Reporting Fraud Sample Clauses

Reporting Fraud. 12 Provider shall comply with RCW 48.135 concerning Insurance Fraud Reporting and shall 13 notify North Sound BH-ASO Compliance Department of all incidents or occasions of 14 suspected fraud, waste, or abuse involving Services provided to an individual. Provider 15 shall report a suspected incident of fraud, waste or abuse, including a credible allegation 16 of fraud, within five (5) business days of the date Provider first becomes aware of, or is on 17 notice of, such activity. The obligation to report suspected fraud, waste, or abuse shall 18 apply if the suspected conduct was perpetrated by Provider, Provider’s employee, agent, 19 subcontractor, or individual. Provider shall establish P&P’s for identifying, investigating, 20 and taking appropriate corrective action against suspected fraud, waste, or abuse. 21 Detailed information provided to employees and subcontractors regarding fraud and 22 abuse P&P’s and the false Claims Act and the Washington false claims statutes RCW 23 Chapter 74.66 and 74.09.210. Upon request by North Sound BH-ASO, and/or HCA, 24 Provider shall confer with the appropriate State agency prior to or during any investigation 25 into suspected fraud, waste, or abuse.
AutoNDA by SimpleDocs
Reporting Fraud. 14 Provider shall comply with RCW 48.135 concerning Insurance Fraud Reporting and 15 shall notify North Sound BH-ASO Compliance Department of all incidents or 16 occasions of suspected fraud, waste, or abuse involving Services provided to an 17 individual. Provider shall report a suspected incident of fraud, waste or abuse, 18 including a credible allegation of fraud, within five (5) business days of the date 19 Provider first becomes aware of, or is on notice of, such activity. The obligation to 20 report suspected fraud, waste, or abuse shall apply if the suspected conduct was 21 perpetrated by Provider, Provider’s employee, agent, subcontractor, or individual.
Reporting Fraud. Anyone may report concerns about possible fraud to any of the following: 1-877-WFINFO-1 (Colorado Department of Human Services Hotline) Ethics Point 0-000-000-0000 or xxx.xxxxxxxxxxx.xxx (Xxxxxxx County Fraud Hotline) Department of Human Services Investigator (refer to the Investigation Policy/Procedure)
Reporting Fraud. 6 Provider shall comply with RCW 48.135 concerning Insurance Fraud Reporting and shall 8 suspected fraud, waste, or abuse involving Services provided to an individual. Provider 9 shall report a suspected incident of fraud, waste, or abuse, including a credible allegation 10 of fraud, within five (5) business days of the date Provider first becomes aware of, or is on 11 notice of, such activity. The obligation to report suspected fraud, waste, or abuse shall 12 apply if the suspected conduct was perpetrated by Provider, Provider’s employee, agent, 13 subcontractor, or individual. Provider shall establish P&P’s for identifying, investigating 14 and taking appropriate corrective action against suspected fraud, waste, or abuse. 15 Detailed information provided to employees and subcontractors regarding fraud and 16 abuse P&P’s and the false Claims Act and the Washington false claims statutes RCW 17 Chapter 74.66 and 74.09.210. Upon request by North Sound BH-ASO and/or HCA, Provider 18 shall confer with the appropriate State agency prior to or during any investigation into 19 suspected fraud, waste, or abuse.
Reporting Fraud. Fraud is an intentional wrongful act committed with the purpose of deceiving or causing harm to another party. Upon discovery of circumstances suggesting a reasonable possibility that a fraudulent transaction has occurred, the CSB’s executive director shall report this information immediately to any applicable local law enforcement authorities and the Department’s Internal Audit Director. All CSB financial transactions that are the result of fraud or mismanagement shall become the sole liability of the CSB, and the CSB shall refund any state or federal funds disbursed by the Department to it that were involved in those financial transactions. The CSB shall ensure that new CSB board members receive training on their fiduciary responsibilities under applicable provisions of the Code and this contract and that all board members receive annual refresher training on their fiduciary responsibilities.
Reporting Fraud. Misconduct CONTRACTORS are expected and required to report suspected fraud, waste, or misuse of public monies, and misconduct of County personnel to the Los Angeles County Fraud Hotline (Hotline). CONTRACTORS are also expected and required to report suspected fraud committed by their employees and subcontractors when that fraud affects their contract with the COUNTY. Reportable conditions include, but are not limited to:  Requests for bribes/kickbacks/gratuities by County personnel.  Favoritism/nepotism in the awarding of County contracts, or selection of vendors.  Theft or misuse of any funds, resources or equipment. Reportable conditions shall be reported to the Hotline upon their discovery by CONTRACTOR. Failure to report the types of fraud/misconduct discussed above may be grounds for contract termination. The reporting party may remain anonymous. Reports can be made via telephone, mail or by internet to: Online: xxx.xxxxxxxxxxxxx.xxx Email: xxxxxxx@xxxxxxx.xxxxxxxx.xxx Toll Free: (000) 000-0000 U.S. Mail: Los Angeles County Fraud Hotline Office of County Investigations Xxxxxxx Xxxx Xxxx of Administration 000 X. Xxxxxx Street, Room 515 Los Angeles, CA 90012 THIS FORM IS UNDER REVISION AND IS SUBJECT TO CHANGE TO CONFORM TO CALIFORNIA DEPARTMENT OF SOCIAL SERVICES REQUIREMENTS AUDITOR-CONTROLLER/DEPARTMENT OF CHILDREN AND FAMILY SERVICES/PROBATION DEPARTMENT FISCAL AUDIT PHASES, FISCAL AUDITS OF XXXXXX CARE P L A C E M E N T SERVICES CONTRACTORS (XXXXXX FAMILY AGENCY, XXXXXX FAMILY AGENCY-EMERGENCY SHELTER CARE, SHORT-TERM RESIDENTIAL THERAPEUTIC PROGRAMS, INTENSIVE SERVICES XXXXXX CARE XXXXXX FAMILY AGENCY FOR CHILDREN WITH SERIOUS EMOTIONAL AND BEHAVIORAL NEEDS, AND INTENSIVE SERVICES XXXXXX CARE XXXXXX FAMILY AGENCY FOR CHILDREN WITH SPECIAL HEALTH CARE NEEDS).
Reporting Fraud. Provider shall comply with RCW 48.135 concerning Insurance Fraud Reporting and shall notify GRBH-ASO and the applicable MCO’s Compliance Department of all incidents or occasions of suspected fraud, waste or abuse involving Services provided to a client. Provider shall report a suspected incident of fraud, waste or abuse, including a credible allegation of fraud, within five (5) business days of the date Provider first becomes aware of, or is on notice of, such activity. The obligation to report suspected fraud, waste or abuse shall apply if the suspected conduct was perpetrated by Provider, Provider’s employee, agent, or subcontractor, or client. Provider shall establish policies and procedures for identifying, investigating, and taking appropriate corrective action against suspected fraud, waste or abuse. Upon request by GRBH-ASO, MCO or HCA, Provider shall confer with the appropriate State agency prior to or during any investigation into suspected Fraud, waste or abuse. For purposes of this section, the terms fraud and abuse shall have the same meaning as provided for in 42 CFR §455.2.
AutoNDA by SimpleDocs
Reporting Fraud. If You suspect that a person or group is engaging in health insurance fraud, please contact Our investigations team on 02 8346 2207 or email xxxxxxxxxxxxxx@xxxxxxxxxxxxxx.xxx.xx.
Reporting Fraud. Misconduct CONTRACTORS are expected and required to report suspected fraud, waste, or misuse of public monies, and misconduct of County personnel to the Los Angeles County Fraud Hotline (Hotline). CONTRACTORS are also expected and required to report suspected fraud committed by their employees and subcontractors when that fraud affects their contract with the COUNTY. Reportable conditions include, but are not limited to:  Requests for bribes/kickbacks/gratuities by County personnel.  Favoritism/nepotism in the awarding of County contracts, or selection of vendors.  Theft or misuse of any funds, resources or equipment. Reportable conditions shall be reported to the Hotline upon their discovery by CONTRACTOR. Failure to report the types of fraud/misconduct discussed above may be grounds for contract termination. The reporting party may remain anonymous. Reports can be made via telephone, mail or by internet to: Online: xxx.xxxxxxxxxxxxx.xxx Email: xxxxxxx@xxxxxxx.xxxxxxxx.xxx Toll Free: (000) 000-0000 U.S. Mail: Los Angeles County Fraud Hotline Office of County Investigations Xxxxxxx Xxxx Xxxx of Administration 000 X. Xxxxxx Street, Room 515 Los Angeles, CA 90012 Department of the Treasury Internal Revenue Service‌ Notice 1015 (Rev. December 2016) Have You Told Your Employees About the Earned Income Credit (EIC)? What is the EIC? The EIC is a refundable tax credit for certain workers.
Reporting Fraud. Anyone may report concerns about possible fraud to any of the following: 1-877-WFINFO-1 (Colorado Department of Human Services Hotline) Ethics Point 0-000-000-0000 or xxx.xxxxxxxxxxx.xxx (Xxxxxxx County Fraud Hotline) Department of Human Services Investigator (refer to the Investigation Policy/Procedure) Any other reasonable contact such as law enforcement, or County Administration or County Human Resources ATTACHMENT 3 REFERRAL FORM (See following page.) Referral to WIA Youth Program REFERRAL INFORMATION: Date of Referral:   Current Program (i.e. TANF, FA, Xxxxxx Care, etc.): Participant Name:   Phone#:   Participant age:   Social Security Card? Forms of ID? Registered in Connecting Colorado:   Workforce Specialist:  
Time is Money Join Law Insider Premium to draft better contracts faster.