Friday, May 27, 2016
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In This Issue
 
Fraud in the News
The following are current news articles about health care and fraud issues.

Health Care Fraud:



Consumer Fraud:



Please share this Fraud Alert with colleagues, consumers, or other professionals in your area. If you have any questions about the Illinois SMP program, or to receive these Fraud Alerts directly, please contact Jason Echols, Healthcare Consumer Protection Coordinator at AgeOptions.
 
This project was supported, in part by grant number 90MP0216, from the U.S. Administration for Community Living, Department of Health and Human Services, Washington, D.C. 20201. Grantees undertaking projects under government sponsorship are encouraged to express freely their findings and conclusions. Points of view or opinions do not, therefore, necessarily represent official Administration for Community Living policy. 
  

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Dear SMP Readers, 

 

This week's Fraud Alert includes a video about what SMP volunteers do, a guilty plea in a Rockford-area health care fraud case, and tips for talking with your health insurance provider.

 

Have a great weekend!

 
Could You Afford to Lose 10% of Your Income Each Year?

That's the question that opens this new video about Medicare fraud and what SMP volunteers are doing about fraud. Estimates of how much is lost to fraud range from 3 to 10% of all health care spending annually. That means that as much as $60 billion of taxpayer money are lost due to Medicare fraud every year!

There is something you can do about this loss. Prevent Medicare fraud by never giving out your Medicare number to people who call you on the phone and by working with your doctor to get any medically necessary services or supplies. Detect fraud by reading your Medicare Summary Notice (MSN). Report fraud by calling the Illinois SMP at AgeOptions at (800)699-9043.

This video was produced by the Ohio and Kentucky SMPs and features real SMP volunteers. If you would like to volunteer in your area, visit the Illinois SMP Volunteer webpage or call (800)699-9043 and ask for "SMP."

National SMP Awareness Video
National SMP Awareness Video

 
Rockford Area Physician Pleads Guilty to Health Care Fraud

Charles DeHann of Belvidere, Illinois pleaded guilty to two counts of health care fraud. The charges against him included overbilling Medicare and billing Medicare for the treatment of people who were already deceased. In the plea agreement, DeHann admitted to billing for services that he did not actually provide. Sentencing is scheduled for September. Read more about this guilty plea in the U.S. Department of Justice press release.
 
Tips for Calling Medicare or Your Health Insurance

At the Illinois SMP, we often encourage people to call 1-800-MEDICARE (1-800-633-4227). But what do you say when you call Medicare? The Medicare Rights Center recently released an infographic titled "Tips for Communicating With Insurers" which offers some tips for those calls to Medicare or your other health insurance provider. 

Learn more on the Medicare Rights Center's Medicare Interactive website.

AgeOptions Ideogram

 

Jason B. Echols, MSW,
Health Care Consumer Protection Coordinator
AgeOptions
1048 Lake Street, Suite 300
Oak Park, IL 60301
phone (708)383-0258 fax (708)524-0870
jason.echols@ageoptions.org

ageoptions.org

 

AgeOptions, the Area Agency on Aging of Suburban Cook County, is committed to improving the quality of life and maintaining the dignity of older adults and those who care about them - through leadership and support, community partnerships, comprehensive services, accurate information and powerful advocacy.

Fraud Alerts contain information about current scams taking place in Illinois, announcements and updates about programs or services related to health care and/or fraud protection, and links to news articles about health care and fraud topics. Please forward any recommendations or announcements that you would like to be included in a future Fraud Alert to jason.echols@ageoptions.org.