picture of sign that says "Danger Fraud Alert"

HHS OIG Hotline Scam – need to share & warn our partners asap

A telephone scam in which crooks alter caller ID to make it seem as if the call is coming from the HHS OIG Hotline 1-800-HHS-TIPS (1-800-447-8477) to get beneficiaries and members of the public to verify or share personal info which is used to victimize them via financial and other crimes – draining their bank accounts. OIG wants the public …

What to do if you’re wrongfully billed for Medicare costs

Know your rights as a Qualified Medicare Beneficiary. By Stacy Canan and Tim Engelhardt – JAN 18, 2017 If you’re among the 7 million Americans enrolled in the Qualified Medicare Beneficiary (QMB) Program , doctors, suppliers, and other providers aren’t allowed to bill you for Medicare costs when you receive covered medical services, equipment, and supplies. Your Medicare premiums, as …

picture of sign that says "Danger Fraud Alert"

Give Fraudsters the Old “One-Two”

Just hang up on phone solicitors offering free gifts in exchange for your Medicare card number or other health information. Read about more ways to beat the Medicare crooks in the link, below. Help fight Medicare fraud | Medicare.gov Learn about examples of Medicare fraud, like getting billed for services or equipment you never got. Learn More WWW.MEDICARE.GOV

CMS Awards Special Innovation Projects

CMS BLOG CMS Awards Special Innovation Projects to Quality Innovation Network-Quality Improvement Organizations Aimed to Drive Better Care, Smarter Spending, and Healthier People October 20, 2016 By: Patrick Conway, MD, MSc Acting Principal Deputy Administrator Deputy Administrator for Innovation and Quality CMS Chief Medical Officer Kate Goodrich, MD Director Center for Clinical Standards and Quality Dennis Wagner, MPA Director, Quality Improvement …

Fight Fraud by Guarding Your Medicare Number

Health care fraud drives up costs for everyone in the health care system.  One way to protect against such fraud is to guard your Medicare number.  Fraud schemes often depend on identity thieves getting hold of people’s Medicare numbers, so treat your number as you would a credit card.   Follow these important steps to protect yourself from fraud:   …

“Plans for the Quality Payment Program in 2017: Pick Your Pace”

As the baby boom generation ages, 10,000 people enter the Medicare program each day. Facing that demand, it is essential that Medicare continues to support physicians in delivering high-quality patient care. This includes increasing its focus on patient outcomes and reducing the obstacles that make it harder for physicians to practice good care. The bipartisan Medicare Access and CHIP Reauthorization …

Competitive bidding program continues to maintain access and quality while helping to save Medicare millions

CMS News FOR IMMEDIATE RELEASE September 8, 2016 Contact: CMS Media Relations (202) 690-6145 | CMS Media Inquiries Overview The Centers for Medicare & Medicaid Services (CMS) today announced the new single payment amounts and began sending contract offers to successful bidders for Medicare’s Round 1 2017 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program. These new …

CMS examines inappropriate steering of people eligible for Medicare or Medicaid into Marketplace plans

Concerns raised about impact of 3rd party premium provider & affiliated organization payments The Centers for Medicare & Medicaid Services (CMS) today issued a request for information seeking public comment on concerns that some health care providers and provider-affiliated organizations may be steering people eligible for, or receiving, Medicare and/or Medicaid benefits into Affordable Care Act-compliant individual market plans, including …