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