What is Medical Identity Theft?
If someone steals your personal information and uses it to get medical services/care, to buy prescription drugs or to submit false bills to Medicare or an insurance provider in your name, you are the victim of medical identity theft and should report it immediately.
Here are a few examples of fraud and abuse in the health care system.
Submitting claims for services you did not have or use
Putting false information on claims or medical records
Representing information incorrectly for any services provided
Billing for services at a higher price than what they actually cost or billing for services not provided
Failing to disclose coverage under another health insurance plan
Continuously waiving deductibles
Failing to maintain adequate medical or financial records
Continuously making claims for services that aren't medically necessary
While the majority of the health care system is populated by upstanding, honest citizens, there are a few individuals and medical providers who try to cheat the system, and by doing so they increase health care costs for everyone.
Health care fraud is intentional deception or false representation of the facts in order to receive greater benefits or payment.
Health care abuse is conduct that disregards acceptable business/medical standards in order to gain greater benefits or payment.
Office of Inspector General
You can report fraud online or by phone
We at McCall Insurance Services boldly support the effort, and we encourage you to check your bill and question your charges. We'll even go over your bills with you if you'd like, so just give us a call!
Please take action and do your part to prevent exploitation of the health insurance and health care system.