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Falling for them may lead to life-threatening consequences.
For Medicare beneficiaries to be eligible for home health care services, they must be under the care of a physician. The physician must certify that the beneficiary needs one or more of the following...
Who can I contact if I have questions about Medicare but I don’t suspect Medicare fraud or abuse? Contact your local State Health Insurance Assistance Program: ...
Patients were induced with $75 gift cards.
Patients were paid to receive home health care services.
Social isolation among older adults is a serious issue, especially during the COVID-19 pandemic. According to the Centers for Disease Control and Prevention (CDC), one-third of adults ages 45 an...
Below is a list of common areas Medicare fraud occurs. If you or a loved one may have been a victim of any of these schemes, contact your SMP, the OIG Hotline, and/or local law enforcement. ...
Skilled nursing facilities play a crucial role in providing therapy and rehabilitation after you or a loved one have suffered a debilitating illness or stroke. After a qualifying stay in the hos...
Medicare covers ambulance services when they are medically necessary. To qualify for coverage, the ambulance and its crew must meet certain standards and be the only safe means of transporting a...
He hired people to go door to door for DNA swabs.
Scams related to the coronavirus, also known as COVID-19, are rapidly increasing as the public health emergency continues. Scammers are targeting older adults and those with serious long-term he...
Medicare statements outline payments made on a beneficiary’s behalf for Medicare covered services. There are two primary types of statements received by Medicare beneficiaries: Medicare Summary...
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 Su...
SMP News is a biweekly newsletter featuring news and articles of interest to the SMP and aging networks. Read more about it. Subscribe! ...
The SMP program offers volunteers an opportunity to make an important difference in their communities. Volunteers take pride in working to ensure that the Medicare program will be protected for futur...
She billed for longer visits than warranted and for individual instead of group visits.
Investigation showed billings exceeding a day’s worth of services over 900 times.
Due to the recent expansion of telehealth services, and the ease in which this fraud can be committed, criminals are exploiting this new technology for fraudulent purposes. Medicare will cover telehe...
Unlike Original Medicare, Medicare Part C and Part D are administered, marketed, and sold by private insurance companies. The Centers for Medicare & Medicaid Services (CMS) have guidelines for ma...
Outpatient mental health care can be an important benefit to a beneficiary. Medicare covers outpatient mental health services in settings such as: a doctor’s office or other health care provide...
Providing SMP services to Medicare beneficiaries requires an understanding of and sensitivity to the needs of older adults. Needs related to culture, ethnicity, literacy level, and primary language ...
Know the facts so you don’t fall victim to fraud.
Fraudsters try to rip off residents.
U.S. News article gives info and tips.
Durable medical equipment (DME) and orthotics companies offer a valuable service by providing wheelchairs, surgical supplies, catheters, and respiratory nebulizers as well as nutrition and tube...