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Durable Medical Equipment Fraud.pdf

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					          
                                     Medicare and Medicaid
                                     provide health care for
                                          older adults and                                                        MMAP, Inc.
                                                                                                                  MM
                                                                                                                  M    gan Me
                                                                                                                  Michigan Medicare/Medicaid Assistance Program

                                     people with disabilities.
                                      If you have questions,
                                                                                                    Navigating

   Review your                                                                                      Medicare


                                          MMAP can help.
    Medicare
 Summary Notice                            1-800-803-7174
    carefully!                            www.mmapinc.org
                                                                                                    Durable
                                                                                                    Medical
Your Medicare Summary Notice
explains the services and supplies    This brochure was supported in part,
                                      by a SMP Project grant from the U.S.
that were billed to Medicare and
                                      Administration on Aging, Department
how much Medicare paid. Make


                                                                                                    Equipment
                                     of Health and Human Services and the
sure you received the supplies
                                     Michigan Office of Services to the Aging
or equipment for which Medicare
                                     with funds received from the Centers for
reimbursed the provider.                Medicare and Medicaid Services.

If you see a charge on your
Medicare Summary Notice and
                                                                                                           Fraud Costs
you think it may be wrong, call
the doctor, health care provider,                                                                   Medicare Millions
or supplier and ask about it.                       MMAP, Inc.
                                                    Michigan Medicare/Medicaid Assistance Program




                                      Navigating
                                                                                                                 of Dollars
                                       Medicare



                                                                                                                 Each Year
What is Medicare                  Durable Medical                   You can help stop
Durable Medical                   Equipment Fraud:                  Medicare fraud!
Equipment?                         • Medicare is billed for items
                                                                    Report Errors and
                                   or equipment you never           Concerns!
Durable Medical Equipment
                                   received
(DME) is supplies and                                               If your doctor, health care
equipment that can generally                                        provider, or supplier doesn’t
                                   • Medicare is billed for
withstand repeated use and                                          answer your questions or
                                   services or equipment which
is appropriate for use in the                                       concerns you can report your
                                   are different from what you
home.                                                               concerns to any of the following:
                                   received
                                                                    • Medicare:
Examples of DME                    • Medicare is billed for home    1-800-Medicare (1-800-633-4227)
                                   medical equipment after it       TTY users; 1-877-486-2048
include:
                                   has been returned
                                                                    • Office of Inspector General
  • Oxygen tank                                                       Hotline:
  • Walkers                       Be Suspicious!                    1-800-HHS-TIPS (1-800-447-8477)
                                                                    TTY users 1-800-377-4950.
  • Wheelchairs
  • Diabetic test strips           • If a provider tells you the    • MMAP Inc.
                                   equipment or service is free       1-800-803-7174
  • Home oxygen equipment                                             www.mmapinc.org
  • Scooters (if you need it to    • If a provider tells you they
                                   know how to get Medicare to        The MMAP SMP program
   move around your home)
                                   pay for the item or service        is a free service with the
                                                                      goal to promote awareness
                                   • If a provider claims they        of Medicare error, fraud and
                                   represent Medicare                 abuse and to help resolve
                                                                      problems identified by people
                                                                      who have Medicare.

				
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posted:6/5/2012
language:English
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