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Nov 27, 2022 273 likes •421 views

Webinar will begin at 10:00 a.m. For audio you may connect via your computer audio (VoIP) or use your telephone and dial USA Toll Free 1-866-740-1260 Access Code: 2315112 THIS PROJECT WAS SUPPORTED, IN PART BY GRANT NUMBER 90MPPG0019-02-00

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For audio you may connect via your computer audio (VoIP) or use your telephone and dial USA Toll Free 1-866-740-1260 Access Code: 2315112

THIS PROJECT WAS SUPPORTED, IN PART BY GRANT NUMBER 90MPPG0019-02-00 FROM THE U.S. ADMINISTRATION FOR COMMUNITY LIVING, DEPARTMENT OF HEALTH AND HUMAN SERVICES, WASHINGTON, D.C. 20201.

Webinar will begin at 10:00 a.m.

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This project was supported, in part by grant from the U.S. Administration for Community Living, Department of Health and Human Services, Washington, D.C. 20201. Grantees undertaking projects under government sponsorship are encouraged to express freely their findings and conclusions. Points of view or opinions do not, therefore, necessarily represent

  • fficial Administration for Community Living policy.

Dis iscret cretionary ionary Gra rant nt Pr Prod

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  • tice

ice

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Agenda

  • Update on Medicare Fraud

– Sandy Morales, California Senior Medicare Patrol

  • “2 Special Presentations: Avoiding Coronavirus Scams: Tips from the FTC &

National Center on Elder Abuse” – Kerri O’Brien, FTC – Julie Schoen, NCEA

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California Health Advocates

www.cahealthadvocates.org

Providing quality Medicare and related healthcare coverage information, education and policy advocacy

  • Advocacy & Policy – Improving rights and protections

for Medicare beneficiaries and their families

  • Education –Website, fact sheets and educational

workshops

  • Senior Medicare Patrol – Fraud prevention

education

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5 10 15 20 25 30 35 40

1st half 2020

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  • Phone

e scams s

  • “Free” virus kits, vaccines
  • Non

Non-legi egiti tima mate e tes estin ing g sit ites es

  • Door-to

to-door door solic icit itati tions

  • ns
  • Char

arge ges s for r ser ervic ices es suc uch h as as tel eleh ehea ealth lth or lab work rk that wer ere e not pr provid ided ed

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Medicare Back Brace Complaints

  • Seniors receive boxes and boxes of

unwanted medical equipment

  • No prior solicitation
  • Braces claims detected on MSNs
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MSN showing brace claims :

Negative impacts:

  • False claims billed.
  • No access to needed DME in

the future.

  • Compromised Medicare

number.

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Hospice Complaints

  • False claims detected on MSN
  • No terminal illness
  • Unknowingly placed on hospice
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MSN showing hospice claims: Negative impacts:

  • Can’t access prescriptions at the pharmacy.
  • No access to specialist, medical visits cancelled, heart surgery

postponed.

  • Medicare stops paying for claims.
  • Seniors and families faces with pricey medical bills.
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  • English
  • Spanish
  • Chinese
  • Tagalog
  • Vietnamese

Korean

  • Russian
  • Farsi
  • Armenian

https://cahealthadvocates.org/fraud-abuse/medicare-fraud-alerts/

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“BETTY AND THE MEDICARE HEALTH PLAN – MAKING THE RIGHT CHOICE”

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Services Offered

✓Webinars, phone calls ✓Fraud Alerts, e-Newsletter ✓Billing Research ✓Fraudulent billing referred for investigation

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