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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

Medicare Fraud Hotline of the HHS office Inspector General

HHSC/OIG Inspector General

Office of the Attorney General

Ohio Department of Medicaid