FCMSA
  • Home
  • About Us
  • What We Do
  • Fraud Waste & Abuse
  • Contact Us
FCMSA
  • Home
  • About Us
  • What We Do
  • Fraud Waste & Abuse
  • Contact Us

What is fraud, waste, and abuse?

Fraud - An intentional deception or misrepresentation made by a person with the knowledge that the deception results in unauthorized benefit to herself or himself or another person. The term includes any act that constitutes fraud under applicable federal or state law.
 

Waste – Mismanagement of resources, including incurring unnecessary costs because of inefficient or ineffective practices or systems.
 

Abuse - Provider practices that are inconsistent with generally accepted business or medical practices  and that result in an unnecessary cost to the Medicaid program or in reimbursement for goods or  services that are not medically necessary or that fail to meet professionally recognized standards for  health care, or recipient practices that result in unnecessary cost to the Medicaid program.


Suspected fraud, waste, and/or abuse will be reported to:


Compliance Officer: Nanette O’Donnell

 

complianceofficer@floridacareservices.org 


or contact the Compliance Hotline:


(877) 337-0172

Copyright © 2024 Florida Care Management Services Agency, Inc. - All Rights Reserved.

Powered by FCMSA

  • Privacy Policy