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A12    BUSINESS
                     Thursday 21 July 2022
                                                                      5 ways to protect yourself from


                                                                      Medicare fraud




                                                                      By  ALEX  ROSENBERG  of
                                                                      NerdWallet
                                                                      Medicare fraud is big busi-
                                                                      ness,  and  like  most  busi-
                                                                      nesses,  it  has  adapted  to
                                                                      the  new  environment  of
                                                                      the COVID-19 pandemic.
                                                                      “The  public  health  emer-
                                                                      gency  created  an  op-
                                                                      portunity  for  fraudsters  to
                                                                      modify  and  repurpose  ex-
                                                                      isting  schemes,”  a  spokes-
                                                                      person  for  the  Centers  for
                                                                      Medicare & Medicaid Ser-
                                                                      vices,  or  CMS,  said  in  an
                                                                      email.  CMS  has  seen  bad   Jackson-Hinds   Comprehensive   Health   Center   medical
                                                                      actors  take  advantage      professionals Tameiki Lee, right, Vanessa Cage, left, Marstonya
                                                                                                   Butler,  second  from  right,  and  Frances  Triplett,  second  from
                                                                      of  wider  demand  for  tele-  left,  confer  prior  to  dispensing  Moderna  vaccinations  at  a
                                                                      health,  COVID-19  testing   inoculation station next to Jackson State University in Jackson,
                                                                      and  vaccines  as  avenues   Miss., Tuesday, July 19, 2022.
                                                                      for identity theft and fraud-                                         Associated Press
                                                                      ulent billing.
                                                                      The  Department  of  Health   number with trusted health   services,  or  durable  medi-
                                                                      and  Human  Services’  Of-   care  providers  or  verified   cal equipment like walkers
                                                                      fice  of  Inspector  General,   COVID-19 vaccine admin-   or braces.
                                                                      or  HHS-OIG,  investigates   istrators.”                  3.  DON’T  GET  TALKED  INTO
                                                                      fraud, waste and abuse in    Unexpected  callers  or  visi-  UNNECESSARY CARE
                                                                      federal  health  care  pro-  tors who ask for your Medi-  Some schemes involve bill-
                                                                      grams,   including   Medi-   care  information  are  sus-  ing  for  expensive  services
                                                                      care.  Nearly  9,000  calls   picious,  especially  if  they   that  you  might  not  need.
                                                                      came into its fraud hotline   claim  to  work  for  Medi-  For  example,  unscrupu-
                                                                      each  month,  on  average,   care.  According  to  CMS,   lous COVID-19 testing sites
                                                                      from  April  through  Sep-   Medicare  will  never  visit   might add on unnecessary
                                                                      tember 2021, according to    you at home, and a Medi-     respiratory pathogen pan-
                                                                      HHS-OIG’s  Spring  2022  re-  care representative would   els that can cost upwards
                                                                      port to Congress.            ask  for  your  Medicare     of $500 . That’s according
                                                                      Calling  a  fraud  hotline   number  by  phone  only  if   to  a  January  2022  white
                                                                      is  one  of  several  actions   you’ve given permission in   paper  by  the  Healthcare
                                                                      Medicare      beneficiaries   advance.                    Fraud  Prevention  Partner-
                                                                      can take to protect them-    2. BEWARE OF FREE GIFTS      ship, a public-private anti-
                                                                      selves. Here are five tips to   Fraudsters  might  try  to   fraud group.
                                                                      help you avoid, detect and   get  your  information  by   If you’re not certain, check
                                                                      report Medicare fraud.       offering  you  something     with a trusted health care
                                                                      1.  PROTECT  YOUR  MEDI-     for  free  in  exchange.  If   provider to confirm wheth-
                                                                      CARE NUMBER                  you’re  asked  to  provide   er  a  service  is  necessary
                                                                      In  the  wrong  hands,  your   your  medical  or  financial   and what it might cost.
                                                                      Medicare  number  could      information  and  promised   4.  REVIEW  YOUR  HEALTH
                                                                      be used to steal your iden-  a  supposedly  free  gift  or   CARE DOCUMENTS
                                                                      tity  or  submit  fraudulent   service,  “that’s  something   Medicare   sends   state-
                                                                      medical bills.               to question, or at least run   ments  to  explain  what
                                                                      “Our  top  tip  is  to  guard   by  a  medical  professional   you  were  billed  for,  how
                                                                      your  Medicare  number       that  you  trust,”  says  Isaac   much Medicare approved
                                                                      just  like  your  Social  Secu-  Bledsoe, an HHS-OIG crimi-  and paid for services, and
                                                                      rity  (number)  and  credit   nal investigator.           the   maximum     amount
                                                                      cards,”  the  CMS  spokes-   Common examples of free      you  may  owe  to  health
                                                                      person  said.  “You  should   offers  might  include  COV-  care  providers.  Watch  for
                                                                      only  share  your  Medicare   ID-19  tests,  genetic testing   any  unexpected  items  or
                                                                                                                                charges  on  these  state-
                                                                                                                                ments.  To  help  you  keep
                                                                                                                                track  of  everything,  you
                                                                                                                                can  request  a  free  “My
                                                                                                                                Health Care Tracker “ from
                                                                                                                                your  state’s  Senior  Medi-
                                                                                                                                care  Patrol,  or  SMP.  SMPs
                                                                                                                                are  grant-funded  projects
                                                                                                                                that provide resources and
                                                                                                                                counseling to help counter
                                                                                                                                Medicare fraud, errors and
                                                                                                                                abuse. q
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