For Professionals:

News About
Medicare Fraud and Abuse

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CHA News Editor/Writer:
Karen Fletcher
MPH, Publications Consultant

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SMP Liaison Emphasizes Fraud Prevention on Local TV
Mar 13, 2012 One of our Senior Medicare Patrol Liaisons, David Juberg was featured in KCET TV's SoCal Connected program Ghost Clinics, a local news segment on the national epidemic of Medicare fraud. He reminds beneficiaries about the key role they play in collapsing the fraud cycle.
Phone Scammers Continue to Target Seniors
Feb 23, 2012 With phone scams on the rise, California's SMP alerts beneficiaries to be wary of scam artists trying to get their personal information such as their Medicare, Social Security or bank account numbers.
Spotlight On... Fraud & Independent Diagnostic Testing Facilities
Sep 26, 2011 How can medical facilities bill Medicare for services on a day when they're closed, or if they don't even exist in a physical location? Yet, this is what Office of Inspector General is finding on their site visits to Independent Diagnostic Testing Facilities (IDTF), particularly in the Los Angeles area.
Help Get Fraud Public Service Announcements Into the Media
July 27, 2011 We can use your assistance in spreading awareness on Medicare fraud.
Slew of 2010 Claims Show Up on Beneficiaries' Medicare Summary Notices
July 27, 2011 Medicare recently made a mass adjustment to many previously processed claims from the 1st quarter of 2010.
Stand Out in Your Outreach: Tips for Success at Health Fairs
July 27, 2011 How do you stand out amongst the crowd and attract and engage the public? Marta Erismann, our Senior Medicare Patrol (SMP) Community Outreach Coordinator, can tell you.
New Medicare Fraud Tools to Help Curb Rising Diabetes Supply Scams
May 3, 2011 A growing number of seniors are reporting suspicious and persistent phone calls from diabetes suppliers. Around the clock, callers are offering "free supplies" regardless of whether beneficiaries have diabetes, and requesting beneficiaries' Medicare numbers and personal health information.
Successful Strategies in Reaching Hmong Elders: A Case Study in Medicare Fraud Outreach
Apr 8, 2011 Marta Erismann, our SMP Community Outreach Coordinator, and Michelle Lee, a registered HICAP volunteer counselor have teamed together to inform Hmong elders across the state about Medicare fraud. They've presented in both Fresno and Sacramento, California's cities with the 1st and 2nd largest Hmong populations respectively.
Dept. of Health Secretary, Attorney General Announce New Tools to Prevent and Fight Fraud
Jan. 11, 2011 New tools and technologies to fight fraud are announced, with examples of what's been accomplished in the last year.
Insurance Agent Arrested & License Revoked for Alleged Fraud, Forgery and Grand Theft Involving Seniors
Oct. 26, 2010 The California Department of Insurance is cracking down on agents committing insurance fraud; in a recent case, the CDI revoked Ghassan Ibrahim’s insurance license for allegedly making a false statement in an insurance claim, forgery and grand theft in a case involving many senior citizens.
California’s SMP “Educates and Advocates” at the L.A. Fraud Summit
Oct. 26, 2010 Julie Schoen and Diane Caradeuc, of CA SMP, presented on SMP’s vital role in eliminating Medicare fraud at the second of a series of summits spear-headed by Attorney General Eric Holder and U. S. Department of Health and Human Services (HHS) Secretary Kathleen Sebelius.
Alaska Invites California’s SMP Program to Provide Fraud Prevention Training to Volunteers
Oct. 26, 2010 Anne Gray, our California SMP Project Coordinator was invited to Anchorage, Alaska on October 22nd to provide Medicare fraud prevention training to a group of over 60 volunteers from around the state.
Congratulations SMPs! CA and National SMP Programs Receive Prestigious Awards
OCT. 26, 2010 California’s Senior Medicare Patrol project was granted two Outstanding Performance Awards from the Administration on Aging this fall.
Insurance Agents Trained to Take Advantage of Seniors
June 30, 2010 Agents for Bankers Life and Casualty, a prominent 100-year-old insurance giant, were caught on tape training new recruits how to take advantage of the elderly. Learn about the recent report that has prompted an investigation by the Senate Committee on Aging.
Scam Artists Beware! Health Care Reform Makes Medicare Fraud Prevention a National Priority
June 15, 2010 Now is one of the worst times to engage in health care fraud as the newly passed health care reforms is one of the strongest pieces of anti-fraud legislation in history. Learn about local fraud investigation efforts and successes.
Offer for Free Shoes Masks Common Medicare Fraud Scam
Feb. 23, 2010 Chico case highlights a common fraud scenario happening in California on a daily basis. Learn what footwear Medicare covers for certain diabetic beneficiaries.
On the Fraud Front: Medicare Advantage Plans “Tell On” Each Other
March 2, 2009
Easy Resources to Stop Unsolicited Mail, Emails and Telemarketing Calls
November 19, 2008
Telephone Scams in California Continue – Protect Your Medicare and Credit Card Info
JULY 1, 2008
California’s Senior Medicare Patrol Project Saves Medicare Over $7 Million in Fraud Claims
JUNE 16, 2008
State and National Bills Introduced to Protect Seniors from Fake Financial Experts
2008
SMP Volunteer Highlight of Recent CMS Press Conference
2008
Los Angeles and Florida Pilot Program Targets Medicare Fraud
2007
National SMP Conference Launches a Fresh Look in a New Era of Consumer Protection
2007
CMS Tip Sheet Provides Simple Suggestions on Preventing Medicare Fraud
2006
Los Angeles County Home Health Agency Identifies Potential Fraud Scam
2006
MEDIC is Here to Monitor Part D Fraud
2006

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