PPHP is Committed to Your Good Health

What is Fraud, Waste and Abuse?

Fraud: Intentional deception or misrepresentation to obtain the money or property of a health care benefit program (by means of false or fraudulent pretenses, representations, or promises).

Waste: The over-utilization of services or other practices that result in unnecessary costs.

Abuse: Obtaining payment for items or services when there is no legal entitlement to that payment, but without knowing and/or intentional misrepresentation of facts to obtain payments.

What can you do to help prevent, report, and stop Fraud, Waste, and Abuse?

Report potential fraud:

iStock-603163766_web

Provider Partners Illinois Advantage offered by Provider Partners Health Plan is a health plan with a Medicare Contract. Enrollment in Provider Partners Illinois Advantage depends on contract renewal.
H8067_002_PPHPWEB CMS Pending

Provider Partners Maryland Advantage offered by Provider Partners Health Plan is a health plan with a Medicare Contract. Enrollment in Provider Partners Maryland Advantage depends on contract renewal.
H8067_001_PPHPWEB CMS Pending

Provider Partners Health Plan of Ohio is a Health Plan with a Medicare Contract. Enrollment in Provider Partners Health Plan of Ohio depends on contract renewal.
H7119_001_PPHPWEB CMS Pending

Provider Partners Pennsylvania Advantage offered by Provider Partners Health Plan of Pennsylvania is a Health Plan with a Medicare Contract. Enrollment in Provider Partners Pennsylvania Advantage depends on contract renewal.
H4093_001_PPHPWEB CMS Pending

Last updated 3/1/2019

English | Spanish