Contacts
Health Care Fraud
Phone
Bureau of Health Professions Licensure
The Details
What you need
The Health Care Fraud Unit (HCFU) is an enforcement entity at the Bureau of Health Professions Licensure supported by three investigators and three attorneys. The mission of the HCFU is to combat fraud committed by health care professionals and facilities licensed by the Board of Registration of Chiropractors and the Board of Registration of Allied Health ("licensees"). Among other things, the HCFU inspects health care clinics; investigates and prosecutes fraud complaints; negotiates and implements agreements imposing discipline; assists initiatives of the boards of registration; and services requests by public protection agencies and private insurers. Here, licensees are disciplined for deceptive practices such as excessive or false billing; improper referral relationships; charging for services not rendered; selling or sharing provider numbers; offering incentives to beneficiaries; and making false claims about credentials, diagnosis codes, and medical conditions, care, and results.
If you are aware of any illegal or improper activity being committed by a licensee, please do not ignore it. Report it immediately.
How to report
If a health care professional or facility violates standards of professional conduct, you have a right to file a complaint with the Bureau of Health Professions Licensure.