Cases: January 1-February 21, 2020 47 cases total 14 12 10 8 13 - PowerPoint PPT Presentation

Cases: January 1-February 21, 2020 47 cases total 14 12 10 8 13 6 10 4 8 7 2 3 3 1 0 1 1 0 BILLING ISSUES DECEPTIVE DECEPTIVE DME BRACE FRAUDULENT MEDICARE MEDICARE MEDICARE PHONE SCAMS MISC. HOME HEALTH HOSPICE SCAMS GENETIC TESTS ADVANTAGE CARD PHONE SUPPLEMENT CARE ENROLLMENTS PLANS AND SCAMS SCAMS ENROLLMENTS AGENTS

Medicare Back Brace Complaints • Seniors respond to robo call or TV ad • Disclose Medicare # • Receive boxes and boxes of medical equipment

MSN showing brace claims submitted to Medicare: • Negative impacts: • False claims billed. • No access to needed DME. • Compromised Medicare number. • More scam calls.

1. Free 2. Free Cooking & Cleaning DME, Shakes Transportation Hospice Complaints 4. Hospice 3. Age Claim Qualified 5. VISA Assistance

An agent enrolled a beneficiary into • a plan without their permission. Neg egative tive imp mpact acts: s: Agent changed the scope of appt. • Medicare may stop • Agent offers free trips, meals in • paying claims. return for signing up. No access to see • Agent misrepresents the plans • PCP and/or benefits. specialists. Agent tells beneficiary they have to • Medical bills. sign up or they will lose their • Medicare.

SM SMP Fr Frau aud Ale lerts ar are avail ailable le in in 9 9 lan languages Fr Free downloads at t Calif alifornia ia Healt alth Advocates: https://cahealthadvocates.org/fraud-abuse/medicare-fraud-alerts/

California California Health Advocates (501C3) Senior • Medicare education and advocacy Medicare Senior Medicare Patrol Program Patrol • On site fraud prevention presentations www.cahealthadvocates.org • Fraud alerts 855-613-7080 • eNewsletter • Fraudulent billing help and referrals • Monthly educational webinars • Preventing Active Shooters & Workplace Violence in Healthcare • Center for Medicare Advocacy (March 26)