Commitment Against Fraud

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 ADVANTAGE at 1-877-901-2237

Monday – Friday from 8am – 4:30pm