Fraud, Waste and Abuse

Fraud, Waste and Abuse Bingo Card
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This bingo card has a free space and 49 words: Referral for medical services, Should I be doing this?, Higher level of complexity, I never received these services, "We see a lot of this", Altering claims, I was told I would not have to pay, they would make my DX medical, Will I get in trouble for this?, ID Theft, Doctor shopping, Providing unnecessary services, I didn't get these services, "That would be fraud", Inflating bills for services received, Is this right?", Why are they billing this code?, Double billing, Phanton Billing, Altering medical records, “Loaning” or using another person's insurance card, Medication abuse, drug diversion, Adding an ineligible dependent to the plan, Use of unlicensed staff, Forging or selling prescription drugs, services for dates after you were released, A company offering you “free” or “at no cost to you”, False Eligibility Claims, Billing for more miles than traveled for transport, Treatment of inappropriate alcohol and drug use., Unbundling, Billing a ride in a taxi or wheelchair van as an emergency transport, In response to a television or radio commercial, postcard, or Facebook/print ad, Genetic Testing, Asked to sign forms verifying that home health services were provided even though you did not receive any services, Durable Medical Equipment (DME) Fraud, “free” groceries or a “free” ride, Falsification of information, Never accept gifts (such as money, gift cards, or groceries), excessive labs or unnecessary urine analysis, You received boxes of braces, testing kits, or other medical supplies in the mail that you did not request., Ambulance, A company using “telemedicine” to offer testing to you over the phone and arranging for an unrelated physician or “teledoc” to order the test, You were contacted by a debt collection company for a provider bill you do not owe, billed for in-person visits or expensive facility care when only telehealth services were provided, Beneficiaries are taken out to eat or for a recreational outing with no other services received, Services listed do not match what you actually received, Beneficiaries are allowed to watch TV or play games all day and Call-in refills for mental health prescriptions are billed as psychiatric evaluations and/or complex office visits.

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