Senior Medicare Patrol Offers Tips on Medicare Fraud Protection By Tod Aronovitz | 02/14/14 | 0 Comment

The benefits Miami area seniors receive from the fraud avoidance training programs offered by the Senior Medicare Patrol (SMP) was discussed in our February 6 post titled “Senior Medicare Patrol Educates Miami Seniors about Medicare Fraud.” This national organization of highly-trained volunteers helps teach Medicare beneficiaries about how to be judicious and spot Medicare fraud.

The SMP provides the following prudent tips on how to protect yourself from Medicare fraud (sourced from the group’s handout):

  • Only go to your personal doctor, hospital or clinic for medical help. Only they should make referrals for special equipment, services or medicine.
  • Never show anyone your medical or prescription records without first talking to your doctor or pharmacist.
  • If someone calls and tries to threaten or pressure you into something, simply hang up the phone.
  • If someone comes to your door and says they are from Medicare or some other healthcare company, shut the door.
  • Do your homework and talk to your healthcare provider before buying or investing in Internet “cure-all” or “miracle” products or services.
  • Don’t keep mail in your mailbox for more than one day. People can and will steal personal information from the mailbox.
  • Rip up, shred or otherwise destroy your Medicare or other healthcare papers and other important documents instead of just throwing them away, but remember to record your doctor’s visits and prescriptions in a healthcare journal. Crooks will go through the trash.
  • Treat your Medicare and Social Security numbers like credit cards. If someone offers to buy your Medicare or Social Security number, don’t do it.
  • Remember that Medicare doesn’t sell anything.
  • Follow your instincts. If it seems too good to be true, it usually is.
  • If you suspect an error, fraud or abuse related to health care, gather the facts and report the situation. Florida SMP has a fraud hotline at 1-866-357-6677.
  • Always read your Medicare Summary Notice (MSN) or your Explanation of Benefits (EOB), the health care billing statement. Your MSN is the piece of mail stamped “This is Not a Bill” and comes in after you receive medical care.
  • Look for three things on your billing statement: Charges for something you didn’t receive, billing for the same thing twice, and services that were not ordered by the doctor

How to Report Miami Medicare Fraud

Healthcare or medical billing employees who have inside knowledge of questionable Medicare billing practices can file a confidential legal claim under the False Claims Act. By acting as a “whistleblower” in what is known as a “qui tam” lawsuit, a private party may collect between 10 to 30 percent of the amount recovered, depending on how the case is prosecuted.

ARONOVITZ LAW: Miami Whistleblower / Qui Tam Law Firm

The Miami Qui Tam law firm of ARONOVITZ LAW routinely works with Miami whistleblowers to document Medicare fraud and other forms of fraud against the government. Contact Miami Whistleblower / Qui Tam lawyer Tod Aronovitz to discuss a case.