Oregon Health Insurance Fraud
Listing Websites about Oregon Health Insurance Fraud
Oregon Health Authority : Report Fraud : …
(9 days ago) WEBIf you think an Oregon Health Plan (Medicaid) member or provider is misusing Medicaid/Oregon Health Plan programs and benefits, report it right away. For client fraud: Send a completed MSC 0371 form to the Investigations Unit, PO Box 14150, …
https://www.oregon.gov/oha/FOD/PIAU/Pages/Report-Fraud.aspx
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Medicaid Fraud - Oregon Department of Justice
(1 days ago) WEBThe Oregon DOJ’s Medicaid Fraud Unit (MFU) conducts state-wide investigations and prosecutions against health care providers who defraud the Medicaid program.
https://www.doj.state.or.us/consumer-protection/sales-scams-fraud/medicaid-fraud/
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Oregon Department of Human Services : How to Report …
(9 days ago) WEBPlease choose one way to report. You only need to report once. Report fraud online. Fax your complaint to: 503-373-1525, ATTN: HOTLINE. Mail your complaint to: Fraud …
https://www.oregon.gov/DHS/abuse/pages/fraud-reporting.aspx
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Cyber security expert weighs in on Oregon Health Plan …
(6 days ago) WEBWhile the Oregon Health Authority says they, nor any state systems, were compromised, this did impact 1.7 million OHP members’ sensitive information like insurance ID …
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Oregon Department of Justice Medicaid Fraud Unit
(9 days ago) WEB100 SW Market Street, Portland, Oregon 97201 Phone: 971-673-1880 Email: Medicaid.Fraud.Referral@ doj.state.or.us Oregon Department of Justice Medicaid …
https://www.doj.state.or.us/wp-content/uploads/2024/02/Medicaid_Fraud_Flyer.pdf
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Oregon Health Authority : Sharing Concerns or …
(6 days ago) WEBAbout Medicare Services. The Medicare Beneficiary Ombudsman: Helps you with Medicare-related complaints, grievances, and information requests. Makes sure you …
https://www.oregon.gov/oha/HSD/OHP/Pages/Complaints.aspx
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Report Scams & Fraud - Oregon Department of Justice
(5 days ago) WEBReport Medicaid Fraud. If you suspect Medicaid fraud may be occurring in Oregon, please file a report by doing one of the following: File a fraud allegation report online ». Call the …
https://www.doj.state.or.us/consumer-protection/sales-scams-fraud/report-scams-fraud/
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Oregon Insurance Fraud Laws - FindLaw
(3 days ago) WEBThe following table outlines Oregon's insurance fraud laws. Code Sections: OR. REV. STAT. §§ 165.692, 165.990 Health Insurance. Making a false claim for health care payment is a Class C felony punishable by up …
https://www.findlaw.com/state/oregon-law/oregon-insurance-fraud-laws.html
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New law protects against surprise medical bills - Oregon
(9 days ago) WEBThe law applies to most health insurance plans, including those offered by an employer. It includes group health plans, health insurance companies for group and individual …
https://dfr.oregon.gov/news/2021/Pages/20211230-new-law-protects-consumers.aspx
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Oregon pays record settlement of nearly $23 million in lawsuit …
(1 days ago) WEBThe Oregon Health Authority has agreed to a record settlement of nearly $23 million in a long-running lawsuit filed by FamilyCare, Inc., a former Medicaid insurer. The suit …
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Oregon likely spent $1.6 million on inappropriate …
(3 days ago) WEBOregon likely spent $1.6 million on Medicaid bills that weren't valid, including in-home health care services it was billed for while patients were in the hospital, a state audit found.
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Division of Financial Regulation : Avoid coronavirus scams - Oregon
(9 days ago) WEBThe Centers for Disease Control and Prevention and the Oregon Health Authority provide up-to-date information about COVID-19 treatment and vaccines. The Oregon Division of …
https://dfr.oregon.gov/covid19-consumers/Pages/covid19-consumer-fraudscams.aspx
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Oregon health care providers still feeling cash crunch after …
(7 days ago) WEBRelated: Data breach affects 1.7 million Oregon Health Plan members. It’s insurance division, United Healthcare, controls more of the health insurance market than any …
https://www.opb.org/article/2024/03/29/oregon-health-providers-cash-crunch-cyberattack/
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Public - Fraud Allegation Portal
(7 days ago) WEBOAR 461-105-0060) Please provide detailed allegations of your fraud complaint. Please provide the name of the Participant or provider you’re referring for fraud investigation. …
https://odhsfraudreferral.oregon.gov/
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A New Health Care Marketplace is Coming: Get Informed and …
(9 days ago) WEBIn just a few weeks, Oregon’s new health insurance marketplace, Cover Oregon, will be open for business. Any new program can be confusing for people at first, and scam …
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Consumer Fraud in the Health Insurance Marketplace
(6 days ago) WEBDon't be a Victim of Consumer Fraud in the Health Care Marketplace. Beware of people asking for money to enroll you in Marketplace or "Obamacare" insurance. Note: If …
https://oig.hhs.gov/fraud/consumer-alerts/consumer-fraud-health-insurance-marketplace/
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Consumer Protection - Oregon Department of Justice
(8 days ago) WEBConsumer Hotline:1-877-877-9392. Search Complaints Database ». Report a Do Not Call Violation. File a Complaint Online ». Free Fraud Prevention Training. Oregon's Lemon …
https://www.doj.state.or.us/consumer-protection/
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Oregon Health Authority : The Audit Process : Program Integrity …
(Just Now) WEBPIAU performs medical record audits to verify that the services submitted by the provider to the Authority were provided and documented according to Oregon Medicaid rules and …
https://www.oregon.gov/oha/FOD/PIAU/Pages/Audit-Process.aspx
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Division of Financial Regulation : File a complaint - Oregon
(3 days ago) WEBHowever, we can determine whether the company or agent is following all Oregon laws and rules. For insurance help, or financial services help, call 888-877-4894 (toll-free). …
https://dfr.oregon.gov/help/complaints-licenses/Pages/file-complaint.aspx
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Lawsuit Against Oregon Health Authority Runs Up $23.4 Million …
(4 days ago) WEBIn 2018, the state set FamilyCare’s reimbursement rate at $377.57 per member per month – compared to $409.75 at Health Share, FamilyCare said. FamilyCare refused to accept …
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OregonHealthCare.gov : Oregon Health Insurance Marketplace : …
(Just Now) WEBOregon Health Plan (OHP) Application questions: 800‑699‑9075 (toll‑free) Coverage questions: 800‑273‑0557 (toll‑free) Oregon Health Insurance Marketplace. …
https://healthcare.oregon.gov/
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ORS Chapter 165 – Offenses Involving Fraud or Deception
(Just Now) WEBOregon Revised Statutes Title 16, Crimes and Punishments; Chapter 165, Offenses Involving Fraud or Deception. Refreshed: 2023-06-16. OregonLaws Oregon Administrative Rules; Oregon Revised Statutes; ORCP; Remove ads; Login; ORS; Making false claim for health care payment 165.694. Aggregation of claims 165.696. Who may commence …
https://oregon.public.law/statutes/ors_chapter_165
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Change Healthcare cyberattack was due to a lack of multifactor
(8 days ago) WEBChange Healthcare provides technology used to submit and process insurance claims — about 14 billion transactions a year. UnitedHealth bought Change Healthcare in a …
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ORS 743B.451 – Refund of paid claims - OregonLaws
(7 days ago) WEBThis section applies to health benefit plans. [Formerly 743.912] Note: 743B.451 (Refund of paid claims) was added to and made a part of the Insurance Code by legislative action but was not added to ORS chapter 743B or any series therein. See Preface to Oregon Revised Statutes for further explanation.
https://oregon.public.law/statutes/ors_743B.451
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