Fraud, Waste & Abuse
Heather Alpha is committed to conducting business with honesty, integrity, and in accordance with all applicable federal and state laws, including Centers for Medicare & Medicaid Services (CMS) requirements. Preventing fraud, waste, and abuse helps protect Medicare beneficiaries and the integrity of the Medicare program.
1. What Is Fraud, Waste & Abuse?
- Fraud is knowingly providing false information or intentionally misrepresenting facts to obtain unauthorized benefits or payments.
- Waste is the overuse or misuse of services or resources that results in unnecessary costs.
- Abuse includes practices that are inconsistent with accepted business or medical standards and may result in unnecessary costs or improper payments.
2. Commitment to Compliance
Heather Alpha is committed to maintaining ethical business practices and complying with all applicable Medicare regulations, carrier requirements, and state and federal laws governing insurance products and services.
3. Reporting Suspected Fraud, Waste & Abuse
If you believe fraud, waste, or abuse has occurred involving Medicare or an insurance product, you are encouraged to report your concerns promptly.
You may report concerns by contacting:
- Heather Alpha directly at heather@legacybyheathera.com
- Your insurance carrier's compliance or fraud department
- 1-800-MEDICARE (1-800-633-4227)
- The U.S. Department of Health & Human Services Office of Inspector General (OIG)
4. Confidentiality
All reports received directly by Heather Alpha will be treated seriously and handled as confidentially as reasonably possible. Information will only be shared as necessary to investigate concerns or comply with applicable laws and regulatory requirements.
5. Prevention
Heather Alpha is committed to maintaining current knowledge of Medicare regulations, carrier requirements, and compliance standards through ongoing education and training to help prevent fraud, waste, and abuse.
6. Additional Resources
To learn more about preventing, detecting, and reporting Medicare Fraud, Waste & Abuse, visit the official Medicare website or the U.S. Department of Health & Human Services Office of Inspector General.
7. Contact Information
Heather Alpha
Licensed Insurance Agent
State of Louisiana License #1169257
Phone:
(337) 654-8535
Email:
heather@legacybyheathera.com