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As a participant in a health and/or drug plan underwritten or administered by CommunityCare, there are a number of things you can do to help identify and prevent health care fraud. You should, however, first be aware of certain guidelines concerning Medicare and the unique role it plays with respect to fraud, waste and abuse. Individuals working for or with Medicare are not permitted to:
With these guidelines in mind, here are some of the more common fraudulent schemes and other practices that may give rise to fraud, waste or abuse: