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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 payer, 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 an external help line to allow employees, members, providers,
and contractors to report suspicion of fraud anonymously or in confidence. 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.
You may call the ADVANTAGE Health Solutions Compliance Help Line:
Toll Free: (888) 333-9576
TTY/TDD (800)743-3333
Monday - Friday from 8am - 5pm
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