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:
Buckeye Health Plan
4349 Easton Way, Suite 400
Columbus, OH 43219
Medicare Fraud Hotline of the HHS office Inspector General
HHSC/OIG Inspector General
Office of the Attorney General
Ohio Department of Medicaid