This month, GeorgiaCare offered a free webinar to seniors with questions about Medicare. The show took live calls through a phone bank, and qualified panelists answered questions about Medicare and Medicaid services, Medicare fraud and other scams. While some answers may be Georgia-specific, the webinar offers excellent information for anyone with similar questions. The broadcast [...]
Continue reading...30. September 2011
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The feds have launched a Medicare Fraud case against Alabama-based SouthernCare. Just two years ago, SouthernCare settled another fraud suit in its home state for nearly $25 million. This time, a former employee filed the suit using the False Claims Act after federal officials refused to pursue charges, Madison.com reports. From the story: Karina Christensen [...]
Continue reading...8. September 2011
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The Medicare Fraud Strike Force struck hard last week week in eight American cities, arresting 91 people for bilking the federal government for more than $295 million. It was the largest dollar amount associated with a takedown in the history of the task force. According to a statement from the Department of Health and Human Services: [...]
Continue reading...28. August 2011
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The time to join or change Medicare Part D plans is near. This year’s Medicare Part D annual enrollment period is scheduled from Oct. 15 through Dec. 7. It is only during this time that beneficiaries can switch, join or drop plans. New plans go into effect on Jan. 1, 2012. For more information on [...]
Continue reading...4. August 2011
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Excerpt from the July Fraud Alert newsletter. Download the full newsletter here. An adult daughter received a suspicious bill ($7,000) from a hospice provider, located in another state, for hospice services her mother received while residing in a Medicare certified skilled nursing facility. The bill arrived approximately six months after her mother passed away. The [...]
Continue reading...11. July 2011
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Wisconsin SMP offers a variety of audio files discussing important topics like identity theft and Medicare fraud and abuse. See the complete list of podcasts below. All are available in English, Spanish and Hmong. You can left-click the file to listen in your Internet browser, or right-click the file name, then choose “Download Linked File [...]
Continue reading...21. June 2011
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In a recent post at HealthCare.gov, Richard Sorian, Assistant Secretary for Public Affairs, discusses how the government tracks Medicare fraudsters. This information – along with other fraud news – was shared at the 6th annual Health Care Fraud Prevention Summit in Philadelphia. He explains: And we are continuing to use our resources to stop each [...]
Continue reading...15. June 2011
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Two Miami men pleaded guilty to defrauding Medicare for more than $750,000 in fraudulent claims. According to Tampa Bay Online, Angel Gonzalez, 43, and Adrian Chalarca, 24, paid bribes to Medicare recipients so that they could bill for physical therapy never received. About a dozen people have been arrested as a result of this Justice [...]
Continue reading...17. March 2011
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The state’s new budget will cut prescription coverage under SeniorCare. That means most of the 91,000 enrollees will need to find private supplements – which could cost thousands. The Milwaukee Journal-Sentinel explains: “Most people now in SeniorCare will not be better off in Medicare Part D,” said John Hendrick, governmental affairs director for the Coalition [...]
Continue reading...9. March 2011
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A recent column from a Medicare regional administrator tells seniors how to avoid fraud – and spot honest mistakes by Medicare providers. Check out “Medicare Q&A: Take steps to avoid being hit by fraud.” David Sayen’s column is published monthly. Sayen is Medicare’s regional administrator for Arizona, California, Hawaii, Nevada and the Pacific Trust Territories. If [...]
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30. November 2011
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