How to report a health care provider for fraud?

Reporting Fraudulent Billing Contact your state’s Department of Health. Report the fraudulent billing to your insurance company. Report insurance company fraud to the State Insurance Fraud Bureau. Call to report fraudulent billing by a health-care provider under ACA. Contact Medicare in the case of suspected billing fraud.

What to do if you are the victim of medical billing fraud?

Working with the Doctor or Hospital Contact the hospital’s billing department. Request the CFO’s contact information. Work with a medical billing advocate to rectify the fraud.

What happens if you suspect a Doctor of fraud?

Of course if the doctor really is committing fraud it makes you wonder if you really want to work there – if you really want to work for someone with questionable ethics. They will eventually get caught. If you suspect fraud, most insurance companies have a way to submit suspected fraud via their website anonymously.

Do you need an attorney to report medical malpractice?

However, since reporting doctor or hospital malpractice with a state medical board does not initiate a lawsuit, it is not necessary to contact an attorney prior to filing the report in most cases.

How do you report health care fraud?

How to Report Health Care Fraud. Call your insurance company immediately if you suspect you may be a victim of health insurance fraud. Contact your State Insurance Fraud Bureau. Visit STOP Medicare Fraud . File a complaint with the State Medical Boards. Visit Consumers’ Frequently Asked Questions webpage.

What are some examples of Medicaid fraud?

Examples of Medicaid user fraud include: The loaning of Medicaid ID cards to others. Changing or faking an order or prescription. Utilizing more than one Medicaid identification card. Deliberately getting conflicting, duplicate or excessive services and/or supplies.

How do you report Medicaid fraud in Texas?

You can report suspected fraud, waste, or abuse by recipients or providers in Texas health and human services programs online (click on link at right) or by calling our toll-free fraud hotline (800-436-6184). The Texas health and human services system includes: Medicaid.