The TMA has a specific office to oversee the fraud and abuse program for the agency. Misrepresentations of dates, frequency, duration or description of services rendered, or the identity of the recipient of the service or who provided the service. Reciprocal billing, i.e., billing or claiming services furnished by another provider or furnished by the billing provider in a capacity other than billed or claimed. Such a practice can be considered fraudulent and abusive.
Fraudulent actions can result in criminal or civil penalties.
Fraudulent or abusive activities may result in administrative sanctions of suspension or exclusion as an authorized provider. The TMA Office of General Counsel works in conjunction with the Program Integrity branch in dealing with fraud and abuse.