Medicare Fraud Prevention Week focuses on the actions everyone can take to prevent Medicare fraud, errors, and abuse. Medicare Fraud Prevention Week runs the week of June 5, or 6/5, because most people become eligible for Medicare when they turn 65.
Medicare Fraud Prevention Week is hosted by the Administration for Community Living and the Senior Medicare Patrol, known as the SMP. The SMP is a national program to educate Medicare beneficiaries about Medicare fraud, errors, and abuse.
Medicare loses an estimated $60 billion each year due to fraud, errors, and abuse, though that number is impossible to measure. Every day, issues related to these problems affect people across the country, often costing them time, money, and well-being.
Medicare-related errors contribute to this annual loss even though errors can be honest health care billing mistakes. However, repeated errors by a doctor 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 and is big business for criminals.
Some common examples of fraud, errors, or abuse could include:
Falling prey to consumer scams or health care fraud may mean that your Medicare number has been “compromised” as a result of medical identity theft. Stealing from Medicare leaves less available funds for those needing services now as well as those needing Medicare in the future.
Learning how to prevent, detect, and report Medicare fraud and then sharing what you learn with others is how Medicare beneficiaries, caregivers, family members, partners, health care professionals, and the whole community can participate in this week.
The most effective way to stop Medicare fraud from happening is to prevent it in the first place. Steps to prevent Medicare fraud:
For situations you can’t prevent, learning how to detect potential fraud, errors, and abuse is very important. Steps to detect Medicare fraud:
If you find something concerning on an MSN or accidentally gave out your Medicare information, report it! Don’t hide it and don’t be ashamed. Scammers are really good at what they do and the SMP is here to help. Steps to report Medicare fraud:
The Senior Medicare Patrol (SMP) program is dedicated to safeguarding Medicare beneficiaries, their families, and caregivers from healthcare fraud, errors, and abuse. SMP does this through outreach, education, and counseling.
Area Agency on Aging (AAA) is a private non-profit agency, designated by the state to address the needs and concerns of all older persons at the regional and local levels.
FUNDING STATEMENT: This website is supported by the Administration for Community Living (ACL), U.S. Department of Health and Human Services (HHS) as part of a financial assistance award totaling $554,782 with 100 percent funding by ACL/HHS. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement by, ACL/HHS, or the U.S. Government.
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