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AARP North Carolina, June 3, 2010
Experts estimate that between $60 and 100 million is paid each year in fraudulent Medicare claims— purposely billing Medicare for services that were never provided or received. Medicare beneficiaries can be an extremely important resource in helping to fight Medicare fraud simply by monitoring their monthly statements to look for fraudulent charges.
Some examples of Medicare fraud include:
Tips for Detecting Fraud
You should be suspicious if a provider tells you that:
Be suspicious of providers that:
You should report suspected instances of fraud. Whenever you receive a payment notice from Medicare, review it for errors. The payment notice shows what Medicare was billed for, what Medicare paid and what you owe. Make sure Medicare was not billed for health care services or medical supplies and equipment you did not receive.
Tips for Preventing Medicare Fraud
It is in your best interest and that of all citizens to report suspected fraud. Health care fraud, whether against Medicare or private insurers, increases everyone's health care costs, much the same as shoplifting increases the costs of the food we eat and the clothes we wear. If we are to maintain and sustain our current health care system, we must work together to reduce costs.
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