Health care is fraud when a person or company deliberately presented or incorrectly presented or incorrect about the type of medical treatment or service provided, scope or nature, resulting in unauthorized payments.
If someone asks you to participate, or if you see fraud activity, you should know about these plans. Potential fraud indicators include the following: • Medical provider outside VA can try to cheat VA when they claim to receive payment from VA for services provided to you. For example, they can pay bills for services that they have not provided or can also deposit duplicate bills to get payment more than once. • To receive payment from VA, the provider suggests you treatments or procedures that you do not need. • Beware of unproven medical care, equipment and procedures.
What to do
Protect your personal health care and insurance information. The scamsters will use this information to get access to your account – and even you will steal your identity.
Review all paperwork to confirm accuracy and authenticity. Confirm the service dates, the name of the patient, the name of the provider, location and services for the care.
Check an explanation (EOB) about the benefits from your provider, did you go to the listed doctor on the date mentioned? Does EOB include any procedure or treatment that you do not feel right?
If you get a VA statement or EOB, then check all billing from providers.
Does Not
Do not trust someone who contacts you and says that he is associated with the department of veteran affairs. Scamsters use official looking names, seals and logo. If you are not sure whether the “proposal” is valid or not, cut the phone and call your VA representative directly.
Do not share personal health information or health insurance information with others. If someone says that they need your information, then it is a scam.
Do not provide their social security number, medical records or other personal identifying information to anyone providing claim assistance without confirmation of the recognition status.
Do not sign an empty form which someone else has to fill later. Always review the filled form before signing and keep a copy of the filled form for the purpose of keeping records.
Do not order medical equipment on the phone until your doctor is advised to do so. Cut special services or unwanted unwanted calls that provide you very good to come true.
If you feel that the VA is paying for the services that you do not receive then do not be silent. Do not agree with treatments or procedures you are uncomfortable, just because the new provider says they are necessary.