DurableMedicalEquipment(DME) FraudIs thisright?"I didn'tget theseservices“Loaning” orusing anotherperson'sinsurancecarddrugdiversion"Thatwould befraud"MedicationabuseYou receivedboxes of braces,testing kits, orother medicalsupplies in themail that you didnot request.Why aretheybilling thiscode?Billing formore milesthan traveledfor transportForging orsellingprescriptiondrugsProvidingunnecessaryservicesservices fordates afteryou werereleasedPhantonBillingUse ofunlicensedstaffShould Ibe doingthis?You werecontacted by adebt collectioncompany for aprovider bill youdo not oweWill I getin troublefor this?"We seea lot ofthis"Call-in refills formental healthprescriptions arebilled as psychiatricevaluations and/orcomplex office visitsFalseEligibilityClaimsDoublebillingHigherlevel ofcomplexityA company using“telemedicine” tooffer testing to youover the phone andarranging for anunrelated physicianor “teledoc” to orderthe testFalsificationofinformationBilling a ride ina taxi orwheelchair vanas anemergencytransportAsked to sign formsverifying that homehealth serviceswere provided eventhough you did notreceive anyservices Treatment ofinappropriatealcohol anddrug use.AlteringclaimsAdding anineligibledependentto the planBeneficiariesare allowed towatch TV orplay gamesall dayAlteringmedicalrecordsNever acceptgifts (such asmoney, giftcards, orgroceries)In response to atelevision or radiocommercial,postcard, orFacebook/printadI neverreceivedtheseservicesexcessivelabs orunnecessaryurineanalysisServiceslisted do notmatch whatyou actuallyreceivedbilled for in-personvisits or expensivefacility care whenonly telehealthservices wereprovidedUnbundlingInflatingbills forservicesreceivedReferralformedicalservicesBeneficiaries aretaken out to eat orfor arecreational outingwith no otherservices receivedGeneticTestingA companyoffering you“free” or “atno cost toyou”“free”groceriesor a “free”rideDoctorshoppingAmbulanceI was told Iwould not haveto pay, theywould makemy DX medicalIDTheftDurableMedicalEquipment(DME) FraudIs thisright?"I didn'tget theseservices“Loaning” orusing anotherperson'sinsurancecarddrugdiversion"Thatwould befraud"MedicationabuseYou receivedboxes of braces,testing kits, orother medicalsupplies in themail that you didnot request.Why aretheybilling thiscode?Billing formore milesthan traveledfor transportForging orsellingprescriptiondrugsProvidingunnecessaryservicesservices fordates afteryou werereleasedPhantonBillingUse ofunlicensedstaffShould Ibe doingthis?You werecontacted by adebt collectioncompany for aprovider bill youdo not oweWill I getin troublefor this?"We seea lot ofthis"Call-in refills formental healthprescriptions arebilled as psychiatricevaluations and/orcomplex office visitsFalseEligibilityClaimsDoublebillingHigherlevel ofcomplexityA company using“telemedicine” tooffer testing to youover the phone andarranging for anunrelated physicianor “teledoc” to orderthe testFalsificationofinformationBilling a ride ina taxi orwheelchair vanas anemergencytransportAsked to sign formsverifying that homehealth serviceswere provided eventhough you did notreceive anyservices Treatment ofinappropriatealcohol anddrug use.AlteringclaimsAdding anineligibledependentto the planBeneficiariesare allowed towatch TV orplay gamesall dayAlteringmedicalrecordsNever acceptgifts (such asmoney, giftcards, orgroceries)In response to atelevision or radiocommercial,postcard, orFacebook/printadI neverreceivedtheseservicesexcessivelabs orunnecessaryurineanalysisServiceslisted do notmatch whatyou actuallyreceivedbilled for in-personvisits or expensivefacility care whenonly telehealthservices wereprovidedUnbundlingInflatingbills forservicesreceivedReferralformedicalservicesBeneficiaries aretaken out to eat orfor arecreational outingwith no otherservices receivedGeneticTestingA companyoffering you“free” or “atno cost toyou”“free”groceriesor a “free”rideDoctorshoppingAmbulanceI was told Iwould not haveto pay, theywould makemy DX medicalIDTheft

Fraud, Waste and Abuse - Call List

(Print) Use this randomly generated list as your call list when playing the game. There is no need to say the BINGO column name. Place some kind of mark (like an X, a checkmark, a dot, tally mark, etc) on each cell as you announce it, to keep track. You can also cut out each item, place them in a bag and pull words from the bag.


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