Fraud and Abuse
Fraud and Abuse
Senior Medicare Patrol (SMP) works with Medicare beneficiaries and volunteers to help prevent, detect and report healthcare fraud, errors, and abuse. If you think you have been a victim of Medicare Fraud please contact our office at 316-660-0126.
Medical Identity Theft:
Your Medicare number is misused, by a provider, supplier, or by an imposter posing as you. If your Medicare number is stolen or misused you will not be issued a new Medicare number. Identity theft may have consequences such as, false claims filed against your number, improper medical treatment, false diagnoses, recorded treatments that never occurred, incorrect lab results, or other misinformation.
Medicare Card Scam:
You may be contacted by someone telling you that you need a new Medicare Card. They may threaten you with the loss of your Medicare benefits. They will ask for personal information including your Medicare number, and bank account information.
Medicare cards do not expire
Medicare will not call you to offer a new Medicare card or request information about your current card or number
If you lose your card you can request a new one from Social Security
Medicare “Changes” Scam:
Because there are often changes to Medicare scammers often use this as a way in to get personal information. Scammers might call and say that they want you to be aware of current changes to Medicare, they will then proceed to request personal identifying information.
Equipment and Supplies Coverage Issues:
Durable Medical Equipment (DME) must be prescribed by your physician or another healthcare provider. They are to be used in your home, a hospital or nursing facility providing skilled nursing or rehabilitative services are not considered home use.
Types of Abuse
Unsolicited calls to market items such as diabetic testing supplies, or braces
Requesting health information, such as Medicare numbers, or physicians names
Billing for rental equipment before its delivered
Billing for equipment never provided
Refusing to pick up equipment and continuing to bill
Completing documentation to show medical necessity for a patient not known by the physician or treating practitioner
Excessive amount of supplies
Supplies delivered with no prescription
- “Free” supplies, they ask for a Medicare number
Victims of Fraud
If you feel you have been a victim of fraud, you can place a fraud alert on your account. Placing a fraud alert on your account makes it more difficult for an identify thief to open more accounts in your name, and it is a FREE service. All you need to do is:
- Contact a credit bureau, and ask that they put a fraud alert on your account.
- The most common credit bureaus are Equifax, Experian, and Transunion.
- Once you contact one credit bureau, that bureau will notify the other bureaus.
- The bureau will explain that you have the right to a free credit report which you can review.
- The fraud alert stays on your account for a year.
For additional information, please visit the Federal Trade Commission's website.