What is Fraud, Waste and Abuse?
Intentional deception or misrepresentation to obtain the money or property of a health care benefit program (by means of false or fraudulent pretenses, representations, or promises).
The over-utilization of services or other practices that result in unnecessary costs.
Obtaining payment for items or services when there is no legal entitlement to that payment, but without knowing and/or intentional misrepresentation of facts to obtain payments.
What can you do to help prevent, report, and stop Fraud, Waste, and Abuse?
Report potential fraud:
Call the Tribute Compliance Hotline at: (844) 372-1164
Online: Compliance Contact Form