The National Consumer Protection Technical Resource Center: The Center of Service & Information for SMPs
Home Health Care Fraud
Health Care Fraud
SMPs Help You Prevent, Detect, and Report
SMP projects use media, community events, outreach events, and other means to teach beneficiaries how to identify and prevent Medicare, Medicaid, and other health care fraud. SMPs help beneficiaries resolve issues and sometimes refer complaints to state and national fraud control and consumer protection entities such as the HHS Office of Inspector General (OIG), Centers for Medicare & Medicaid Services (CMS), Federal Trade Commission, state attorneys general, local law enforcement, state departments of insurance, and others.
Year of Elder Abuse Prevention
Every year an estimated 2.1 million older Americans are victims of elder abuse, neglect, or exploitation. And that’s only what's reported. Experts believe the number could be five times that. The U.S. Administration on Aging (AoA), an agency of the Administration for Community Living (ACL), is sponsoring the Year of Elder Abuse Prevention (YEAP) to encourage national, state, and local organizations to protect seniors and raise awareness about this critical issue.
You can help identify, prevent, and respond to this hidden problem. Click here for a page with a pledge, toolkit, outreach guide, fact sheets, logo, poster, templates, web banners, and social media tools. You can take a stand against elder abuse this year.
The Office of Inspector General
Common Scams and Protecting Yourself
The task of the Office of Inspector General (OIG) is to make sure criminals and fraudsters do not steal your Medicare and Medicaid funds. For information from the OIG about the nature of health care fraud, descriptions of common scams, and how to protect yourself, select from the following:
Fraud and Abuse Laws that Apply to Physicians
The Federal Trade Commission (FTC)
Medical Discount Plan Warning Signs
According to the Federal Trade Commission (FTC), what sounds like affordable health insurance may be a medical discount plan instead. Medical discount plans can be a way for some people to save money on their health care costs, but discount plans aren’t health insurance. Some medical discount plans provide legitimate discounts; others take peoples’ money and offer very little in return. Many plans don’t include local providers or give you outdated lists of names and facilities. Some offers are just plain scams. To learn more, click here.
Anti-Fraud Provisions Strengthened by Health Care Reform
For More Information