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Medicare Fraud Prevention Week Teaches Everyone How to Prevent Fraud

By the Senior Medicare Patrol Resource Center

June 6, 2022


Medicare Fraud Prevention Week focuses on the actions everyone can take to prevent Medicare fraud, errors, and abuse. June 2022 marks the 25th anniversary of the Senior Medicare Patrol (SMP) program. To commemorate this event, the SMP is creating a national week focused on Medicare fraud prevention.

Medicare loses an estimated $60 billion each year due to fraud, errors, and abuse. Every day, issues related to these concerning matters affect us all, often costing money, time, and impacting our well-being. Medicare-related errors contribute to this annual loss even though errors can be honest health care billing mistakes. However, a pattern of errors committed by a physician or provider could be considered a red flag of potential fraud or abuse if not corrected.

When people steal from Medicare, it hurts us all. Some common examples of fraud or abuse include:

  • Charging for services or supplies that were not provided
  • Misrepresenting a diagnosis, a person’s identity, the service provided, or other facts to justify payment
  • Prescribing or providing excessive or unnecessary tests and services

The most effective way to stop fraud from occurring is to prevent it in the first place. Educating yourself and your loved ones on how to prevent Medicare fraud, errors, and abuse is the best place to start.

Everyone plays a part in the fight against fraud. During Medicare Fraud Prevention Week:
 
  • Medicare beneficiaries can monitor their insurance statements to make sure products and services received match what is on the statements. They can request free My Health Care Trackers from their local SMP.
  • Caregivers can help by being on the lookout for items such as durable medical equipment (like boxes of knee braces) lying around the house that may have been shipped to the beneficiary without their or their doctor’s approval. Spread awareness to never give out Medicare numbers or other personal information over the phone.
  • Families can help by spreading awareness about protecting Medicare numbers just as we would a credit card number. They can help their loved ones create a Medicare.gov account to access their Medicare statements online or remind them to open and review them when they come in the mail. They can also register their phone number on “do not call” lists and go to prescreen.com to opt out of mailings.
  • Partners and professionals can help by sharing SMP information on social media, referring clients and consumers to the SMP, and inviting the SMP to speak during a shared event.
  • Health care providers can help by talking to patients about health care-related scams such as those related to durable medical equipment and genetic testing schemes. They can remind them that products and services should only be ordered by physicians they regularly see. Needed medical items should never be ordered through TV ads or unsolicited calls.
  • Community members can help by knowing the signs of Medicare fraud and how to report it. When in public, be aware of older individuals purchasing gift cards in large amounts. Spread awareness of Medicare resources and the most recent Medicare scams. Community members can even consider volunteering with their local SMP!

SMP is a national program that educates Medicare beneficiaries about Medicare fraud, errors, and abuse. Learn how we can all know the signs and spread awareness of Medicare fraud by joining us on 6/5 to kick off this week of celebration and education! Visit our website for more information on Medicare Fraud Prevention Week.  

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