Full Answer
How do you report Medicaid fraud in Florida?
How you can help in the fight against Medicaid fraud.
- Review your Medicaid bill when you receive it. ...
- Only give your Medicaid number to those needing it. ...
- Don’t lend your Medicaid card to anyone. ...
- Never request medical services or equipment you don’t need.
- Don’t sign blank forms for medical services or equipment.
- Request and retain copies of anything you sign.
What do you need to know about Medicare fraud?
“Medicare fraud” is actually a blanket term encompassing different fraudulent activities related to the Medicare system. What is perhaps most staggering is the amount of money alleged to be falsely billed by this collection of once-trusted medical professionals and agencies. The total? Somewhere around $1.3 billion.
How do I report fraud, waste or abuse of Medicare?
You can report suspected fraud or corruption by:
- completing our reporting suspect fraud form
- completing our health provider fraud tip-off form
- calling our fraud hotline – 1800 829 403
- writing to us
What is an example of health insurance fraud?
- Using insurance that belongs to someone else
- Adding a person to an insurance policy that is not eligible for insurance coverage, by providing false information
- Failing to remove someone no longer eligible from a policy
- Visiting different doctors to obtain multiple prescriptions
What examples of Medicare fraud can you find?
Some examples include:A provider that bills Medicare for services or supplies they never gave you, like charging you for a visit you never had, or a back brace you never got.A provider that charges Medicare twice for a service or item that you only got once.More items...
What resources are available to report Medicare fraud?
The Department of Health Care Services (DHCS) asks that anyone suspecting Medi-Cal fraud, waste, or abuse to call the DHCS Medi-Cal Fraud Hotline at 1-800-822-6222. If you feel this is an Emergency please call 911 for immediate assistance. The call is free and the caller may remain anonymous.
What are red flags for Medicare fraud?
Some red flags to watch out for include providers that: Offer services “for free” in exchange for your Medicare card number or offer “free” consultations for Medicare patients. Pressure you into buying higher-priced services. Charge Medicare for services or equipment you have not received or aren't entitled to.
Who monitors Medicare fraud?
Government agencies, including the U.S. Department of Justice (DOJ), the U.S. Department of Health & Human Services (HHS), the HHS Office of Inspector General (OIG), and the Centers for Medicare and Medicaid Services (CMS), enforce these laws.
What happens when a bank red flags your account?
A red flag on your account can trigger a freeze, but if you can show your transactions are legal it can usually be cleared up. Some banks won't take a chance — they might just close your account at the first whiff of trouble.
Whats a red flag in a bank account?
Key money laundering red flags observed by AUSTRAC include: Frequent large cash deposits or withdrawals. Large fund transfers from business to personal accounts. High volume international fund transfers.
Can a bank red flag you?
Consequences of Red Flags As a rule, your bank can red flag and freeze debit cards when they suspect fraud. This often occurs when a U.S. citizen travels overseas and begins using their debit card, because overseas transactions are mostly regarded as unusual activity.
Which is the most common form of health care fraud and abuse?
Fraudulent provider billing, duplicate billing, and billing for services not medically needed accounted for 46 percent of provider fraud cases in 2016. Billing for services not performed is the most common provider fraud activity and defrauds millions from public and commercial insurers alike.
Does Medicare ever call you at home?
Hard Facts About Medicare Medicare will never call or come to your home uninvited to sell products or services. SSA representatives may call Medicare beneficiaries if they need more information to process applications for Social Security benefits or enrollment in certain Medicare Plans, but, again, this is rare.
Are you Healthcare Professional that knows about Medicare fraud in Florida?
Florida has more instances of Medicare fraud than any other state in the US. Help stop it by becoming a Florida Medicare Fraud Whistleblower today.
Help stop the waste and abuse of Medicare in Florida. Whistleblowers are typically health care professionals who are aware of hospitals, clinics, pharmacies, Nursing Homes, Hospice, long term care and other health care facilities that routinely overcharge or seek reimbursement from government programs for medical services not rendered, drugs not used, beds not slept in and ambulance rides not taken. If you are a healthcare professional and know about a person or a company that is cheating the Medicare or Medicaid program (or any other government run healthcare program), you may be able to collect a large financial reward for reporting it here
Help stop the waste and abuse of Medicare in Florida.
Reporting acts of Florida Medicare fraud may entitle you to receive financial compensation, potentially worth millions of dollars
Are you a healthcare professional in Florida and have information about Medicare fraud? Recent changes to US whistleblower laws allow individuals to collect a significant financial reward (often millions of dollars) for reporting fraud against the government in the healthcare industry.
Report Medicaid and Medicare fraud here
Are you a Florida healthcare professional that knows about Medicare Fraud? Help stop government waste and abuse, and get rewarded for your efforts. Our attorneys have significant experience representing healthcare industry whisteblowers.
Submit a Report
Help stop Medicare Fraud in Florida. Complete this page for a free no obligation consultation.
What happens if someone loses their Medicare card in Florida?
Therefore, if someone in Florida loses his or her Medicare card and someone else uses the account information, it is possible that the original cardholder may not be held responsible for the damages involved.
Is Medicare fraud a felony?
According to CMS, there are a number of federal laws in place that govern the way Medicare fraud is charged and penalized. For example, the False Claims Act makes it a crime to overcharge the government. The penalties for doing so include a fine of up to $11,000 as well as a penalty that can be as much as three times the amount of damages the action caused.
Musca Law
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Musca Law
Musca Law is experienced handling Medicare Fraud cases in the Naples area.
