Medicare Fraud

Let’s make Medicare stronger for all of us

What is Medicare Fraud?

Some other common examples of fraud and abuse include:

  • Providing unsolicited supplies to beneficiaries and then charging Medicare
  • Misrepresenting a diagnosis, a beneficiary’s identity, the service provided, or other facts to justify payment
  • Prescribing or providing excessive or unnecessary tests and services
  • Violating the participating provider agreement with Medicare by refusing to bill Medicare for covered services or items and billing the beneficiary instead
  • Offering or receiving a kickback (bribe) in exchange for a beneficiary’s Medicare number
  • Requesting Medicare numbers at an educational presentation or in an unsolicited phone call
  • Routinely waiving co-insurance or deductibles. Waivers are only allowed on a case-by-case basis where there is a financial hardship, not as an incentive to attract business.

Fraud Alerts

Fraud Materials

Fraud Videos

Fraud PSAs

Harm to Beneficiaries

Senior Asian woman receives bad news by mail

Medical Identity Theft

Harm to Health

Worried African-American senior man being comforted by spouse

Personal Financial Losses

See “Fraud Examples” for more information.