AlteringclaimsAsked to sign formsverifying that homehealth serviceswere provided eventhough you did notreceive anyservices “free”groceriesor a “free”rideTreatment ofinappropriatealcohol anddrug use.drugdiversionHigherlevel ofcomplexityIn response to atelevision or radiocommercial,postcard, orFacebook/printadbilled for in-personvisits or expensivefacility care whenonly telehealthservices wereprovidedServiceslisted do notmatch whatyou actuallyreceived“Loaning” orusing anotherperson'sinsurancecardReferralformedicalservicesCall-in refills formental healthprescriptions arebilled as psychiatricevaluations and/orcomplex office visitsFalsificationofinformation"We seea lot ofthis"AlteringmedicalrecordsGeneticTestingIs thisright?"Billing formore milesthan traveledfor transportI didn'tget theseservicesProvidingunnecessaryservicesUse ofunlicensedstaffNever acceptgifts (such asmoney, giftcards, orgroceries)Beneficiaries aretaken out to eat orfor arecreational outingwith no otherservices receivedDoctorshoppingForging orsellingprescriptiondrugsDoublebillingYou werecontacted by adebt collectioncompany for aprovider bill youdo not oweBeneficiariesare allowed towatch TV orplay gamesall dayA company using“telemedicine” tooffer testing to youover the phone andarranging for anunrelated physicianor “teledoc” to orderthe testI neverreceivedtheseservicesYou receivedboxes of braces,testing kits, orother medicalsupplies in themail that you didnot request."Thatwould befraud"UnbundlingIDTheftBilling a ride ina taxi orwheelchair vanas anemergencytransportservices fordates afteryou werereleasedMedicationabuseAmbulanceI was told Iwould not haveto pay, theywould makemy DX medicalPhantonBillingexcessivelabs orunnecessaryurineanalysisDurableMedicalEquipment(DME) FraudShould Ibe doingthis?Why aretheybilling thiscode?Inflatingbills forservicesreceivedWill I getin troublefor this?FalseEligibilityClaimsAdding anineligibledependentto the planA companyoffering you“free” or “atno cost toyou”AlteringclaimsAsked to sign formsverifying that homehealth serviceswere provided eventhough you did notreceive anyservices “free”groceriesor a “free”rideTreatment ofinappropriatealcohol anddrug use.drugdiversionHigherlevel ofcomplexityIn response to atelevision or radiocommercial,postcard, orFacebook/printadbilled for in-personvisits or expensivefacility care whenonly telehealthservices wereprovidedServiceslisted do notmatch whatyou actuallyreceived“Loaning” orusing anotherperson'sinsurancecardReferralformedicalservicesCall-in refills formental healthprescriptions arebilled as psychiatricevaluations and/orcomplex office visitsFalsificationofinformation"We seea lot ofthis"AlteringmedicalrecordsGeneticTestingIs thisright?"Billing formore milesthan traveledfor transportI didn'tget theseservicesProvidingunnecessaryservicesUse ofunlicensedstaffNever acceptgifts (such asmoney, giftcards, orgroceries)Beneficiaries aretaken out to eat orfor arecreational outingwith no otherservices receivedDoctorshoppingForging orsellingprescriptiondrugsDoublebillingYou werecontacted by adebt collectioncompany for aprovider bill youdo not oweBeneficiariesare allowed towatch TV orplay gamesall dayA company using“telemedicine” tooffer testing to youover the phone andarranging for anunrelated physicianor “teledoc” to orderthe testI neverreceivedtheseservicesYou receivedboxes of braces,testing kits, orother medicalsupplies in themail that you didnot request."Thatwould befraud"UnbundlingIDTheftBilling a ride ina taxi orwheelchair vanas anemergencytransportservices fordates afteryou werereleasedMedicationabuseAmbulanceI was told Iwould not haveto pay, theywould makemy DX medicalPhantonBillingexcessivelabs orunnecessaryurineanalysisDurableMedicalEquipment(DME) FraudShould Ibe doingthis?Why aretheybilling thiscode?Inflatingbills forservicesreceivedWill I getin troublefor this?FalseEligibilityClaimsAdding anineligibledependentto the planA companyoffering you“free” or “atno cost toyou”

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