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To help protect yourself and Medicare from fraud and identity theft you should report it. Whenever you get a payment notice from Medicare review it for errors. The notice shows what Medicare was billed for, what Medicare paid, and what (if anything) you owe. Make sure Medicare was not billed for health care services, medical supplies, or equipment you did not get. Before you contact your health care provider, Medicare, or the Inspector General's hotline, carefully review the facts, and have the following ready: * The provider's name and any identifying number you may have. * The service or item information you are questioning. * The date the service or item was supposedly given or delivered. * The payment amount approved and paid by Medicare. * The date on your Medicare Summary Notice. * Your name and Medicare number (as listed on your Medicare card). * The reason you think Medicare should not have paid. * Any other information you have showing why Medicare should not have paid. Report Errors HHS Office of Inspector General Phone 1-800-HHS-TIPS (1-800-447-8477) TTY: 1-800-377-4950 Internet Report Fraud Online Mail HHS Tips Hotline PO Box 23489 Washington, DC 20026-3489 Centers for Medicare and Medicaid Phone 1-800-Medicare 1-877-486-2048 Mail Medicare Beneficiary Contact Center PO Box 39 Lawrence KS, 66044

(1888PressRelease) Uncovering medicare scams latest news articles for general public to use. U.S. Rep. Ileana Ros-Lehtinen, R-Miami, has reintroduced legislation that would double the amount of fines and incarceration for people in prison for Medicare fraud/scam. It also creates a new criminal offense punishable with a 10 year minimum sentence for those who intentionally sell or distribute the ID numbers of Medicare beneficiaries. According to the Springhill Group, the legislation also bars those who have been part of Medicare dupery in the past from billing Medicare if they switch companies. It also facilitates real-time information sharing among law enforcement agencies to aid in uncovering and dismantling Medicare scams. "South Florida has been known as the epicenter of Medicare dupery for years," she said. "It is time we took the fight to those who seek to defraud Medicare and prey on our most vulnerable citizens. This bill not only raises the penalties for those who engage in Medicare fraud, but also sets up a pro-active paradigm that will help stem the tide of abuse in South Florida and across the nation."The bill takes particular aim at Medicare theft in Miami-Dade County, widely regarded as the nation's capital of healthcare dupery. Medicare dupery in South Florida costs taxpayers between $3 billion and $4 billion every year, according to law enforcement and healthcare officials. Nationwide, Medicare and other healthcare fraud is estimated to cost $68 billion each in very year. http://springhillmedgroup.com Springhill Group | Redgage » Making healthy choices, Living healthy life%u2026.. Springhill Health and Medical Group is a professional solution of home health, medical staffing, and wellness services. As a full-service healthcare company, Springhill Group Services has a wide range of experience providing home health, medical staffing, and wellness services in communities nationwide. We are dedicated to delivering our patients

According to Steven M. Dettelbach, United States Attorney for the Northern District of Ohio, a man who lives in Orange, Ohio admitted to overbilling Medicaid and Medicare by more than $2.5 million. Thirty-nine year old, Divyesh "David" C. Patel, pleaded guilty to one count of conspiracy to having been involved to health care fraud and four counts of health care fraud. Patel is anticipated to be sentenced later on this year. Dettelbach said, "This defendant enriched himself and his company by flouting rules designed to protect the public." "Mr. Patel defrauded the tax payers by scamming Medicaid and Medicare," said Stephen D. Anthony, Special Agent in Charge of the FBI's Cleveland Field Office. "Waste, fraud, and abuse take critical resources out of our health care system and contribute to the rising cost of health care for all Americans." According to court documents, Patel was the owner and president of Alpine Nursing Care Inc., located at 4753 Northfield Road, Suite 5, North Randall, Ohio, and employed Belita Mable Bush as the office manager and director of provider services from June 1, 2006 through October 18, 2009. An additional info according to court documents is Patel and Alpine employed Bush to prepare and submit the billings to Medicaid and Medicare for reimbursement for services provided by Alpine as a home health care provider, even though Patel knew that Bush had been previously convicted of a health care-related felony that excluded Bush from being involved in any way with Alpine's Medicaid and Medicare billings. In addition to the fact that Bush was excluded from handling Alpine's medical billings, Patel was aware that Bush falsified documents related to health care services allegedly provided to home health patients where the services were never provided or were provided by home health aide that had previous criminal convictions that excluded them from providing health services in people's houses, a

WASHINGTON - The Obama administration is upping the ante in the fight against health care fraud, joining forces with private insurers and state investigators on a scale not previously seen in an attempt to stanch tens of billions of dollars in losses. Health and Human Services Secretary Kathleen Sebelius said in a statement Thursday that the new public-private partnership "puts criminals on notice that we will find them and stop them," while Attorney General Eric Holder called it "a critical step forward" against fraud, an endemic problem plaguing programs like Medicare and Medicare as well as private insurance companies. Details of the collaboration remain to be worked out, but the possibilities include sharing information on new fraud schemes as they pop up, using claims data to catch scams such as payments billed to different insurers on the same day for care purportedly delivered to the same patient in different cities, and using computer analysis to spot emerging patterns of fraud. The agreement is also unusual because it brings the Obama administration and longtime foes in the insurance industry together to tackle a common problem. While carrying out the requirements of President Barack Obama's health care overhaul law, insurers are also lobbying to roll back some of its provisions, such as new taxes on the industry and cuts to private plans offered through Medicare. Obama continues to rail against industry "abuses." Fraud is estimated to cost Medicare about $60 billion a year, and the Obama administration has beefed up the government's efforts to stop it, bringing in record settlements with drug companies for marketing violations as well as using new powers in the health care law to pursue low-level fraudsters with greater zeal. Yet, although Medicare is becoming a harder target, it's too early to say if the tide has turned. Some antifraud efforts launched with great fanfare have yet to

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Medicare Supplement plans, otherwise known as Medigap plans, is a health insurance sold by private insurance companies to fill the gaps in Original Medicare Plan coverage.

WASHINGTON - The Obama administration is upping the ante in the fight against health care fraud, joining forces with private insurers and state investigators on a scale not previously seen in an attempt to stanch tens of billions of dollars in losses. Health and Human Services Secretary Kathleen Sebelius said in a statement Thursday that the new public-private partnership "puts criminals on notice that we will find them and stop them," while Attorney General Eric Holder called it "a critical step forward" against fraud, an endemic problem plaguing programs like Medicare and Medicare as well as private insurance companies. Details of the collaboration remain to be worked out, but the possibilities include sharing information on new fraud schemes as they pop up, using claims data to catch scams such as payments billed to different insurers on the same day for care purportedly delivered to the same patient in different cities, and using computer analysis to spot emerging patterns of fraud. The agreement is also unusual because it brings the Obama administration and longtime foes in the insurance industry together to tackle a common problem. While carrying out the requirements of President Barack Obama's health care overhaul law, insurers are also lobbying to roll back some of its provisions, such as new taxes on the industry and cuts to private plans offered through Medicare. Obama continues to rail against industry "abuses." Fraud is estimated to cost Medicare about $60 billion a year, and the Obama administration has beefed up the government's efforts to stop it, bringing in record settlements with drug companies for marketing violations as well as using new powers in the health care law to pursue low-level fraudsters with greater zeal. Yet, although Medicare is becoming a harder target, it's too early to say if the tide has turned. Some antifraud efforts launched with great fanfare have yet to deliver convincing results.

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KISSIMMEE, Fla. -- Kicking off a two-day Sunshine State barnstorm Saturday, President Barack Obama tapped into key parts of what he hopes will be a winning Florida coalition similar to but larger than the one he assembled in 2008. At stops in Seminole and Kissimmee, Fla., the president, who won the Sunshine State by just 50.9 percent in 2008, targeted the votes of senior citizens, warning that their Medicare benefits would be harmed by a plan put forward by his Republican opponents Mitt Romney and Paul Ryan. "I want you to know, AARP, I would never turn Medicare into a voucher," Obama said at a civic center here, making an explicit play for members of the 50-and-up club. "I believe no American should ever have to spend their golden years at the mercy of insurance companies."

KISSIMMEE, Fla. -- Kicking off a two-day Sunshine State barnstorm Saturday, President Barack Obama tapped into key parts of what he hopes will be a winning Florida coalition similar to but larger than the one he assembled in 2008. At stops in Seminole and Kissimmee, Fla., the president, who won the Sunshine State by just 50.9 percent in 2008, targeted the votes of senior citizens, warning that their Medicare benefits would be harmed by a plan put forward by his Republican opponents Mitt Romney and Paul Ryan. "I want you to know, AARP, I would never turn Medicare into a voucher," Obama said at a civic center here, making an explicit play for members of the 50-and-up club. "I believe no American should ever have to spend their golden years at the mercy of insurance companies."

KISSIMMEE, Fla. - Kicking off a two-day Sunshine State barnstorm Saturday, President Barack Obama tapped into key parts of what he hopes will be a winning Florida coalition similar to but larger than the one he assembled in 2008. At stops in Seminole and Kissimmee, Fla., the president, who won the Sunshine State by just 50.9 percent in 2008, targeted the votes of senior citizens, warning that their Medicare benefits would be harmed by a plan put forward by his Republican opponents Mitt Romney and Paul Ryan. "I want you to know, AARP, I would never turn Medicare into a voucher," Obama said at a civic center here, making an explicit play for members of the 50-and-up club. "I believe no American should ever have to spend their golden years at the mercy of insurance companies."

In USA TODAY's article "The underlying duel of 2012: Seniors vs. Millennials," GOP volunteer Immo Sulyok is quoted saying about Election Day: "I'll be there, or I'll be dead." As will I, but my vote will be for President Obama ("A defining gap: Seniors for Romney, Millennials for Obama") I believe that our major concern should be educating our young. It is unbelievably arrogant for seniors like me to worry about only our welfare, finances and health. We had our day in the sun. The future generation is being short-changed by cuts in education spending and the increasing cost of higher education. We are witnessing the dumbing-down of America. There is also so much misinformation floating around about the Affordable Care Act and so much we mere citizens do not understand. Many rely on radio or TV talk-show hosts to teach us, and unfortunately, the hosts "teach" their opinions. Perhaps we should still think for ourselves. Joan LaRose; San Diego Older voters remember There is a different sense of history that divides Millennials and those 65 and older. Older voters remember the Cuban missile crisis, the Cold War and the hot Korean War and Vietnam conflict. Seniors served and sacrificed in Korea and Vietnam to defend the free world against communism. They have seen what communism wrought in Eastern Europe and Asia. This brave generation will vote in droves for Mitt Romney to prevent President Obama from transforming a free America into a socialist or communist one. Paul Hoylen Jr.; Deming, N.M. Elderly rely on entitlements The great majority of older Americans are expected to vote for Mitt Romney, the Republican nominee for president, in the upcoming election. Ironically, most of these senior citizens depend heavily on Social Security and Medicare for survival. Both of these programs were enacted by Democratic presidents and Congresses controlled by Democrats! What are these seniors thinking? Bob Hamlett; Nashville GOP plan causes concerns

In USA TODAY's article "The underlying duel of 2012: Seniors vs. Millennials," GOP volunteer Immo Sulyok is quoted saying about Election Day: "I'll be there, or I'll be dead." As will I, but my vote will be for President Obama ("A defining gap: Seniors for Romney, Millennials for Obama") I believe that our major concern should be educating our young. It is unbelievably arrogant for seniors like me to worry about only our welfare, finances and health. We had our day in the sun. The future generation is being short-changed by cuts in education spending and the increasing cost of higher education. We are witnessing the dumbing-down of America. There is also so much misinformation floating around about the Affordable Care Act and so much we mere citizens do not understand. Many rely on radio or TV talk-show hosts to teach us, and unfortunately, the hosts "teach" their opinions. Perhaps we should still think for ourselves. Joan LaRose; San Diego Older voters remember There is a different sense of history that divides Millennials and those 65 and older. Older voters remember the Cuban missile crisis, the Cold War and the hot Korean War and Vietnam conflict. Seniors served and sacrificed in Korea and Vietnam to defend the free world against communism. They have seen what communism wrought in Eastern Europe and Asia. This brave generation will vote in droves for Mitt Romney to prevent President Obama from transforming a free America into a socialist or communist one. Paul Hoylen Jr.; Deming, N.M. Elderly rely on entitlements The great majority of older Americans are expected to vote for Mitt Romney, the Republican nominee for president, in the upcoming election. Ironically, most of these senior citizens depend heavily on Social Security and Medicare for survival. Both of these programs were enacted by Democratic presidents and Congresses controlled by Democrats! What are these seniors thinking? Bob Hamlett; Nashville GOP plan causes concerns While I am 65

In USA TODAY's article "The underlying duel of 2012: Seniors vs. Millennials," GOP volunteer Immo Sulyok is quoted saying about Election Day: "I'll be there, or I'll be dead." As will I, but my vote will be for President Obama ("A defining gap: Seniors for Romney, Millennials for Obama") I believe that our major concern should be educating our young. It is unbelievably arrogant for seniors like me to worry about only our welfare, finances and health. We had our day in the sun. The future generation is being short-changed by cuts in education spending and the increasing cost of higher education. We are witnessing the dumbing-down of America. There is also so much misinformation floating around about the Affordable Care Act and so much we mere citizens do not understand. Many rely on radio or TV talk-show hosts to teach us, and unfortunately, the hosts "teach" their opinions. Perhaps we should still think for ourselves. Joan LaRose; San Diego Older voters remember There is a different sense of history that divides Millennials and those 65 and older. Older voters remember the Cuban missile crisis, the Cold War and the hot Korean War and Vietnam conflict. Seniors served and sacrificed in Korea and Vietnam to defend the free world against communism. They have seen what communism wrought in Eastern Europe and Asia. This brave generation will vote in droves for Mitt Romney to prevent President Obama from transforming a free America into a socialist or communist one. Paul Hoylen Jr.; Deming, N.M. Elderly rely on entitlements The great majority of older Americans are expected to vote for Mitt Romney, the Republican nominee for president, in the upcoming election. Ironically, most of these senior citizens depend heavily on Social Security and Medicare for survival. Both of these programs were enacted by Democratic presidents and Congresses controlled by Democrats! What are these seniors thinking? Bob Hamlett; Nashville GOP plan causes concerns While I am 65

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WASHINGTON - The Obama administration is upping the ante in the fight against health care fraud, joining forces with private insurers and state investigators on a scale not previously seen in an attempt to stanch tens of billions of dollars in losses. Health and Human Services Secretary Kathleen Sebelius said in a statement Thursday that the new public-private partnership "puts criminals on notice that we will find them and stop them," while Attorney General Eric Holder called it "a critical step forward" against fraud, an endemic problem plaguing programs like Medicare and Medicare as well as private insurance companies. Details of the collaboration remain to be worked out, but the possibilities include sharing information on new fraud schemes as they pop up, using claims data to catch scams such as payments billed to different insurers on the same day for care purportedly delivered to the same patient in different cities, and using computer analysis to spot emerging patterns of fraud.

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Joan H. Krause University of North Carolina (UNC) at Chapel Hill - School of Law August 8, 2012 Annals of Health Law, Vol. 21, No. 1, 2012 UNC Legal Studies Research Paper No. 2018589 Abstract: This essay considers how the 2010 Supreme Court decision in Skilling v. United States, which limited the situations in which mail and wire fraud cases may be premised on violations of the "intangible right to honest services," has the potential to alter the future of health care fraud litigation. While Skilling is widely perceived to have closed the door to several types of common mail and wire fraud prosecutions, this may not turn out to be the case in health care. In health care, the renewed focus on kickbacks as evidence of an honest services breach instead may dovetail nicely with both the Obama Administration's emphasis on criminal health care fraud enforcement and the jurisprudence of the Medicare & Medicaid Anti-Kickback Statute. This kind of leverage may prove very difficult for prosecutors to resist, and most certainly will require changes in the way the health law bar approaches common Anti-Kickback concerns.

Joan H. Krause University of North Carolina (UNC) at Chapel Hill - School of Law August 8, 2012 Annals of Health Law, Vol. 21, No. 1, 2012 UNC Legal Studies Research Paper No. 2018589 Abstract: This essay considers how the 2010 Supreme Court decision in Skilling v. United States, which limited the situations in which mail and wire fraud cases may be premised on violations of the "intangible right to honest services," has the potential to alter the future of health care fraud litigation. While Skilling is widely perceived to have closed the door to several types of common mail and wire fraud prosecutions, this may not turn out to be the case in health care. In health care, the renewed focus on kickbacks as evidence of an honest services breach instead may dovetail nicely with both the Obama Administration's emphasis on criminal health care fraud enforcement and the jurisprudence of the Medicare & Medicaid Anti-Kickback Statute. This kind of leverage may prove very difficult for prosecutors to resist, and most certainly will require changes in the way the health law bar approaches common Anti-Kickback concerns.

Joan H. Krause University of North Carolina (UNC) at Chapel Hill - School of Law August 8, 2012 Annals of Health Law, Vol. 21, No. 1, 2012 UNC Legal Studies Research Paper No. 2018589 Abstract: This essay considers how the 2010 Supreme Court decision in Skilling v. United States, which limited the situations in which mail and wire fraud cases may be premised on violations of the "intangible right to honest services," has the potential to alter the future of health care fraud litigation. While Skilling is widely perceived to have closed the door to several types of common mail and wire fraud prosecutions, this may not turn out to be the case in health care. In health care, the renewed focus on kickbacks as evidence of an honest services breach instead may dovetail nicely with both the Obama Administration's emphasis on criminal health care fraud enforcement and the jurisprudence of the Medicare & Medicaid Anti-Kickback Statute. This kind of leverage may prove very difficult for prosecutors to resist, and most certainly will require changes in the way the health law bar approaches common Anti-Kickback concerns.

KISSIMMEE, Fla. -- Kicking off a two-day Sunshine State barnstorm Saturday, President Barack Obama tapped into key parts of what he hopes will be a winning Florida coalition similar to but larger than the one he assembled in 2008. At stops in Seminole and Kissimmee, Fla., the president, who won the Sunshine State by just 50.9 percent in 2008, targeted the votes of senior citizens, warning that their Medicare benefits would be harmed by a plan put forward by his Republican opponents Mitt Romney and Paul Ryan.

Wallabies star pens Chiefs deal Exeter Chiefs boss Rob Baxter was delighted with the capture of Wallabies star Dean Mumm who has penned a two-year deal at the club. The south west outfit announced the signing on Monday, with the 28-year-old set to move to the English top flight from New South Wales Waratahs after the conclusion of the current Super 15 season. The 27-year-old made his Waratahs' debut back in 2004 and has won more than 30 caps for the Australia national side. He can also operate at flanker but prefers to do his work in the boiler room, and Baxter feels he has everything required to be a massive part of the club's future over the next couple of seasons. "He's a very good signing for us and a very good player," he told reporters. "He is a back five forward coming into his physical prime. "We've looked at lot at him and we believe he has got a lot of ingredients that we want him to bring to the club." Exeter finished eight in their debut season in the Premiership but are currently fifth in the standings this season with just one regular-season game to go. Victory over Northampton at the weekend would have guaranteed them a play-off berth but the 18-15 defeat means they must now win at Saracens to have any chance of making the top four. Despite the disappointment, Baxter feels that it is testament to how far the club has come that top players now want to come and ply their trade in Devon. "Personally, I think it's a great credit to what the players have achieved this season, and where we are as a club right now, that a guy of that standing wants to come and play his rugby here in Exeter," he added.

At a Chicago summit highlighting a new high-tech war against health care fraud, Health and Human Services (HHS) Secretary Kathleen Sebelius and Attorney General Eric Holder today discussed how the Affordable Care Act and the Obama administration's Health Care Fraud Prevention and Enforcement Action Team (HEAT) are helping fight Medicare fraud.

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Increased collaboration has yielded significant results through the HEAT partnership. Since the creation of HEAT in 2009, the Medicare Fraud Strike Force operations have expanded from two to nine locations throughout the United States, including Chicago. Strike Force operations expanded to Chicago in February 2011 and since that time, charges have been filed against more than 35 defendants in the Northern District of Illinois for offenses related to health care fraud. Overall, in fiscal year 2011, strike force operations in nine locations charged a total of more than 320 defendants for allegedly billing more than $1 billion in false claims. In February, as a result of HEAT and strike force actions, a Dallas-area physician and the office manager of his medical practice, along with five owners of home health agencies, were arrested on charges related to their alleged participation in a nearly $375 million health care scheme involving fraudulent claims for home health services. In conjunction with this action, CMS imposed payment suspensions against 78 home health agencies in the Dallas area.

It was President Franklin Delano Roosevelt who once said 'With great power comes great responsibility.' Unfortunately, there are many people in our society that neglect their responsibility and abuse their power. Those who commit fraud against people who are disabled are especially heinous.

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