It’s extremely important to be compliant with healthcare guidelines and regulations. It’s important to stay informed and to see compliance as ongoing work rather than something frightening.

Here are some 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