected fraud, although keep in mind that the investigators may want to contact you for further information in order to pursue the case properly. If your suspicion is confirmed and leads directly to the recovery of Medicare money, you may get up to $1,000 as a reward.
What is Medicare fraud?
In the Medicare context, fraud scheme include billing Medicare for services that were not delivered, or increasing the payment amount on claims forms. Health care providers who intentionally bill false charges to Medicare cost taxpayers billions of dollars a year and put the health of Medicare beneficiaries at risk.
How to report Medicare fraud to the OIG?
You can call the national fraud hotline at 1-800-MEDICARE to report fraud to the OIG.
What are some examples of Medicare fraud?
Examples of medicare abuse or fraud include suppliers billing Medicare for equipment you never ordered or received, or healthcare providers billing Medicare for services you were never provided. Fraud ranges from broad-based operations by nationwide institutions to individual health care providers working on a small scale.
What to do if you find a discrepancy in Medicare?
Call your doctor. If you find a discrepancy, call your doctor before you report fraud to make sure the questionable charges weren't made in error.
What to do if you suspect fraud or abuse?
If you suspect fraud or abuse, study the entries on your claim forms and compare them to earlier records. When you visit your doctor or order medical supplies, record the dates yourself along with the services or supplies you will receive.
Where to report fraud to HHS?
You also can report fraud by sending a written account through the mail to the HHS Office of the Inspector General at HHS Tips Hotline, PO Box 23489, Washington, DC 20026-3489 or to the Centers for Medicare and Medicaid Services at Medicare Beneficiary Contact Center, PO Box 39, Lawrence, KS 66044.
What is abuse in healthcare?
Abuse includes acts such as over-charging for services, or unbundling services, which happens when a health care provider charges separately for individual components of one service rather than the single charge for the service as a whole. Bending the rules constitutes abuse, whereas intentional deception may be fraud.
How to file an appeal with Medicare?
For questions about a specific service you got, look at your Medicare Summary Notice (MSN) or log into your secure Medicare account . You can file an appeal if you disagree with a coverage or payment decision made by one of these: 1 Medicare 2 Your Medicare health plan 3 Your Medicare drug plan
What is an improper care complaint?
Improper care or unsafe conditions. You may have a complaint about improper care (like claims of abuse to a nursing home resident) or unsafe conditions (like water damage or fire safety concerns).
How to file a complaint about nursing home care?
To file a complaint about improper care or unsafe conditions in a hospital, home health agency, hospice, or nursing home, contact your State Survey Agency. The State Survey Agency is usually part of your State department of health services.
How to complain about home health?
If you have a complaint about the quality of care you’re getting from a home health agency, call the home health agency and ask to speak to the administrator. If you don’t believe your complaint has been resolved, call your state home health hotline. Your home health agency should give you this number when you start getting home health services.
What is improper care?
Improper care or unsafe conditions. You may have a complaint about improper care (like claims of abuse to a nursing home resident) or unsafe conditions (like water damage or fire safety concerns). To file a complaint about improper care or unsafe conditions in a hospital, home health agency, hospice, or nursing home, ...
Where to contact the FBI about disaster fraud?
National Center for Disaster Fraud. Baton Rouge, LA 70821-4909. General Fraud and Other Criminal Matters. Contact the FBI at (202) 324-3000, or online at www.fbi.gov or tips.fbi.gov. Health Care Fraud, Medicare/Medicaid Fraud, and Related Matters. Contact the Department of Health and Human Services, Office of the Inspector General ...
What is the Fraud Section?
The Fraud Section conducts criminal prosecutions and cannot provide legal advice to citizens. If you would like to report fraud, please contact the appropriate investigative agency as follows: Consumer Fraud and Identity Theft.
How to contact the FTC?
Contact the Federal Trade Commission at 1-877-FTC-HELP, 1-877-ID-THEFT , or online at www.ftc.gov. Disaster-Related Fraud. Contact the National Center for Disaster Fraud at ( 866) 720 - 5721, by fax at (225) 334-4707 or submit a complaint through the NCDF Web Complaint Form. Correspondence may be sent to:
How to contact the Securities and Exchange Commission?
Contact the Securities and Exchange Commission at 1-800-SEC-0330, or online at www.sec.gov or www.sec.gov/complaint/select.shtml. State and Local Fraud. Contact your local Police Department or State Attorney General's Office. Updated November 16, 2020.
