What Should You Do If You Suspect Medicare Fraud?

Medicare fraud costs you more money, increases your taxes, and increases the probability that patients will not receive the treatment or services they require since individuals who willfully cheat Medicare are criminals who prey on those in need of medical support.

Medicare fraud costs the government hundreds of millions of dollars each year, and patients and their families are the first line of defense in the fight against it. One method to accomplish this is to review your Medicare Summary Notice (MSN) as soon as you receive it to ensure that you understand all of the products and services mentioned and that you have gotten everything stated.

Whether you don’t understand the statement or aren’t sure if you got everything on the list, phone the doctor’s office and ask them to clarify it to you, your MSN will include their contact information. They have a strong interest in assisting you in preventing Medicare fraud. If you think someone has committed Medicare fraud but does not have the MSN, you can contact the hotline.

Being a wise consumer can also help avoid Medicare fraud before it occurs. For example, any provider who claims to be supported by Medicare or the government should be viewed with caution, especially if they claim to represent Medicare or contact you by telemarketing or door-to-door salespeople.

Give your Medicare Health Insurance Claim Number or Medicare card to a physician who says, “Medicare doesn’t generally cover this. But you should know how to persuade them to pay for it,” or interact with doctors who say, “Medicare wants you to have this,” is a recipe for disaster. For more information, click here.

Medicare is an insurance program; have you ever heard of an insurance firm that wants to pay for more than they have to? Also, you should not provide your card or number to any provider that claims that all you have to do is give them your Medicare number, and they would do things for you for free. They’ll almost certainly bill Medicare for something, and you won’t have received anything. Visit the Medicare Benefits Center for additional information about Medicare fraud and abuse, as well as recommendations on how to avoid it, and speak with an expert attorney like Hart Powell, S.C.

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