SMP Stops Fraudulent Payment & Helps Client Get Wheelchair He Needs

SMP Stops Fraudulent Payment & Helps Client Get Wheelchair He Needs

KQED recently aired one of our Senior Medicare Patrol success stories. Micki Nozaki, our SMP Data Specialist was relentless in working on this fraud case for Jerry, a Vietnam veteran with a serious disability. Jerry had received a prescription from his doctor for a wheelchair. Several days after, an unscrupulous durable medical equipment vendor got knowledge of Jerry’s prescription for a motorized wheelchair and delivered an inferior chair to him.  When the legitimate vendor tried to deliver the correct equipment, they were surprised to find Jerry already had a chair so they did not deliver the correct one. Jerry’s daughter tried several times to get the inferior equipment picked up, but the vendor was hostile and refused. This is when Jerry’s daughter called our California Senior Medicare Patrol (SMP) to intervene. Micki jumped on the case and made sure payment to this durable medical equipment company was withheld until it picked up the unwanted and un-needed equipment. Now the company is under investigation by the Centers for Medicare and Medicaid Services (CMS) while Jerry is able to enjoy the right power wheel chair prescribed to him.

You can listen to the MP3 file of this KQED radio report or read the article.

See Medicare Fraud for more information.
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Karen Fletcher
Our blogger Karen J. Fletcher is CHA's publications consultant. She provides technical expertise, writing and research on Medicare, health disparities and other health care issues. With a Masters in Public Health from UC Berkeley, she serves in health advocacy as a trainer and consultant. See her current articles.

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