Health Partners: In Wellness and Health, Partners for Life.

PLAN INFORMATION

Fraud & Abuse Training Information & Hotline

Health Partners’ Special Investigations Unit (SIU)
Health Partners prohibits all illegal and/or unethical conduct by members, employees and providers. Our Special Investigations Unit (SIU) has been developed to proactively address questionable activity and to investigate referrals of illegal and unethical conduct. Investigative findings are forwarded to Health Partners' Legal Affairs department for appropriate action.

Presentations:

	Deficit Reduction Act of 2005
	(rev. 12/2007)
	Physician Training Presentation
	(rev. 12/2009)

The following list gives some examples of illegal and/or unethical conduct:

Members selling membership cards or ID numbers
Members selling medications obtained through the program
Members obtaining services or equipment not medically necessary for their conditions
Employees selling Health Partners information
Employees selling Health Partners information
Employees accepting money or gifts in exchange for manipulating some part of Health Partners’ system
Providers up-coding claims or submitting claims for services not provided
Providers providing false statement to obtain credentials (MediCheck)
Pharmacist paying provider kickbacks for referrals
Provider paying members incentive for patronage

If you suspect illegal and/or unethical activity among our members, employees or providers, please call the SIU Hotline at 1-866-HP-SIU-4U. Each call is evaluated by an investigator. All calls are confidential and may be made anonymously.

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HealthChoices plan awarded highest accreditation: Excellent