Fraud is generally defined as making a false claim in an effort to receive payment. For example, fraud in the healthcare industry can involve:
You are one of the first lines of defense against Medicare fraud - take action to protect your Medicare benefits!
Report services or items that you have been billed for but did not receive
Review your medical statements
Protect your identity and benefits
Be on the lookout for fraudulent schemes such as:
You can report potential compliance issues and/or issues with fraud, waste and abuse to Golden State Medicare Health Plan’s Compliance Officer.
(Available 24 hours a day, 7 days a week and reports may be made anonymously)
For anonymous reporting please mail concerns to:
Golden State Medicare Health Plan
C/O Brian P. Gillan, Esq.
P.O. Box 10729 Newport Beach, CA 92658
Golden State Medicare Health Plan has a policy of non-intimidation and non-retaliation for good faith reporting of compliance concerns.
To learn more about Medicare Fraud:
Go to - https://www.medicare.gov/forms-help-resources/help-fight-medicare-fraud
Source: CMS Outreach and Education MEDIC