KelseyCare Advantage Non-Compliance & FWA Reporting Tool
KelseyCare Advantage accepts tips and notifications from all sources about potential fraud, waste, abuse, and mismanagement related to our Medicare Advantage members, plan, providers, pharmacies and employees. Every report we receive is important, and each submission will be reviewed and/or investigated. We appreciate your efforts to help us stop fraud, waste, and abuse.
Definition of Fraud: knowingly and willfully executing, or attempting to execute, a scheme or artifice to defraud any health care benefit program or to obtain (by means of false or fraudulent pretenses, representations, or promises) any of the money or property owned by, or under the custody or control of, any health care benefit program. 18 U.S.C. § 1347.