Claims Compliance

Requirements False Claims Act

Find out information on laws pertaining to the prevention and detection of fraud, waste and abuse, in accordance with the requirements of the federal Deficit Reduction Act of 2005.

Fraud and Abuse Retractions

If overpayments related to fraudulent or abusive billing has been identified, MedStar Family Choice may retract payments made to providers. In addition, under certain circumstances (Maryland Medicaid MCO Transmittal No. 82) MedStar Family Choice may be required to notify the Maryland Department of Health OIG and Medicaid Fraud Control Unit (MCFU) of the retraction.

Information current as of: 12/03/21