What is Medicare Fraud and How Can it Affect Medicare Recipients?

By Kirk Anderson on November 22, 2016

Medicare Fraud is actually a generic term used for any “unlawful act which results in the inappropriate billing of Medicare for services by a healthcare provider, including physicians, hospitals and affiliated providers”. (Definition found at medical-dictionary.thefreedictionary.com.)  Medicare Fraud can occur at any level of care. In the long run, Medicare Fraud can affect the care you receive for numerous reasons.

How can Medicare Fraud affect you as an individual?

Medicare fraud wastes a lot of money each year and results in higher health care costs and taxes for everyone. Con artists commit Medicare Fraud by getting people’s Medicare Identification number. They do this illegally by contacting Medicare recipients via telephone or in person and offer something in exchange for their Medicare Identification number.  These people are very talented and very convincing that there is no harm in providing your Medicare Identification number to them.  You should never provide anyone your Medicare Identification number to anyone in exchange for a free gift – this is never a legitimate offer.  No one will contact you from the Center for Medicare Services (CMS) and offer you a free gift in exchange for your Medicare Identification number.

What do I do if I have been a victim to Medicare Fraud?

If you have been a victim to this type of telephone call or solicitation, or any type of Medicare Fraud, do not hesitate to contact us at the Anderson Law Firm, PLLC.  If you fear you or a loved one has been a victim of Medicare Fraud by an illegitimate source or through overbilling by a medical facility, physician, etc., you should report this to the Center for Medicare Services immediately.

Can Medicare Fraud affect my healthcare?

Yes, Medicare Fraud can affect your healthcare because Medicare Fraud is one of the major contributors to the rise in healthcare costs.  Medicare Fraud also can play a significant factor in your physician deciding whether to participate in the Medicare insurance program or not.  All providers are not required to accept Medicare insurance.  Therefore, the increase in Medicare Fraud, or the raise in suspicion due to Medicare Fraud to a specific medical facility or physician may result in them not deciding not to accept Medicare insurance.

There are times when medical providers, physicians, etc. are falsely accused of Medicare Fraud. If you have been a victim of Medicare Fraud as a Medicare recipient or as a medical provider or physician, you want a knowledgeable attorney on your side.  The Anderson Law Firm, PLLC can assist with all Medicare Fraud legal issues.