Fraud & Abuse

Having Trouble with Your Nursing Home? Learn Common Problems & How to Resolve Them
By Karen Fletcher on February 4, 2019
Can a nursing home deny needed therapy services? Evict a resident for being “difficult”? Limit family members and friends...
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Beware of Fake Calls Regarding Your Social Security Number
By Karen Fletcher on January 9, 2019
Last fall we warned of “spoofed” Social Security phone scams, where scammers “appear” to be from Social Security and...
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DME Conviction & Fraud Settlement Reported
By Karen Fletcher on January 2, 2019
Durable medical equipment (DME) fraud continues to be one of the top kinds of fraud reported to our California...
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CMS’ Medicare Provider Directories Have High Levels of Inaccuracies
By Karen Fletcher on December 10, 2018
While Medicare’s open enrollment completed last Friday, December 7, beneficiaries who enrolled into or switched Medicare Advantage plans in...
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Service Coordinators’ Suspicions of Healthcare Fraud Lead to SMP Cases
By Karen Fletcher on December 5, 2018
Wondering what some of the recent fraud trends are? One of our best gauges on what’s “hot” in fraud...
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Medicare’s Open Enrollment Ends Friday, Dec 7 ~ Now’s the Time to Make Your Coverage Choices for 2019
By Karen Fletcher on December 3, 2018
Have you made your health care coverage choices for 2019? If so, great! If not, now is the time,...
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Protect Yourself from Marketing Misconduct ~ Know What Plans & Agents Cannot Do
By Karen Fletcher on November 5, 2018
As we’re now over three weeks into Medicare’s open enrollment, it’s important to review your coverage options, AND to...
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Watch Out for “Spoofed” Social Security Phone Scams
By Karen Fletcher on October 31, 2018
Have you received any calls that appear to be from Social Security where the caller asks for your Social...
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Join Us at Online Care Fair, 11/15 from 2-5 p.m. ~ Free Resources for Caregivers
By Karen Fletcher on October 25, 2018
Do you know of any caregivers looking for helpful advice, resources and real support? If so, spread the word...
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Medicare’s Open Enrollment is Here ~ Review Your Medicare Options for 2019!
By Karen Fletcher on October 15, 2018
Medicare’s Fall Open Enrollment is here! Officially known as the Annual Election Period which runs from October 15 through December 7, this...
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Do you have comments or concerns about your Medicare coverage? Issues regarding getting your needed prescriptions from your Part D plan, or a Medicare Advantage plan representative's marketing practices? Let us know at comments@cahealthadvocates.org.

We are dedicated to making Medicare's program work well for all beneficiaries. Your feedback from your own or your client's concerns and experiences with Medicare, will guide our Medicare advocacy efforts with key policy and decision-makers in both California and nationally with the Centers for Medicare and Medicaid Services (CMS) and Congress.

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