EmblemHealth expects its contracted providers to prevent and address fraud, waste, and abuse and to meet their annual training requirement. To learn about this important topic, see Medicare Learning Network’s Web-Based Training:
- Combating Medicare Parts C and D Fraud, Waste, & Abuse (Contact Hours 30 min.)
Learn to recognize fraud, waste, and abuse (FWA), identify methods to prevent FWA, identify how to report FWA, recognize how to correct FWA, and recognize potential consequences and penalties associated with violations.
- Medicare Fraud & Abuse: Prevent, Detect, Report (Contact Hours 88 min.)
Learn how to identify what Medicare considers fraud and abuse, provisions and penalties, prevention methods, and recognize how to report fraud and abuse.
If you have concerns about Compliance issues that you wish you bring to the attention of EmblemHealth/ ConnectiCare, please call toll free, 24/7, at 844-I-COMPLY (844-426-6759). You can also report online at emblemhealth.alertline.com.
If you would specifically like to report concerns about fraud, waste, or abuse, please call 888-4KO-FRAUD or send an email to the Special Investigations Unit by using this email address: kofraud@EmblemHealth.com.
EmblemHealth/ConnectiCare will not retaliate against anyone who in good faith reports a compliance concern.