Staying compliant with healthcare guidelines and regulations is crucial, now more than ever. It’s essential to stay informed and view compliance as an ongoing and manageable process, rather than something intimidating.
Here are some additional resources for your questions and concerns regarding fraud, waste, and abuse issues:
- Centers for Medicare and Medicaid Services (CMS) Consumer Fraud Reporting
- CMS Prescription Drug Benefit Manual
- Department of Health and Human Services Office of Inspector General
- Medicare Learning Network (MLN) Fraud & Abuse Job Aid
Reporting
Where To Report FWA
HHS Office of Inspector General:
Phone: 1-800-HHS-TIPS (1-800-447-8477) or TTY 1-800-377-4950
Fax: 1-800-223-8164 Email: HHSTips@oig.hhs.gov Online: https://forms.oig.hhs.gov/hotlineoperations
For Medicare Parts C and D:
National Benefit Integrity Medicare Drug Integrity Contractor (NBI MEDIC) at
1-877-7SafeRx (1-877-772-3379)
For all other Federal heath care programs:
CMS Hotline at 1-800-MEDICARE (1-800-633-4227) or TTY 1-877-486-2048
HHS and U.S. Department of Justice (DOJ): https://www.stopmedicarefraud.gov
