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Our Commitment Against Fraud and Corruption
ADVANTAGE Health Solutions is committed to the fight against fraud and corruption. ADVANTAGE Health Solutions employees, management, and Directors refrain from conduct that may violate the fraud and abuse laws.
The laws prohibit:
» direct, indirect or disguised payments in exchange for the referral of patients;
» the submission of false, fraudulent or misleading claims to any government entity or third party payor, including claims for services not rendered, claims which characterize the service differently than the service actually rendered, or claims which do not otherwise comply with applicable program or contractual requirements; and
» making false representations to any person or entity in order to gain or retain participation in a program or to obtain payment for any service.
Employees, members, providers and contractors can provide valuable information to alert ADVANTAGE Health Solutions to possible fraud and abuse issues. Therefore, we have established reporting mechanisms to ensure timely identification and resolution of issues or suspicions of fraud. We have contracted with
FPV, Inc.
to establish and manage an external help line. The help line will allow employees, members, providers, and contractors to report suspicion of fraud anonymously or in confidence and without fear of retaliation. Individuals who report problems and concerns in good faith via the help line will be protected from any form of retaliation. All those who are employed in the external help line operation are expected to act with utmost discretion and integrity in assuring that information received is acted upon in a reasonable and proper manner. Each
FPV
employee involved with the ADVANTAGE Health Solutions help line will be required to sign a confidentiality agreement.
You may call the ADVANTAGE Health Solutions Help Line:
Toll Free: (888) 333-9576
TDD: (800) 743-3333
Monday - Friday from 8am - 9pm, and Saturday from 8am - 6pm
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