Empowering Seniors To Prevent Healthcare Fraud
Prevent and Detect Healthcare Fraud
Prevent health care fraud by protecting your medical identification cards and numbers.
- Treat your Medicare card and number like you would a credit card.
- Only share Medicare and other health care identification cards and numbers with trusted sources who need that information to serve you, such as your health care providers.
- Rely on your doctors for medical advice and prescriptions, not advice or offers of medical services from unknown persons who call, visit, or approach you in public.
- Never sign a blank medical or insurance form.
- Always read and make sure you understand the content before you sign.
- Request a copy of a form or document you sign for your own records.
Prevention alone cannot stop all fraud, errors, and abuse. Detect potential problems by taking the following steps:
- Keep records of health care visits, services or equipment received, test results, etc. Ask your local SMP for a My Healthcare Tracker, a fraud-fighting tool that is available for free to beneficiaries through the SMP program. The trackers help beneficiaries prevent, detect, and report suspected Medicare fraud, errors, or abuse.
- File copies of bills received from your doctor, hospital, pharmacist, supplier, or other health care provider.
- Save your Medicare Summary Notices (MSNs) and Explanations of Benefits (EOBs) and review them for accuracy.
- Ask questions of your provider, Medicare plan, or 1-800-Medicare when:
- You don’t understand the charges billed
- You don’t think you received the service
- You feel the service was unnecessary
- You were charged for the same thing twice
- Beware of charges for services not received, duplicate charges, or services that were not ordered by your doctor.
- Compare the dates, providers, and services received, shown on MSNs and EOBs, to what is documented in your personal health care records.
If you would like to . . .
- schedule a presentation
- receive SMP publications
- become a volunteer, or
- get help with potential Medicare fraud, abuse, or error,
call 800 856-4398, email email@example.com, or stop by one of our offices. Let's talk!