How to Report Healthcare Fraud
Healthcare fraud is the type of illegal industry that is worth billions of dollars. In fact, many men and women have made an estimate that around ninety billion dollars is lost to fake healthcare claims. Healthcare fraud is a scam that can hurt others. In addition, healthcare fraud can take make other men and women pay higher insurance premiums. Co-payments and taxes are also affected.
If you believe that, you are able to report healthcare fraud you may want to follow a series of steps. First, you will need to gather more information about the person you think is taking advantage of healthcare fraud. This means that you will need to obtain the name of the clinic that is involved with this healthcare fraud. You will also need to obtain the names of the doctors and the pharmacists that are a part of the healthcare fraud.
After you have gathered the names of all of the men and women who are involved you will need to make copies of documents that show examples of why you think that someone is faking healthcare problems. You should keep a diary of phone calls as well. This should include the dates, the times, and the people you spoke to on the phone. You should also state the outcome of the call. If you plan to report healthcare fraud, it is important for you to have as much information as possible.
Now you need to find out how you can contact the Insurance Fraud Bureau in your specific state. You can normally locate the Insurance Fraud Bureau in your state on the Coalition against Insurance Fraud Web site. However, you may need to contact your state's Department of Insurance if your state does not have an Insurance Fraud Bureau.
Once you go to either Web site, you will need to call the hot line number that is listed on the Web site. After contacting a representative, you will need to provide the representative with the name of the insurance agency that is being scammed. You will also need to provide any other information and details that you know about the healthcare fraud.
After you have contacted the Department of Insurance or the Insurance Fraud Bureau, you will need to contact the insurance company that the person is swindling. You can locate the insurance company's phone number on its Web site.
If you need to report Medicare fraud or Medicaid healthcare fraud, you will need to call your state's Department of Health and Human Services. If you cannot contact your state's Department of Health and Human Services you will need to contact the Office of Inspector General Fraud.
You can normally contact the Inspector General or the Department of Health and Human Services by e-mail or by phone. You should provide information about the person who has committed the healthcare fraud, how it happened, or where it happened. Your identity will be protected. You can also contact the NICB through e-mail, by calling, or by texting.