Medicaid/Medicare Fraud
Dec. 18th, 2008
You can help stop Medicaid and Medicare Fraud. The following guidelines as examples of fraud:
Billing for services not actually performed
Providing unnecessary services
Billing for more expensive services
Billing for services separately that should legitimately be one billing
Billing more than once for the same medical service
Dispensing generic drugs but billing for brand-name drugs
Giving or accepting something of value (cash, gifts, services) in return for medical services.
Falsifying cost reports
Another expample of fraud occurs when someone:
Lies about their eligibility
Lies about their medical condition
Forges prescriptions
Loans their Medicare or Medicaid card to others
And finally, fraud may have occurred when a health provider falsely charges for:
Missed appointments
Unnecessary medical tests
Telephoned services
To find out more about Medicare/Medicaid Fraud you can contact the Masonic Care Community Compliance Officer at (315) 798-4888
