• Beneficiary Saves Close to $6,000 ~ an SMP Success Story

    By on January 12, 2017

    Sometimes what appears to be fraud, may just be a billing issue or mistake. Yet it is always good to report suspected fraud so we can help resolve the situation at hand. Last month an elderly couple contacted our Senior Medicare Patrol regarding almost $6,000 of ambulance bills for 2 ambulance trips in May...

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  • The Hirono Amendment Aims to Protect Medicare & Medicaid

    By on January 11, 2017

    Senators Mazie K. Hirono (D-HI) and Joe Donnelly (D-IN) created an amendment to protect Medicare and Medicaid. California Health Advocates and advocates across the country have signed on as co-sponsors to protect these programs from the reconciliation process by creating a budget point of order to prevent any changes to Medicare would that raise...

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  • Help Save the ACA — January 10th National #ProtectOurCare Call-In Day

    By on January 9, 2017

    Congress’ attempt to repeal the Affordable Care Act will strip health care coverage from tens of millions of individuals and increase health care costs for millions more. Congressional Republicans are rushing ahead to destroy the ACA and the expansion of Medicaid.   Call your Senators Tuesday, Jan.10  to protect health care. Call the Capitol switchboard at 202-224-3121 and...

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  • We’re All Aging ~ Let’s Change Culture to Honor Our Elders & Age with Dignity

    By on January 9, 2017

    Everybody is aging…it’s just that some people have more experience at it than others. Here’s a new publication that is part of the wave of changing agism in our culture and promoting “Aging with Dignity”. Indigenous cultures across the planet have long respected, learned from and honored their elders. Many have, in fact, lived...

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  • New Medicare Rules Help Assure High-Need Patients Get Better Care

    By on January 5, 2017

    As of January 1, 2017, Medicare has new regulations in effect that will pay for much of physicians' previously uncompensated time in care coordination for high-need elderly patients. For example, under the new rules, physicians will be compensated for the extra team work involved in complex chronic care management, such as working with nurses,...

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  • How Does Data Analysis Help in the Fight to Stop Medicare Fraud?

    By on January 3, 2017

    Below is an interview with Caryl Brzymialkiewicz, Chief Data Officer for the Health and Human Services Office of Inspector General, about data’s role in fighting healthcare fraud, waste and abuse. He starts of with an example of healthcare fraud where Dr. David Pon, a physician in Florida, fraudulently mis-diagnosed and treated over 500 patients...

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  • Do You Know Your Medigap Guaranteed Issue Rights?

    By on December 27, 2016

    Medigap policies are a form of private supplemental insurance that pay for part or all of Medicare’s coinsurance and deductibles. Certain policies also cover health care costs that Medicare doesn’t cover, such as emergency medical care in foreign countries, and excess charges from a provider who does not accept assignment. Medigap policies do not restrict you to a network...

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  • “Pass It On” Empowers Seniors in Fraud Prevention

    By on December 22, 2016

    Pass It On is a peer consumer education movement developed by the Federal Trade Commission (FTC) with the goal of fraud prevention. The idea is built upon that fact that older consumers have a lifetime of experience they can bring to bear to prevent themselves and their peers from being victims of fraud.

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