HAVE I WITNESSED FRAUD?...guardian’s signature on a timesheet. Changing the hours worked on a...
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Know your facts. Don’t be a victim. HAVE I WITNESSED FRAUD? If something does not seem right, check it out. THIS IS NOT. THIS IS FRAUD. Billing for hours that were not worked. Billing for hours when a participant cannot or does not need work done. Ex: During hospital stays, support- ed employment, adult day services, incarceration, etc. Submitting false receipts for reimbursement. Accidentally submitting a duplicate receipt for reimbursement. Submitting a rate that is unknowingly different from the approved plan. Using a different name to avoid background checks. Forging the participant or guardian’s signature on a timesheet. Changing the hours worked on a timesheet after it has been signed. Not knowing how your program works. For additional information regarding fraud detection, policy, and procedure please visit https://oig.hhs.gov/fraud/report-fraud or call the Office of Inspector General’s National Fraud Hotline at 1-800-HHS-TIPS ( 1-800-447-8477). Number of Medicaid fraud convictions in 2013 991 60% of those committing Medicaid fraud are relatives of the victim. 1in 5 Americans report that they’ve been victims of fraud
Transcript of HAVE I WITNESSED FRAUD?...guardian’s signature on a timesheet. Changing the hours worked on a...
Know your facts. Don’t be a victim.
HAVE I WITNESSED FRAUD?If something does not seem right, check it out.
THIS IS NOT.THIS IS FRAUD.
Billing for hours that were not worked.
Billing for hours when a participant cannot or does not need work done. Ex: During hospital stays, support-ed employment, adult day services, incarceration, etc.
Submitting false receipts for reimbursement.
Accidentally submitting a duplicate receipt for reimbursement.
Submitting a rate that is unknowingly di�erent from the approved plan.
Using a di�erent name to avoid background checks.
Forging the participant or guardian’s signature on a timesheet.
Changing the hours worked on a timesheet after it has been signed.
Not knowing how your program works.
For additional information regarding fraud detection, policy, and procedure please visit https://oig.hhs.gov/fraud/report-fraud or call the O�ce of Inspector General’s National Fraud Hotline at 1-800-HHS-TIPS ( 1-800-447-8477).
Number of Medicaid fraud convictions in 2013991
60%of those committing Medicaid fraud are relatives of the victim.
1in 5Americans report that they’ve been victims of fraud
