Recipients, providers and the general public may report suspected fraud, abuse or misuse of the Alabama Medicaid program by calling or writing the Agency's Program Integrity Division. A person reporting suspected fraud or abuse is not required to give his or her name. Any information provided is kept confidential.
How to report Medicaid fraud in the state of Alabama?
To report fraud or a scam in the state of Alabama, start with the Attorney General, Better Business Bureau or contact the local municipal, state or Federal regulators most likely to have answers to your questions. providers against the Alabama Medicaid Agency. The Unit is also responsible for investigating and prosecuting allegations of abuse
Do you know if someone is defrauding the Medicaid system?
Every time a patient files a claim fraudulently and each time a provider bills more than they should they are taking money away from those that need it. If you know anyone defrauding the Medicaid system you must report it immediately. Below are many forms of Medicaid abuse that you should be on the lookout for.
What is a Medicare fraud?
A provider that charges Medicare twice for a service or item that you only got once. A person who steals your Medicare number or card and uses it to submit fraudulent claims in your name. A company that offers you a Medicare drug plan that Medicare hasn’t approved.
What to do if you suspect Medicaid fraud?
If you believe a Medicaid supplier has participated in any of the actions listed above or any other dubious activity, please call 1-877-87FRAUD. You can choose to make your statement anonymously. Some Examples of Medicaid Fraud This is only a partial list of some of the medical-related fraud out there.
What constitutes Medicare abuse?
Medicare abuse includes practices that result in unnecessary costs to the Medicare program. Any activity that does not meet professionally recognized standards or provide patients with medically necessary services is considered abuse. Committing abuse is illegal and should be reported.
Does Medicare come to your house?
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.
Can someone use your Medicare number?
Medical identity theft happens when someone steals or uses your personal information (like your name, Social Security Number, or Medicare Number) to submit fraudulent claims to Medicare and other health insurers without your permission. Medicare is working to find and prevent fraud and abuse.
Does Medicare call you at home to verify information?
Does Medicare Call to Update Information? Medicare will never call you to update your information or give you a new ID card. If anyone calls to collect your information, don't provide it to them. A phone call like this is a scam.