The National Consumer Protection Technical Resource Center: The Center of Service & Information for SMPs

Health Care Fraud

From the Office of Inspector General (OIG), U.S. Department of Health & Human Services

Transportation Fraud

Vans often are used to take disabled beneficiaries to their doctor appointments. This is legal as long as the beneficiary is not able to move about on her own. It becomes illegal when the patient is transported and doesn’t need it or the van service is used for other types of transports.

How the Scam Works

  • The transport becomes fraudulent if it takes the beneficiary to go shopping and run errands.
  • Sometimes the fraudulent companies will be for transports never performed or for padding the bill with extra mileage for higher reimbursement.
  • Sometimes the patient is charged for ambulance transport when the beneficiary only received, or only needed, a transport van.

How to Fight Back

  • If you receive any paperwork related to your transportation, check it for date errors or mileage that seems excessive.
  • Make sure that if you are being transported by van that it is for the qualifying criteria. This usually involves being unable to transport yourself by other means.

Report Suspected Fraud

To report suspected fraud, click here.

 

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