If you suspect Medicare fraud, errors, or abuse, address it immediately by taking these steps:
- Rule out error: If you have questions about information on yours or your loved one's Medicare Summary Notice (MSN) or Explanation of Benefits (EOB), call the provider or plan and ask for an explanation.
- Get help from your SMP: If you are not comfortable calling the provider or plan or if you are not satisfied with their response, your local SMP can help you:
- Identify and report fraud schemes and deceptive health care practices, such as illegal marketing or billing for services that were never provided.
- Refer complaints of potential fraud and abuse to the appropriate entity, who can intervene. For example:
- HHS Office of Inspector General (OIG)
- Centers for Medicare & Medicaid Services (CMS)
- State attorneys general
- Local law enforcement
- State departments of insurance
- State Medicaid Fraud Control Units (MFCU)
- Use the SMP Locator on this website to select your state and receive SMP contact information
- Click here to learn more about what SMPs do.
- Get help from other sources:
- Contact local law enforcement.
- Call 1-800-Medicare.
- Report directly to the OIG Hotline: 1-800-HHS-TIPS (800-447-8477).