Reporting Fraud. 12 Provider shall comply with RCW 48.135 concerning Insurance Fraud Reporting and shall 13 notify North Sound BH-ASO Compliance Department of all incidents or occasions of 14 suspected fraud, waste, or abuse involving Services provided to an individual. Provider 15 shall report a suspected incident of fraud, waste or abuse, including a credible allegation 16 of fraud, within five (5) business days of the date Provider first becomes aware of, or is on 17 notice of, such activity. The obligation to report suspected fraud, waste, or abuse shall 18 apply if the suspected conduct was perpetrated by Provider, Provider’s employee, agent, 19 subcontractor, or individual. Provider shall establish P&P’s for identifying, investigating, 20 and taking appropriate corrective action against suspected fraud, waste, or abuse. 21 Detailed information provided to employees and subcontractors regarding fraud and 22 abuse P&P’s and the false Claims Act and the Washington false claims statutes RCW 23 Chapter 74.66 and 74.09.210. Upon request by North Sound BH-ASO, and/or HCA, 24 Provider shall confer with the appropriate State agency prior to or during any investigation 25 into suspected fraud, waste, or abuse.
Reporting Fraud. 14 Provider shall comply with RCW 48.135 concerning Insurance Fraud Reporting and 15 shall notify North Sound BH-ASO Compliance Department of all incidents or 16 occasions of suspected fraud, waste, or abuse involving Services provided to an 17 individual. Provider shall report a suspected incident of fraud, waste or abuse, 18 including a credible allegation of fraud, within five (5) business days of the date 19 Provider first becomes aware of, or is on notice of, such activity. The obligation to 20 report suspected fraud, waste, or abuse shall apply if the suspected conduct was 21 perpetrated by Provider, Provider’s employee, agent, subcontractor, or individual.
Reporting Fraud. Anyone may report concerns about possible fraud to any of the following:
Reporting Fraud. Misconduct
Reporting Fraud. 6 Provider shall comply with RCW 48.135 concerning Insurance Fraud Reporting and shall 8 suspected fraud, waste, or abuse involving Services provided to an individual. Provider 9 shall report a suspected incident of fraud, waste, or abuse, including a credible allegation 10 of fraud, within five (5) business days of the date Provider first becomes aware of, or is on 11 notice of, such activity. The obligation to report suspected fraud, waste, or abuse shall 12 apply if the suspected conduct was perpetrated by Provider, Provider’s employee, agent, 13 subcontractor, or individual. Provider shall establish P&P’s for identifying, investigating 14 and taking appropriate corrective action against suspected fraud, waste, or abuse. 15 Detailed information provided to employees and subcontractors regarding fraud and 16 abuse P&P’s and the false Claims Act and the Washington false claims statutes RCW 17 Chapter 74.66 and 74.09.210. Upon request by North Sound BH-ASO and/or HCA, Provider 18 shall confer with the appropriate State agency prior to or during any investigation into 19 suspected fraud, waste, or abuse.
Reporting Fraud. Fraud is an intentional wrongful act committed with the purpose of deceiving or causing harm to another party. Upon discovery of circumstances suggesting a reasonable possibility that a fraudulent transaction has occurred, the CSB’s executive director shall report this information immediately to any applicable local law enforcement authorities and the Department’s Internal Audit Director. All CSB financial transactions that are the result of fraud or mismanagement shall become the sole liability of the CSB, and the CSB shall refund any state or federal funds disbursed by the Department to it that were involved in those financial transactions. The CSB shall ensure that new CSB board members receive training on their fiduciary responsibilities under applicable provisions of the Code and this contract and that all board members receive annual refresher training on their fiduciary responsibilities.
Reporting Fraud. Anyone may report concerns about possible fraud to any of the following: 1-877-WFINFO-1 (Colorado Department of Human Services Hotline) Ethics Point 0-000-000-0000 or xxx.xxxxxxxxxxx.xxx (Xxxxxxx County Fraud Hotline) Department of Human Services Investigator (refer to the Investigation Policy/Procedure) Any other reasonable contact such as law enforcement, or County Administration or County Human Resources Date of Referral: Current Program (i.e. TANF, FA, Xxxxxx Care, etc.): Participant Name: Phone#: Participant age: Social Security Card? Forms of ID? Registered in Connecting Colorado: Workforce Specialist:
Reporting Fraud. If You suspect that a person or group is engaging in health insurance fraud, please contact Our investigations team on 02 8346 2207 or email xxxxxxxxxxxxxx@xxxxxxxxxxxxxx.xxx.xx.
Reporting Fraud. Provider shall comply with RCW 48.135 concerning Insurance Fraud Reporting and shall notify GRBH-ASO and the applicable MCO’s Compliance Department of all incidents or occasions of suspected fraud, waste or abuse involving Services provided to a client. Provider shall report a suspected incident of fraud, waste or abuse, including a credible allegation of fraud, within five (5) business days of the date Provider first becomes aware of, or is on notice of, such activity. The obligation to report suspected fraud, waste or abuse shall apply if the suspected conduct was perpetrated by Provider, Provider’s employee, agent, or subcontractor, or client. Provider shall establish policies and procedures for identifying, investigating, and taking appropriate corrective action against suspected fraud, waste or abuse. Upon request by GRBH-ASO, MCO or HCA, Provider shall confer with the appropriate State agency prior to or during any investigation into suspected Fraud, waste or abuse. For purposes of this section, the terms fraud and abuse shall have the same meaning as provided for in 42 CFR §455.2.
Reporting Fraud. 2 Provider shall comply with chapter 48.135 RCW concerning Insurance Fraud Reporting 3 and shall notify North Sound BH-ASO Compliance Department of all incidents or 4 occasions of suspected fraud, waste, or abuse involving Services provided to an 5 individual. Provider shall report a suspected incident of fraud, waste or abuse, 6 including a credible allegation of fraud, within five (5) business days of the date 7 Provider first becomes aware of, or is on notice of, such activity. The obligation to 8 report suspected fraud, waste, or abuse shall apply if the suspected conduct was 9 perpetrated by Provider, Provider’s employee, agent, subcontractor, or individual. 10 Provider shall establish P&P’s for identifying, investigating, and taking appropriate 11 corrective action against suspected fraud, waste, or abuse. Detailed information 12 provided to employees and subcontractors regarding fraud and abuse P&P’s and the 13 false Claims Act and the Washington false claims statutes RCW Chapter 74.66 and 00 00.00.000. Upon request by North Sound BH-ASO, and/or HCA, Provider shall confer 15 with the appropriate State agency prior to or during any investigation into suspected 16 fraud, waste, or abuse. 18 2.6 PROVIDER TRAINING AND EDUCATION 19 Upon the request of North Sound BH-ASO, the Provider shall participate in training when 20 required by the North Sound BH-ASO and/or DOC Community Services and Housing Division, 21 Housing Assistance Unit. Requests to allow an exception to participation in a required training 22 must be in writing and include a plan for how the required information will be provided to 23 targeted provider staff. 24 25 2.7 26 27 28 29 30 31
