Reporting abuse and fraud is a critical step, but it can be a frustrating and confusing process. This guide provides direct links to national and independent reporting bodies to ensure your complaint is filed where it can have the most impact.
We are not telling you to avoid reporting to local channels like the Department of Human Services (DHS), the Long-Term Care Ombudsman, or local law enforcement. You should document every attempt to report through these official avenues.
However, it is important to be aware that many families and advocates have found these systems can be compromised by local politics, conflicts of interest, and a general lack of resources. Due to this "nexus of local interests," legitimate complaints may not be investigated thoroughly or impartially. Therefore, we strongly recommend you file reports with the national and federal agencies listed below in addition to any local reports.
The FBI investigates systemic fraud that affects federal healthcare programs, including Medicare and Medicaid. This is the appropriate channel for large-scale, criminal fraud operations.
CMS is the federal agency that administers Medicare and oversees Medicaid. They have a direct interest in preventing fraud, waste, and abuse within these programs. Reporting to CMS can trigger audits and investigations into a facility's billing practices.
Contacting a key state legislator can be a powerful strategy, even if they are not your local representative. Rep. Nancy Nathanson has a long and proven track record as a champion for elder rights, healthcare reform, and consumer protection in Oregon. Her office is well-versed in these issues and can direct your concerns to the appropriate state agencies with a level of authority that can prompt action.
When official channels are not providing the answers or justice you seek, an independent investigation is your next step. We specialize in uncovering the truth and gathering evidence that can be used to hold negligent or abusive parties accountable.