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Fighting Fraud & Abuse:

Medicare's Program Integrity Home Page


COMPREHENSIVE PLAN FOR PROGRAM INTEGRITY

February 1999 release

FRAUD CONFERENCE

Medicare Integrity Program

Fraud Schemes

What is Medicare fraud?

How do you recognize it? Fraud Tips

How do you report it?

Fight fraud and abuse in the Medicare Home Health Benefit

Recent schemes and scams uncovered by Medicare

Correction to previous information concerning ambulance services -- In a recent fraud flyer intended to assist beneficiaries in recognizing fraudulent practices in the Medicare program, we advised beneficiaries to be suspicious of ambulance companies that bill for trips that are not emergency in nature. That statement is misleading. Non-emergency ambulance services are covered by the Medicare program when reasonable and necessary. We apologize for any misunderstandings or confusion that may have resulted from this statement.

Contractor Instructions

Manual instructions for Medicare carrier fraud units

Manual instructions for Medicare fiscal intermediary fraud units

Manual instructions for Medicare carrier Medical Review units

Manual instructions for Medicare fiscal intermediary Medical Review units

Compliance violations punishable by civil money penalties

 


Other Health Care Fraud and Abuse Web Sites



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For more information, contact: Ted Doyle

Last Updated November 17, 1999