HIPAA (The Health Insurance Portability and Accountability Act of 1996) is legislation that provides privacy and security provisions for safeguarding medical information. HIPAA establishes national standards to protect personal or protected health information (PHI).
Fraud is generally defined as intentional misuse of information in an effort to receive an unauthorized benefit. Waste involves using, consuming, or spending thoughtlessly or carelessly. Abuse involves improperly using program resources for personal gain.
Here are some examples of fraud, waste, and abuse:
If you encounter a HIPAA concern or suspect fraud, waste, or abuse in the healthcare system, you can report it to Quartz, and we will investigate. To protect yourself from fraud, review any bills that you receive from healthcare providers. If you see something that does not look right, you should report it.
To report any suspected concerns, you can contact Customer Service:
You can also report to the Compliance Hotline:
Callers may remain anonymous, if preferred. All information will be kept strictly confidential to the fullest extent possible. No retaliatory action will be taken or will be allowed against any person who reports potential issues in good faith. Once an issue is reported, Quartz will begin an investigation and will report to the appropriate authorities, if necessary.