Please use the search below to browse our website for information.
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...
Case involves billing for unnecessary durable medical equipment.
He was also ordered to pay over $2 million in restitution.
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...
They entice people to give up their personal data and money.
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. ...
The SMP Information and Reporting System (SIRS) is the nationwide, web-based data collection and reporting system that facilitates reporting of SMP activities including: individual interactions, grou...
Here are tips to avoid vaccine-related scams no matter where you live.
Evidence showed hospice marketed as a benefit “you don’t have to die to use.”
Medicare doesn’t generally pay for long-term nursing home care. However, Medicare Part A covers medically necessary, short-term care in a skilled nursing facility (SNF) within a nursing ho...
Don't overshare information on social media networks.
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...
As the number of people and communities affected by the COVID-19 pandemic grows, so do the scams associated with it. Scammers use public health emergencies as opportunities for new fraud schemes, and...
Documents say two of them sold Medicare patients’ personal and medical data.
He claimed online to have a vaccine that he could inject in customers for $400 to $1,000.
They bought Medicare patient data from call centers.
Medicare fraud is big business for criminals. Medicare loses billions of dollars each year due to fraud, errors, and abuse. Estimates place these losses at approximately $60 billion annually, thoug...
Medicare Parts A and B cover intermittent or short-term home health services. These services must be provided by a Medicare-approved home health agency that works with your doctor to manage your care...
Criminals seek money or sensitive data from unsuspecting consumers.
He targeted beneficiaries with $6,000 CGx tests.
It used a contractor who persuaded seniors in housing complexes to submit to tests.
They give tips on what to look for and how to avoid fraud.
Scheme included telling patients they had less than six months to live and sending chaplains in to lie.
Prosecutors say they used the pandemic for their own financial gain.
Indictment says they created phony medical records.