Medicare Scams Fraud Alert
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September 01, 2026
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By Renee Buchanan
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WHAT IS A MEDICARE SCAM? In a Medicare scam, criminals pretend to be from Medicare, a doctor’s office, or even a pharmacy. Their goal is to trick people into sharing their Medicare number. Most often, scammers use this information to commit identity theft. They submit bogus Medicare claims in the beneficiary’s name to obtain health…
Read MoreHospice Fraud Scam Alert – For Providers
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August 31, 2026
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By Renee Buchanan
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Hospice Fraud is a Dangerous Trend Hospice fraud is largely unreported and can cause direct patient harm if undetected. The term “hospice fraud” covers a variety of different types of fraud that are each detrimental in their own way. Fraudsters are targeting assisted living facility and nursing home residents whose life expectancy exceeds six months…
Read MoreMedicare Card Scams
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August 31, 2026
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By Renee Buchanan
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In 2018, Medicare updated the Medicare card from containing a person’s Social Security number to a random identifier that includes numbers and letters. That was the last time the card was updated and there is no plan to update it again. What Does the Card Look Like? The card from Medicare is a paper card that…
Read MoreDurable Medical Equipment Fraud
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August 31, 2026
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By Renee Buchanan
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Tips for Protecting Yourself and Your Medicare Medicare Part B covers medically necessary durable medical equipment, or “DME,” that is prescribed by your doctor, can withstand repeated use, serves a medical purpose, and can be used in the home. Medicare only covers DME if you get it from a supplier enrolled in the Medicare program.…
Read MoreGenetic Testing Fraud Alert
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August 31, 2026
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By Renee Buchanan
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Genetic Testing Fraud Sweeps the U.S. Across the nation genetic testing company representatives are offering “free” genetic tests to Medicare beneficiaries. These tests can also be referred to as DNA screenings, cancer screenings, and hereditary testing, to name a few. The representatives go to senior centers, senior housing, health fairs, and even parking lots to…
Read MoreMisleading Medicare Marketing & Marketing Violations
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August 31, 2026
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By Renee Buchanan
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Health insurance companies try to reach people in various ways, like television commercials, radio ads, events, mailings, phone calls, and texts. The Centers for Medicare & Medicaid Services (CMS) has rules for marketing Medicare Advantage plans and Part D plans, though. These rules protect Medicare beneficiaries from aggressive or misleading marketing. Report potential Medicare marketing…
Read MoreDischarge & Transfer Rights
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August 31, 2026
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By Renee Buchanan
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The Nursing Home Reform Law of 1987 prohibits nursing homes from transferring or discharging a resident unless it can establish that one of the permissible reasons for transfer/discharge exists: The nursing home cannot provide adequate care for the resident The resident’s health has improved to the point that he or she no longer needs nursing home care…
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