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SCAM ALERT

Durable Medical Equipment has been an area ripe with fraud for many years.  The Senior Medicare Patrol of New Jersey (SMP) is seeing many cases where Medicare beneficiaries are receiving braces (ankle, back, knee and neck) from out of area providers and ordered by doctors or other providers that the beneficiary has neither heard of or ever seen. 

If you are of victim of this fraud, please take the following steps:

  1. Report any unordered DME items as FRAUD to 1-800-MEDICARE as soon as possible. 
  2. Contact supplier about return. Return should be no cost to beneficiary. 
  3. If you return item, be sure to get a receipt for the return. 
  4. Check your Medicare Summary Notice (MSN) to see the name of the ordering provider and be sure to tell 1-800-MEDICARE if you have never seen this person. 
  5. Three to four weeks after you report the fraud to 1-800-MEDICARE, you should receive an adjusted MSN showing that Medicare has approved a $0.00 amount for the claim. (This means that Medicare has or will recoup the payment.) 
  6. Report the possible fraud to the SMP of NJ.  We will need to open a file and will ask for your personal Medicare information. 
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Charles Clarkson’s guest appearance on Aging Insights

The newest episode of Aging Insights is titled, Medicare Cards and More (Episode 83). On this program, Melissa Chalker speaks with Mary McGeary, Director of the SHIP Program at NJ Div. of Aging Services and Charles Clarkson, Project Director of Senior Medicare Patrol of NJ. Our guests remind us about all of the ins and outs of Medicare coverage, how to look out for Medicare fraud and of course, everything you need to know about your new Medicare card.

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The Cost of Medicare Fraud

Medicare fraud, waste and abuse costs taxpayers an estimated $60 billion a year.  When Medicare dollars are used to pay fraudsters, all taxpayers suffer.  These are dollars that are not being used to pay for legitimate claims for Medicare services.  For this reason, the Senior Medicare Patrol program was established to assist Medicare beneficiaries to fight fraud, waste and abuse.  Let the Senior Medicare Patrol of New Jersey help you.  If you cannot resolve issues of fraud, waste or abuse on your own, we can assist you.  The Senior Medicare Patrol of New Jersey has many trained volunteers who will investigate the facts of your complaint and help you to resolve it.

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Medicare Fraud, Waste and Abuse

When Medicare providers intentionally submit claims to Medicare for services not provided, unnecessary medical services or they double bill or up-code (bill for a higher value service than the one provided), they are committing Medicare fraud.  These are but a few of the examples of Medicare fraud.  You as a Medicare beneficiary and a taxpayer can help prevent this fraud, waste and abuse by contacting the Senior Medicare Patrol of New Jersey at  732-777-1940 or our toll free hotline  at 877-SMP-4359 (877-676-4359.)  Remember, providers who are committing Medicare fraud are stealing from you, the American taxpayer.  Let’s join together and continue the fight against Medicare fraud, waste and abuse.

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Do You Worry About Your Elderly Parents?

Do You Worry About Your Elderly Parents?

SMP and Jewish Family Services do also. The following tips will help you protect your loved ones from being a victim of a Medicare scam.
TIP 1: DO NOT give out your Medicare # to anyone you do not trust. Safeguard your number as you would your bank account or credit card numbers.
TIP 2: Hang up the phone or shut the door if you are contacted by someone claiming to be a Medicare representative. Guess what… Medicare will not call you or make a home visit. “It’s shrewd to be rude.”
TIP 3: Shred your Medicare, health care, and other important documents before throwing them away. Take advantage of free community shredding events.
TIP 4: Be sure to read your Medicare Summary Notice even though it says “This is Not a Bill.” Be on the lookout for services which were not provided, services that were billed twice, or for services not ordered by your doctor. If you see something that doesn’t look right, call your doctor’s billing office right away.
TIP 5: Use a calendar or health care journal to record all of your doctor visits, medical tests and procedures. Compare your Medicare Summary Notice with your calendar or journal. If you see something that does not look right, call your doctor’s billing office right away.
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Data Breach Puts Your Medicare Identity at Risk

Data Breach Puts Your Medicare Identity at Risk

 “To make matters worse, Equifax is a critical partner of the Internal Revenue Service, Centers for Medicare & Medicaid Services, the Social Security Administration and other federal agencies that are the sources and recipients of the some of the most sensitive information affecting individuals, as well as the targets of the vast majority of identity theft fraud against taxpayers.”

ASSUME YOU’RE AFFECTED

Monitor your Medicare Summary Notices and EOB’s
Learn more on how to protect yourself: http://seniormedicarepatrolnj.org/report-fraud/