Fraude, malgasto y abuso
Aetna Better Health® of Louisiana is committed to stopping fraud, waste and abuse. We look to our members and providers to help. So, if you see fraud, waste or abuse, report it right away.
Fraud, waste and abuse are dishonest actions by providers or members.
Provider fraud, waste and abuse includes:
Falsifying medical records
Prescribing more medication than is medically necessary
Billing for professional services when a medical professional didn’t perform the service
Giving services that members don’t need
Billing for services or items they didn’t give
Abusing members verbally, physically, mentally or sexually
This includes:
Lending, selling or giving a health plan ID card to someone else
Getting medicines or services you don’t need
Forging or changing prescriptions from providers
Getting similar treatments from different doctors
Going to an emergency room if you know it’s not an emergency
Using someone else’s Social Security number or member ID number
Receiving money or gifts in exchange for having medical services
To prevent, report or stop fraud, waste and abuse, you can:
Call the Louisiana Medicaid Fraud and Abuse Hotline at 1-800-488-2917
Complete our fraud, waste and abuse form
Your report can be private. You don’t have to give your name or contact info.
