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Fraud, Waste & Abuse
https://www.caresource.com/providers/education/fraud-waste-abuse/...Ohio: Ohio Department of Medicaid (ODM) – 1-614-466-0722 Medicaid Fraud Control Unit (Mfcu) – 1-800-282-0515 The Ohio Auditor Of State (AOS) – 1-866-Fraud-OH or by email at fraudohio@ohioauditor.gov Employee Ethics...
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Fraud, Waste & Abuse
https://www.caresource.com/members/tools-resources/fraud-waste-abuse/...fraudohio@ohioauditor.gov What Does Fraud, Waste and Abuse Look Like? Health care fraud, waste and abuse can be committed by health providers, members or pharmacies. Examples include the following. Health partners...
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Fraud, Waste and Abuse (FWA)
https://www.caresource.com/about-us/legal/corporate-compliance/vendor-compliance/fraud-waste-and-abuse-fwa/...fraud, waste and abuse. If you have any questions about these examples or Fraud, Waste and Abuse in general, please send an email to: Fraud@CareSource.com. Provider: Billing for non-covered, medically...
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Fraud, Waste, Abuse & Overpayment
https://www.caresource.com/members/tools-resources/fraud-waste-abuse-overpayment/Our Program Integrity Department handles cases of managed care fraud, waste, abuse, or overpayment. It can be done by providers, pharmacies, or members. Fraud means the purposeful misuse of or...
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False Claims Act
https://www.caresource.com/providers/education/fraud-waste-abuse/false-claims-act/...adopt our policy on fraud, waste and abuse when handling CareSource business. The Federal False Claims Act Using the False Claims Act (the Act), you can help reduce fraud against...
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Contact Us
https://www.caresource.com/members/contact-us/...take action on any member or provider fraud, waste and abuse. Please see our Fraud, Waste & Abuse page for more information, or call the Fraud Hotline: 1-937-531-2300 and follow...
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Forms
https://www.caresource.com/providers/tools-resources/forms/...denial or a medical necessity/utilization management decision. Fraud, Waste and Abuse Form Fraud, Waste and Abuse Reporting Form Submit this form to report suspected fraud, waste or abuse. Below, you’ll...
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Forms
https://www.caresource.com/members/tools-resources/forms/...a health partner or a CareSource member is committing fraud, waste or abuse. Visit Fraud, Waste, & Abuse. Member Consent/HIPAA Authorization Form – Use this form to give your consent...
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Education
https://www.caresource.com/providers/education/...quality programs and measures. Learn More Reporting Fraud, Waste & Abuse Reporting Fraud, Waste & Abuse Learn how to report questionable activities and potential fraud, waste and abuse situations. Start...
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Financial Health
https://www.caresource.com/members/education/financial-health/...PO Box 105281 Atlanta, GA 30348-5281 Ask for a credit freeze or to add a fraud alert on your file. This stops new accounts from being opened in your name....
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fraud