Deficit Reduction Act

Health care organizations subject to Section 6032 of the Federal Deficit Reduction Act of 2005 (the “DRA”) are required to educate their providers and contractors about the False Claims Act as well as the organization’s policies and programs for detecting and preventing fraud, waste, and abuse. The following documents are intended to satisfy Highmark Blue Shield of Northeastern New York’s obligations under the DRA.

We know you share Blue Shield’s goal of ensuring that all clinical and business activities are conducted in full compliance with applicable laws and government program requirements. Accordingly, we look forward to your cooperation in applying Blue Shield’s fraud prevention and detection policies and programs in connection with the services you provide to our members.

If you have any questions regarding these documents, please do not hesitate to contact Blue Shield’s fraud prevention program at (716) 887-8451 or 1-800-333-8451 or reportfraud@bsneny.com.