Highmark Medicare Services - A CMS Contractor - ISO 9001:2000 Certified

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The most frequent kind of fraud arises from a false statement or misrepresentation made, or caused to be made, that is material to entitlement or payment under the Medicare program. The violator may be a participating provider, a beneficiary, a physician, other practitioner, supplier of DME or an employee of a physician or practitioner or some other person or business entity, including a billing service or an intermediary employee.

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