Fraud and Abuse

Fraud and abuse in a medical professional environment is a problem that can be avoided with integrity. The CMS is dedicated to fighting fraud and abuse. On February 8, 2006 the CMS' Medicaid Integrity Program was implemented to strengthen State and Federal relationships to ensure the integrity of the Medicaid program. States are responsible for policy fraud, and the CMS provides assistance, guidance, and oversight in there efforts. Since fraud schemes often cross state lines, the CMS is committed to improving information sharing among the Medicaid programs.

Here are some links for more information and for reporting fraud and abuse.


State Program Integrity Support and Assistance
https://www.cms.gov/Medicare-Medicaid-Coordination/Fraud-Prevention/FraudAbuseforProfs/index.html?redirect=/fraudabuseforprofs/

State Contacts
http://www.cms.gov/apps/contacts/

Medicare Fraud - How to Report
http://www.medicare.gov/fraudabuse/howtoreport.asp

OIG - Fraud
http://oig.hhs.gov/fraud/

Medicare Guidance Fraud Prevention
https://www.cms.gov/Medicare-Medicaid-Coordination/Fraud-Prevention/FraudAbuseforProfs/MedicaidGuidance.html