All CareGuide associates, members
and participating provider groups have a responsibility to assist
in combating fraud. Fraud is intentional misrepresentation or deception
for the purpose of obtaining payment or other benefits not due. Abuse
includes those practices that are inconsistent with accepted sound
fiscal, business, or medical practices. The following are examples
of fraud and abuse:
|
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Intentional misrepresentation
of services rendered |
|
Deliberate application for duplicate reimbursement |
|
Intentional improper billing practices |
|
Failure to obtain adequate records to substantiate
services |
|
Failure to provide services that meet professionally
recognized standards of healthcare |
| |
|
|
CareGuide will neither
tolerate nor condone fraud committed by its associates, agents, members,
providers or any other party with whom CareGuide does business. To
report suspected Fraud and Abuse, please call the toll-free Fraud
& Abuse hotline telephone number at: 1-888-893-2587. Instances
of suspected Fraud & Abuse may also be reported in writing to:
CareGuide
ATTN: Fraud & Abuse
4401 NW 124th Avenue
Coral Springs, Florida 33065 |
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