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PM Form 7.1.1 Suspected Fraud or Abuse Report Reported by: Individual Family member T/RSHA Provider DBMS CAU Other Your name and title: Your contact information: Do you request contact from the ADDS/DBMS
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How to fill out suspected fraud and abuse

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How to fill out suspected fraud and abuse:

01
Gather information: Begin by collecting all relevant details about the suspected fraud or abuse. This may include dates, times, locations, parties involved, and any supporting evidence or documentation.
02
Complete the form: Review the suspected fraud and abuse form provided by your organization or relevant authority. Fill out all the required fields and provide as much detail as possible. Be thorough but concise in your descriptions to ensure clarity.
03
Attach supporting evidence: If you have any supporting documentation or evidence that substantiates your suspicion, make sure to attach it to the form. This can include emails, financial records, photographs, or any other relevant proof.
04
Provide contact information: Ensure that you provide clear and accurate contact details on the form. This allows the investigating authority to reach out to you if they need additional information or have any follow-up questions.
05
Submit the form: Once you have completed all the necessary sections and attached any supporting evidence, submit the suspected fraud and abuse form following the instructions provided. This may involve mailing it, delivering it in person, or submitting it electronically, depending on the process outlined by your organization.

Who needs suspected fraud and abuse:

01
Employees: Employees who witness or suspect fraud and abuse within their organization need to report it. This helps maintain the integrity of the company and protects both the employees and customers.
02
Customers: Customers who experience or come across fraudulent activities or abusive behavior, such as deceptive advertising, overcharging, or unauthorized access to personal information, should report it to the relevant authorities.
03
Whistleblowers: Whistleblowers, including individuals outside the organization, have an important role in exposing fraud and abuse. They play a crucial role in holding individuals or entities accountable for their actions and protecting the rights of those affected.
Reporting suspected fraud and abuse is essential for maintaining a fair and transparent environment, preventing further harm, and ensuring appropriate action is taken against those responsible. By promptly reporting suspicions, you contribute to the detection and prevention of fraud and abuse, safeguarding the interests of all parties involved.
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Suspected fraud and abuse refers to instances where there is a belief or suspicion that someone is committing fraudulent activities or abusing a system for personal gain.
Any individual or organization that suspects fraud or abuse is required to file a report with the appropriate authorities.
Suspected fraud and abuse can be reported by filling out a form provided by the organization or agency handling such reports.
The purpose of reporting suspected fraud and abuse is to prevent further harm, recover losses, and hold perpetrators accountable for their actions.
Information such as the suspected individual or organization involved, nature of the fraud or abuse, and any supporting evidence should be reported.
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