Webinar will begin at 10:00 a.m. For audio you may connect via your computer audio (VoIP) or use your telephone and dial USA Toll Free 1-866-740-1260 Access Code: 2315112 THIS PROJECT WAS SUPPORTED, IN PART BY GRANT NUMBER 90MPPG0019-02-00 FROM THE U.S. ADMINISTRATION FOR COMMUNITY LIVING, DEPARTMENT OF HEALTH AND HUMAN SERVICES, WASHINGTON, D.C. 20201.
Dis iscret cretionary ionary Gra rant nt Pr Prod oduc uct t Dis iscla claimer imer Not otice ice This project was supported, in part by grant from the U.S. Administration for Community Living, Department of Health and Human Services, Washington, D.C. 20201. Grantees undertaking projects under government sponsorship are encouraged to express freely their findings and conclusions. Points of view or opinions do not, therefore, necessarily represent official Administration for Community Living policy.
Agenda • Update on Medicare Fraud – Sandy Morales, California Senior Medicare Patrol • “2 Special Presentations: Avoiding Coronavirus Scams: Tips from the FTC & National Center on Elder Abuse” – Kerri O’Brien, FTC – Julie Schoen, NCEA
Providing quality Medicare and related healthcare coverage information, education California and policy advocacy Health • Advocacy & Policy – Improving rights and protections Advocates for Medicare beneficiaries and their families • Education – Website, fact sheets and educational www.cahealthadvocates.org workshops • Senior Medicare Patrol – Fraud prevention education
1 st half 2020 40 35 30 25 20 15 10 5 0
• Phone e scams s • “Free” virus kits, vaccines • Non Non-legi egiti tima mate e tes estin ing g sit ites es • Door-to to-door door solic icit itati tions ons • Char arge ges s for r ser ervic ices es suc uch h as as tel eleh ehea ealth lth or lab work rk that wer ere e not pr provid ided ed
Medicare Back Brace Complaints • Seniors receive boxes and boxes of unwanted medical equipment • No prior solicitation • Braces claims detected on MSNs
MSN showing brace claims : Negative impacts: • False claims billed. • No access to needed DME in the future. • Compromised Medicare number.
Hospice Complaints • False claims detected on MSN • No terminal illness • Unknowingly placed on hospice
MSN showing hospice claims: Negative impacts: • Can’t access prescriptions at the pharmacy. • No access to specialist, medical visits cancelled, heart surgery postponed. • Medicare stops paying for claims. • Seniors and families faces with pricey medical bills.
-English -Spanish -Chinese -Tagalog -Vietnamese Korean -Russian -Farsi -Armenian https://cahealthadvocates.org/fraud-abuse/medicare-fraud-alerts/
“BETTY AND THE MEDICARE HEALTH PLAN – MAKING THE RIGHT CHOICE”
Services Offered ✓ Webinars, phone calls ✓ Fraud Alerts, e-Newsletter ✓ Billing Research ✓ Fraudulent billing referred for investigation
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