A companyoffering you“free” or “atno cost toyou”Never acceptgifts (such asmoney, giftcards, orgroceries)Use ofunlicensedstaffPhantonBillingWill I getin troublefor this?Forging orsellingprescriptiondrugsDurableMedicalEquipment(DME) FraudWhy aretheybilling thiscode?billed for in-personvisits or expensivefacility care whenonly telehealthservices wereprovidedAdding anineligibledependentto the planAlteringmedicalrecordsBeneficiariesare allowed towatch TV orplay gamesall day"Thatwould befraud""We seea lot ofthis"I didn'tget theseservicesAsked to sign formsverifying that homehealth serviceswere provided eventhough you did notreceive anyservices A company using“telemedicine” tooffer testing to youover the phone andarranging for anunrelated physicianor “teledoc” to orderthe testMedicationabuseDoctorshoppingUnbundlingFalsificationofinformation“Loaning” orusing anotherperson'sinsurancecardInflatingbills forservicesreceivedI neverreceivedtheseservicesAmbulanceFalseEligibilityClaimsYou werecontacted by adebt collectioncompany for aprovider bill youdo not oweIs thisright?"Doublebillingservices fordates afteryou werereleasedexcessivelabs orunnecessaryurineanalysisIDTheftBilling a ride ina taxi orwheelchair vanas anemergencytransportGeneticTestingdrugdiversionHigherlevel ofcomplexityCall-in refills formental healthprescriptions arebilled as psychiatricevaluations and/orcomplex office visitsYou receivedboxes of braces,testing kits, orother medicalsupplies in themail that you didnot request.AlteringclaimsReferralformedicalservicesServiceslisted do notmatch whatyou actuallyreceivedIn response to atelevision or radiocommercial,postcard, orFacebook/printad“free”groceriesor a “free”rideProvidingunnecessaryservicesShould Ibe doingthis?Treatment ofinappropriatealcohol anddrug use.Billing formore milesthan traveledfor transportI was told Iwould not haveto pay, theywould makemy DX medicalBeneficiaries aretaken out to eat orfor arecreational outingwith no otherservices receivedA companyoffering you“free” or “atno cost toyou”Never acceptgifts (such asmoney, giftcards, orgroceries)Use ofunlicensedstaffPhantonBillingWill I getin troublefor this?Forging orsellingprescriptiondrugsDurableMedicalEquipment(DME) FraudWhy aretheybilling thiscode?billed for in-personvisits or expensivefacility care whenonly telehealthservices wereprovidedAdding anineligibledependentto the planAlteringmedicalrecordsBeneficiariesare allowed towatch TV orplay gamesall day"Thatwould befraud""We seea lot ofthis"I didn'tget theseservicesAsked to sign formsverifying that homehealth serviceswere provided eventhough you did notreceive anyservices A company using“telemedicine” tooffer testing to youover the phone andarranging for anunrelated physicianor “teledoc” to orderthe testMedicationabuseDoctorshoppingUnbundlingFalsificationofinformation“Loaning” orusing anotherperson'sinsurancecardInflatingbills forservicesreceivedI neverreceivedtheseservicesAmbulanceFalseEligibilityClaimsYou werecontacted by adebt collectioncompany for aprovider bill youdo not oweIs thisright?"Doublebillingservices fordates afteryou werereleasedexcessivelabs orunnecessaryurineanalysisIDTheftBilling a ride ina taxi orwheelchair vanas anemergencytransportGeneticTestingdrugdiversionHigherlevel ofcomplexityCall-in refills formental healthprescriptions arebilled as psychiatricevaluations and/orcomplex office visitsYou receivedboxes of braces,testing kits, orother medicalsupplies in themail that you didnot request.AlteringclaimsReferralformedicalservicesServiceslisted do notmatch whatyou actuallyreceivedIn response to atelevision or radiocommercial,postcard, orFacebook/printad“free”groceriesor a “free”rideProvidingunnecessaryservicesShould Ibe doingthis?Treatment ofinappropriatealcohol anddrug use.Billing formore milesthan traveledfor transportI was told Iwould not haveto pay, theywould makemy DX medicalBeneficiaries aretaken out to eat orfor arecreational outingwith no otherservices received

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