's claims. Multiple carriers paying for the same beneficiaries. Source: www.hcfa.gov/medicare/fraud/9704A.HTMListing of Medicare Fraud AlertsThe Health Care Financing Administration (HCFA) issues a fraud alert when it has identified an apparent Medicare scam or fraudulent scheme, which is operating in multiple States. Alerts are appropriate if the scheme represents a potentially significant loss in dollars to Medicare or poses a threat to patient health or safety. HCFA issues alerts to all Medicare fraud units, federal and selected State law enforcement agencies, and as appropriate, provider and beneficiary groups. The purpose of the alerts is to enable Medicare, its providers, and its program beneficiaries to protect themselves from fraudulent schemes. There are two classifications for fraud alerts, Unrestricted and Restricted. The unrestricted alerts furnish detailed information on the scheme but they do not identify specific providers thought to be involved in the operation of the scheme. Restricted alerts describe the scheme and specify suspected providers and entities. Because the names of providers under investigation are not disclosable, we delete all provider-identifying information from the text of the alert. Source: www.hcfa.gov/medicare/fraud/UMFA2.HTMHealth Care Financing Administration National Fraud, Waste and Abuse Conference March 17, 1998Summary of Major Themes*Disclaimer: The statements included in the following conference proceedings are from a variety of sources and are not necessarily endorsed by the Health Care Financing Administration. Futhermore, the transcript portion of the proceedings has not been edited.Best PracticesPrevention Improve provider enrollment processes:ouse site visits to verify provider addressesoin person application processoprovider application forms should be consistent across the country, and should be developed in consultation with U.S. Attorney=s office to insure that false statements on ...
