Report Fraud, Waste and Abuse
Understanding the terms:
Fraud: 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).
Waste: The over-utilization of services or other practices that result in unnecessary costs.
Abuse: 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:
Contact Buckeye
Call Buckeye Health Plan Member Services at 1-866-246-4358 (TDD/TTY: 1-800-750-0750).
Buckeye Health Plan
Compliance Department
4349 Easton Way, Suite 400
Columbus, OH 43219
Medicare Fraud Hotline of the HHS office Inspector General
HHSC/OIG Inspector General
http://oig.hhs.gov/fraud/report-fraud/index.asp
Email: HHSTips@oig.hhs.gov.
Office of the Attorney General
Ohio Department of Medicaid