Will I getin troublefor this?Beneficiaries aretaken out to eat orfor arecreational outingwith no otherservices received"Thatwould befraud"A company using“telemedicine” tooffer testing to youover the phone andarranging for anunrelated physicianor “teledoc” to orderthe testNever acceptgifts (such asmoney, giftcards, orgroceries)Use ofunlicensedstaffAlteringclaimsBilling a ride ina taxi orwheelchair vanas anemergencytransportInflatingbills forservicesreceivedIn response to atelevision or radiocommercial,postcard, orFacebook/printadPhantonBillingTreatment ofinappropriatealcohol anddrug use.“free”groceriesor a “free”rideDoctorshoppingexcessivelabs orunnecessaryurineanalysisI neverreceivedtheseservicesForging orsellingprescriptiondrugsservices fordates afteryou werereleasedI was told Iwould not haveto pay, theywould makemy DX medicalReferralformedicalservicesYou werecontacted by adebt collectioncompany for aprovider bill youdo not oweUnbundlingbilled for in-personvisits or expensivefacility care whenonly telehealthservices wereprovidedProvidingunnecessaryservicesDoublebillingGeneticTestingA companyoffering you“free” or “atno cost toyou”Beneficiariesare allowed towatch TV orplay gamesall dayI didn'tget theseservicesWhy aretheybilling thiscode?Falsificationofinformation"We seea lot ofthis"MedicationabuseHigherlevel ofcomplexityIDTheft“Loaning” orusing anotherperson'sinsurancecardAlteringmedicalrecordsYou receivedboxes of braces,testing kits, orother medicalsupplies in themail that you didnot request.Should Ibe doingthis?drugdiversionDurableMedicalEquipment(DME) FraudAsked to sign formsverifying that homehealth serviceswere provided eventhough you did notreceive anyservices Adding anineligibledependentto the planAmbulanceFalseEligibilityClaimsBilling formore milesthan traveledfor transportIs thisright?"Serviceslisted do notmatch whatyou actuallyreceivedCall-in refills formental healthprescriptions arebilled as psychiatricevaluations and/orcomplex office visitsWill I getin troublefor this?Beneficiaries aretaken out to eat orfor arecreational outingwith no otherservices received"Thatwould befraud"A company using“telemedicine” tooffer testing to youover the phone andarranging for anunrelated physicianor “teledoc” to orderthe testNever acceptgifts (such asmoney, giftcards, orgroceries)Use ofunlicensedstaffAlteringclaimsBilling a ride ina taxi orwheelchair vanas anemergencytransportInflatingbills forservicesreceivedIn response to atelevision or radiocommercial,postcard, orFacebook/printadPhantonBillingTreatment ofinappropriatealcohol anddrug use.“free”groceriesor a “free”rideDoctorshoppingexcessivelabs orunnecessaryurineanalysisI neverreceivedtheseservicesForging orsellingprescriptiondrugsservices fordates afteryou werereleasedI was told Iwould not haveto pay, theywould makemy DX medicalReferralformedicalservicesYou werecontacted by adebt collectioncompany for aprovider bill youdo not oweUnbundlingbilled for in-personvisits or expensivefacility care whenonly telehealthservices wereprovidedProvidingunnecessaryservicesDoublebillingGeneticTestingA companyoffering you“free” or “atno cost toyou”Beneficiariesare allowed towatch TV orplay gamesall dayI didn'tget theseservicesWhy aretheybilling thiscode?Falsificationofinformation"We seea lot ofthis"MedicationabuseHigherlevel ofcomplexityIDTheft“Loaning” orusing anotherperson'sinsurancecardAlteringmedicalrecordsYou receivedboxes of braces,testing kits, orother medicalsupplies in themail that you didnot request.Should Ibe doingthis?drugdiversionDurableMedicalEquipment(DME) FraudAsked to sign formsverifying that homehealth serviceswere provided eventhough you did notreceive anyservices Adding anineligibledependentto the planAmbulanceFalseEligibilityClaimsBilling formore milesthan traveledfor transportIs thisright?"Serviceslisted do notmatch whatyou actuallyreceivedCall-in refills formental healthprescriptions arebilled as psychiatricevaluations and/orcomplex office visits

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.


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