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Healthcare waste, fraud and abuse costs Americans billions of dollars every year. We all pay… in reduced benefits, higher taxes, increased premiums, and more expensive doctor visits and prescriptions. Please take time to view these pages and report any acts of waste, abuse or fraud to our toll-free fraud hotline.
| Waste |
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is generally defined as activities involving payment or the attempt to obtain reimbursement for items or services where there was no intent to deceive or misrepresent but the outcome of poor or inefficient billing or treatment methods causes unnecessary costs to the Medicaid/CHIP program. |
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Suspect Waste, Fraud or Abuse?
Call Our Toll-Free Hotline:
888-205-2211  |
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| Fraud |
is an intentional representation that an individual knows to be false or does not believe to be true and makes anyway, knowing that the representation could result in some unauthorized benefit to him/herself or some other person. |
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| Abuse |
is generally defined as activities that unjustly enrich a person through the receipt of benefit payments but where the intent to deceive is not present; or is an attempt by an individual to obtain a benefit payment he or she does not deserve. |
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