Legal & notices
Fraud, Waste, and Abuse Statement
A Sacred Heart Health, LLC is committed to lawful and ethical billing and to protecting public funds. We do not tolerate fraud, waste, or abuse in any form by any employee, contractor, or partner.
What We Mean
- Fraud: knowingly billing for services not provided, not authorized, or not documented, or otherwise misrepresenting facts to obtain payment.
- Waste: billing for services that are not needed, or providing care in a way that needlessly increases cost.
- Abuse: practices that are inconsistent with sound clinical or billing practice and result in unnecessary cost.
How We Prevent It
- Medicaid claims are submitted only with a matching LTSSMaryland Electronic Visit Verification record.
- Services are billed only as authorized in the client's Plan of Care.
- Every staff member is screened monthly against the OIG and SAM exclusion lists.
- Billing and clinical records are reviewed as part of our quality program.
- Staff report any suspected fraud, waste, or abuse without fear of retaliation.
How to Report a Concern
Complaints may be made anonymously. No one will be retaliated against for reporting a concern in good faith.
| Where to report | Details |
|---|---|
| A Sacred Heart Health, LLC (internal) | Administrator, (443) 396-3095 | admin@asacredhearthealth.com |
| Maryland Medicaid Fraud Control Unit | (410) 576-6521 |
| Maryland Office of Health Care Quality | (800) 492-6005 |