The Senior Medicare Patrol presents:

Transcription

1 SMP Resource Center

2 7/12/2016 The Senior Medicare Patrol presents: This resource was supported in part by a grant (No. 90NP0003) from the Administration for Community Living (ACL), U.S. Department of Health and Human Services (DHHS). Grantees carrying out projects under government sponsorship are encouraged to express freely their findings and conclusions. Therefore, points of view or opinions do not necessarily represent official ACL or DHHS policy. Are you Smarter than a Scam Artist? Consequences 1 Medicare Advantage Marketing Guidelines Fraud, Errors, & Abuse Medicare Outreach Supplemental Insurance Beneficiaries SMP Volunteer Roles How SMPs Help 1 Detect Consequences 2 How SMPs Help 2 Prevent Select a topic to help the SMPs save Medicare money! Final Question 1

3 7/12/2016 The is to empower and assist Medicare beneficiaries, their families, and caregivers to prevent, detect, and report health care fraud, errors, and abuse through outreach, counseling, and education. SMP oath SMP mission SMP agreement SMP law That s Correct! You saved Medicare money 2

4 7/12/2016 I m Sorry The correct answer is: SMP mission Because Medicare cards and numbers contain, they are as valuable to identity thieves as credit cards. Bar codes Magnetic strips Social Security numbers Phone numbers 3

5 7/12/2016 That s Correct! You saved Medicare money I m Sorry The correct answer is: Social Security numbers 4

6 7/12/2016 Which of the following can be used to cross-check services outlined on Medicare Summary Notices and Explanations of Benefits? A Personal Healthcare Journal A credit card An EOB An MSN That s Correct! You saved Medicare money 5

7 7/12/2016 I m Sorry The correct answer is: A Personal Healthcare Journal Which of the following is a possible consequence to beneficiaries of Medicare fraud, errors, and abuse? False diagnoses Denial of needed Medicare benefits Medical identity theft All of the above 6

8 7/12/2016 That s Correct! You saved Medicare money I m Sorry The correct answer is: All of the above (false diagnoses, denial of needed Medicare benefits, and medical identity theft) 7

9 7/12/2016 Which of the following is NOT a standard role for SMP volunteers? Distributing information Investigating suspected fraud and abuse Making group presentations Handling complex interactions That s Correct! You saved Medicare money 8

10 7/12/2016 I m Sorry The correct answer is: Investigating suspected fraud and abuse SMPs serve as in their communities, educating beneficiaries to be the first line of defense against Medicare fraud and abuse. Cops and robbers Eyes and ears Judge and jury Spies and investigators 9

11 7/12/2016 That s Correct! You saved Medicare money I m Sorry The correct answer is: Eyes and ears 10

12 7/12/2016 Approximately how many Medicare beneficiaries are reached each year with the help of about 5,000 SMP volunteers nationwide? 100, ,000 1,000,000 2,000,000 That s Correct! You saved Medicare money 11

13 7/12/2016 I m Sorry The correct answer is: 2,000,000 As of 2013, how many people were covered by Medicare? Around 2 million Under 8.5 million Around 42 million Over 52 million 12

14 7/12/2016 That s Correct! You saved Medicare money I m Sorry The correct answer is: Over 52 million 13

15 7/12/2016 Medicare is a health insurance program. Local State Federal Free That s Correct! You saved Medicare money 14

16 7/12/2016 I m Sorry The correct answer is: Federal Medicare Supplement Insurance, also known as, is not a part of Medicare and is offered by private insurance companies. Medical Medigap Medisupplement Medisure 15

17 7/12/2016 That s Correct! You saved Medicare money I m Sorry The correct answer is: Medigap 16

18 7/12/2016 Beneficiaries on Medicare Advantage Plans receive instead of MSNs. ABCs ESPNs PHCJs EOBs That s Correct! You saved Medicare money 17

19 7/12/2016 I m Sorry The correct answer is: EOBs in the Medicare program include(s) fraud, abuse, and errors. Waste Benefits Premiums Copayments 18

20 7/12/2016 That s Correct! You saved Medicare money I m Sorry The correct answer is: Waste 19

21 7/12/2016 The Medicare program loses of dollars each year due to fraud, errors, and abuse. Hundreds Thousands Millions Billions That s Correct! You saved Medicare money 20

22 7/12/2016 I m Sorry The correct answer is: Billions Medicare Advantage and Medicare Prescription Drug Plans are allowed to offer this at a marketing event. A light snack A lunch buffet A steak and lobster dinner All-you-can-eat sushi 21

23 7/12/2016 That s Correct! You saved Medicare money I m Sorry The correct answer is: A light snack 22

24 7/12/2016 Who is the national SMP program accountable to? ACL OIG Tax payers All of the above That s Correct! You saved Medicare money 23

25 7/12/2016 I m Sorry The correct answer is: All of the above (ACL, OIG, and tax payers) Thank you for helping to preserve the Medicare Trust Fund! 24

26 7/12/2016 This resource was supported in part by a grant (No. 90NP0003) from the Administration for Community Living (ACL), U.S. Department of Health and Human Services (DHHS). Grantees carrying out projects under government sponsorship are encouraged to express freely their findings and conclusions. Therefore, points of view or opinions do not necessarily represent official ACL or DHHS policy. $1 MILLION $500,000 $250,000 $125,000 $64,000 $32,000 $16,000 $8,000 $4,000 $2,000 $1,000 $500 $300 $200 $100 1

27 7/12/2016 $100 Billing for more miles than actually traveled is an example of what type of fraud scheme? A: Travel B: Ambulance C: Home Health D: Hospice $100 Billing for more miles than actually traveled is an example of what type of fraud scheme? A: Travel B: Ambulance C: Home Health D: Hospice 2

28 7/12/2016 $100 Billing for more miles than actually traveled is an example of what type of fraud scheme? A: Travel B: Ambulance C: Home Health D: Hospice $100 Billing for more miles than actually traveled is an example of what type of fraud scheme? A: Travel B: Ambulance C: Home Health D: Hospice 3

29 7/12/2016 $100 Billing for more miles than actually traveled is an example of what type of fraud scheme? A: Travel B: Ambulance C: Home Health D: Hospice $200 Falsely certifying that a patient is terminally ill is an example of what type of fraud scheme? A: Home Health B: Ambulance C: Billing D: Hospice Care 4

30 7/12/2016 $200 Falsely certifying that a patient is terminally ill is an example of what type of fraud scheme? A: Home Health B: Ambulance C: Billing D: Hospice Care $200 Falsely certifying that a patient is terminally ill is an example of what type of fraud scheme? A: Home Health B: Ambulance C: Billing D: Hospice Care 5

31 7/12/2016 $200 Falsely certifying that a patient is terminally ill is an example of what type of fraud scheme? A: Home Health B: Ambulance C: Billing D: Hospice Care $200 Falsely certifying that a patient is terminally ill is an example of what type of fraud scheme? A: Home Health B: Ambulance C: Billing D: Hospice Care 6

32 7/12/2016 $300 Billing for brand name drugs but dispensing generic drugs instead is an example of what type of fraud scheme? A: Prescription Drug B: Ambulance C: Swapping D: Dumping of Supplies $300 Billing for brand name drugs but dispensing generic drugs instead is an example of what type of fraud scheme? A: Prescription Drug B: Ambulance C: Swapping D: Dumping of Supplies 7

33 7/12/2016 $300 Billing for brand name drugs but dispensing generic drugs instead is an example of what type of fraud scheme? A: Prescription Drug B: Ambulance C: Swapping D: Dumping of Supplies $300 Billing for brand name drugs but dispensing generic drugs instead is an example of what type of fraud scheme? A: Prescription Drug B: Ambulance C: Swapping D: Dumping of Supplies 8

34 7/12/2016 $300 Billing for brand name drugs but dispensing generic drugs instead is an example of what type of fraud scheme? A: Prescription Drug B: Ambulance C: Swapping D: Dumping of Supplies $500 Billing housekeeping or custodial services as skilled nursing or therapy services is an example of what type of fraud scheme? A: Marketing B: Hotel C: Nursing Facilities D: Home Health 9

35 7/12/2016 $500 Billing housekeeping or custodial services as skilled nursing or therapy services is an example of what type of fraud scheme? A: Marketing B: Hotel C: Nursing Facilities D: Home Health $500 Billing housekeeping or custodial services as skilled nursing or therapy services is an example of what type of fraud scheme? A: Marketing B: Hotel C: Nursing Facilities D: Home Health 10

36 7/12/2016 $500 Billing housekeeping or custodial services as skilled nursing or therapy services is an example of what type of fraud scheme? A: Marketing B: Hotel C: Nursing Facilities D: Home Health $500 Billing housekeeping or custodial services as skilled nursing or therapy services is an example of what type of fraud scheme? A: Marketing B: Hotel C: Nursing Facilities D: Home Health 11

37 7/12/2016 $1,000 Billing for equipment or supplies never provided is an example of what type of equipment and supplies fraud scheme? A: Falsely Documenting Medical Necessity B: Free Offers C: Billing Practices D: Dumping of Supplies $1,000 Billing for equipment or supplies never provided is an example of what type of equipment and supplies fraud scheme? A: Falsely Documenting Medical Necessity B: Free Offers C: Billing Practices D: Dumping of Supplies 12

38 7/12/2016 $1,000 Billing for equipment or supplies never provided is an example of what type of equipment and supplies fraud scheme? A: Falsely Documenting Medical Necessity B: Free Offers C: Billing Practices D: Dumping of Supplies $1,000 Billing for equipment or supplies never provided is an example of what type of equipment and supplies fraud scheme? A: Falsely Documenting Medical Necessity B: Free Offers C: Billing Practices D: Dumping of Supplies 13

39 7/12/2016 $1,000 Billing for equipment or supplies never provided is an example of what type of equipment and supplies fraud scheme? A: Falsely Documenting Medical Necessity B: Free Offers C: Billing Practices D: Dumping of Supplies $2,000 Making unsolicited calls to beneficiaries to market back braces is an example of what type of equipment and supplies fraud? A: Marketing Violations B: Falsely Documenting Medical Necessity C: Free Offers D: Billing Practices 14

40 7/12/2016 $2,000 Making unsolicited calls to beneficiaries to market back braces is an example of what type of equipment and supplies fraud? A: Marketing Violations B: Falsely Documenting Medical Necessity C: Free Offers D: Billing Practices $2,000 Making unsolicited calls to beneficiaries to market back braces is an example of what type of equipment and supplies fraud? A: Marketing Violations B: Falsely Documenting Medical Necessity C: Free Offers D: Billing Practices 15

41 7/12/2016 $2,000 Making unsolicited calls to beneficiaries to market back braces is an example of what type of equipment and supplies fraud? A: Marketing Violations B: Falsely Documenting Medical Necessity C: Free Offers D: Billing Practices $2,000 Making unsolicited calls to beneficiaries to market back braces is an example of what type of equipment and supplies fraud? A: Marketing Violations B: Falsely Documenting Medical Necessity C: Free Offers D: Billing Practices 16

42 7/12/2016 $4,000 In this scam, individuals contact beneficiaries claiming to represent Medicare and saying the beneficiary needs a new Medicare card. A: Obamacare B: Medicare Changes C: Medicare Card D: Medicare Beneficiary $4,000 In this scam, individuals contact beneficiaries claiming to represent Medicare and saying the beneficiary needs a new Medicare card. A: Obamacare B: Medicare Changes C: Medicare Card D: Medicare Beneficiary 17

43 7/12/2016 $4,000 In this scam, individuals contact beneficiaries claiming to represent Medicare and saying the beneficiary needs a new Medicare card. A: Obamacare B: Medicare Changes C: Medicare Card D: Medicare Beneficiary $4,000 In this scam, individuals contact beneficiaries claiming to represent Medicare and saying the beneficiary needs a new Medicare card. A: Obamacare B: Medicare Changes C: Medicare Card D: Medicare Beneficiary 18

44 7/12/2016 $4,000 In this scam, individuals contact beneficiaries claiming to represent Medicare and saying the beneficiary needs a new Medicare card. A: Obamacare B: Medicare Changes C: Medicare Card D: Medicare Beneficiary $8,000 Billing the beneficiary instead of Medicare if the provider participates in Medicare and the trip met Medicare s coverage criteria is an example of what type of fraud scheme? A: Concierge B: Ambulance C: Home Health D: Hospice 19

45 7/12/2016 $8,000 Billing the beneficiary instead of Medicare if the provider participates in Medicare and the trip met Medicare s coverage criteria is an example of what type of fraud scheme? A: Concierge B: Ambulance C: Home Health D: Hospice $8,000 Billing the beneficiary instead of Medicare if the provider participates in Medicare and the trip met Medicare s coverage criteria is an example of what type of fraud scheme? A: Concierge B: Ambulance C: Home Health D: Hospice 20

46 7/12/2016 $8,000 Billing the beneficiary instead of Medicare if the provider participates in Medicare and the trip met Medicare s coverage criteria is an example of what type of fraud scheme? A: Concierge B: Ambulance C: Home Health D: Hospice $8,000 Billing the beneficiary instead of Medicare if the provider participates in Medicare and the trip met Medicare s coverage criteria is an example of what type of fraud scheme? A: Concierge B: Ambulance C: Home Health D: Hospice 21

47 7/12/2016 $16,000 Delivery of supplies that the beneficiary did not ask for is an example of what type of equipment and supplies fraud? A: Nursing Facilities B: Free Offers C: Billing Practices D: Dumping of Supplies $16,000 Delivery of supplies that the beneficiary did not ask for is an example of what type of equipment and supplies fraud? A: Nursing Facilities B: Free Offers C: Billing Practices D: Dumping of Supplies 22

48 7/12/2016 $16,000 Delivery of supplies that the beneficiary did not ask for is an example of what type of equipment and supplies fraud? A: Nursing Facilities B: Free Offers C: Billing Practices D: Dumping of Supplies $16,000 Delivery of supplies that the beneficiary did not ask for is an example of what type of equipment and supplies fraud? A: Nursing Facilities B: Free Offers C: Billing Practices D: Dumping of Supplies 23

49 7/12/2016 $16,000 Delivery of supplies that the beneficiary did not ask for is an example of what type of equipment and supplies fraud? A: Nursing Facilities B: Free Offers C: Billing Practices D: Dumping of Supplies $32,000 In some cases, a bottle of Oxycodone tablets is trafficked at a price of up to $2,400. What type of scam is this? A: Prescription Drug Diversion C: Falsely Billing Medicare B: Bank Account Debit D: Marketing 24

50 7/12/2016 $32,000 In some cases, a bottle of Oxycodone tablets is trafficked at a price of up to $2,400. What type of scam is this? A: Prescription Drug Diversion C: Falsely Billing Medicare B: Bank Account Debit D: Marketing $32,000 In some cases, a bottle of Oxycodone tablets is trafficked at a price of up to $2,400. What type of scam is this? A: Prescription Drug Diversion C: Falsely Billing Medicare B: Bank Account Debit D: Marketing 25

51 7/12/2016 $32,000 In some cases, a bottle of Oxycodone tablets is trafficked at a price of up to $2,400. What type of scam is this? A: Prescription Drug Diversion C: Falsely Billing Medicare B: Bank Account Debit D: Marketing $32,000 In some cases, a bottle of Oxycodone tablets is trafficked at a price of up to $2,400. What type of scam is this? A: Prescription Drug Diversion C: Falsely Billing Medicare B: Bank Account Debit D: Marketing 26

52 7/12/2016 $64,000 Faxing physicians requesting they sign off on equipment for patients who have not requested it is an example of what type of equipment and supplies fraud? A: Nursing Facilities B: Billing Practices C: Marketing Violations D: Falsely Documenting Medical Necessity $64,000 Faxing physicians requesting they sign off on equipment for patients who have not requested it is an example of what type of equipment and supplies fraud? A: Nursing Facilities B: Billing Practices C: Marketing Violations D: Falsely Documenting Medical Necessity 27

53 7/12/2016 $64,000 Faxing physicians requesting they sign off on equipment for patients who have not requested it is an example of what type of equipment and supplies fraud? A: Nursing Facilities B: Billing Practices C: Marketing Violations D: Falsely Documenting Medical Necessity $64,000 Faxing physicians requesting they sign off on equipment for patients who have not requested it is an example of what type of equipment and supplies fraud? A: Nursing Facilities B: Billing Practices C: Marketing Violations D: Falsely Documenting Medical Necessity 28

54 7/12/2016 $64,000 Faxing physicians requesting they sign off on equipment for patients who have not requested it is an example of what type of equipment and supplies fraud? A: Nursing Facilities B: Billing Practices C: Marketing Violations D: Falsely Documenting Medical Necessity $125,000 Offering free supplies in exchange for Medicare numbers (and then billing Medicare) is an example of what type of equipment and supplies fraud? A: Billing Practices B: Free Offers C: Marketing Violations D: Dumping of Supplies 29

55 7/12/2016 $125,000 Offering free supplies in exchange for Medicare numbers (and then billing Medicare) is an example of what type of equipment and supplies fraud? A: Billing Practices B: Free Offers C: Marketing Violations D: Dumping of Supplies $125,000 Offering free supplies in exchange for Medicare numbers (and then billing Medicare) is an example of what type of equipment and supplies fraud? A: Billing Practices B: Free Offers C: Marketing Violations D: Dumping of Supplies 30

56 7/12/2016 $125,000 Offering free supplies in exchange for Medicare numbers (and then billing Medicare) is an example of what type of equipment and supplies fraud? A: Billing Practices B: Free Offers C: Marketing Violations D: Dumping of Supplies $125,000 Offering free supplies in exchange for Medicare numbers (and then billing Medicare) is an example of what type of equipment and supplies fraud? A: Billing Practices B: Free Offers C: Marketing Violations D: Dumping of Supplies 31

57 7/12/2016 $250,000 Billing for services to beneficiaries who do not meet the homebound criteria for Medicare coverage is an example of what type of fraud scheme? A: Home Health B: Hospice C: Nursing Facilities D: Billing Practices $250,000 Billing for services to beneficiaries who do not meet the homebound criteria for Medicare coverage is an example of what type of fraud scheme? A: Home Health B: Hospice C: Nursing Facilities D: Billing Practices 32

58 7/12/2016 $250,000 Billing for services to beneficiaries who do not meet the homebound criteria for Medicare coverage is an example of what type of fraud scheme? A: Home Health B: Hospice C: Nursing Facilities D: Billing Practices $250,000 Billing for services to beneficiaries who do not meet the homebound criteria for Medicare coverage is an example of what type of fraud scheme? A: Home Health B: Hospice C: Nursing Facilities D: Billing Practices 33

59 7/12/2016 $250,000 Billing for services to beneficiaries who do not meet the homebound criteria for Medicare coverage is an example of what type of fraud scheme? A: Home Health B: Hospice C: Nursing Facilities D: Billing Practices $500,000 Requesting beneficiaries Medicare numbers and physician names during unsolicited calls is an example of what type of equipment and supplies fraud? A: Billing Practices B: Falsely Documenting Medical Necessity C: Marketing Violations D: Prescription Drug 34

60 7/12/2016 $500,000 Requesting beneficiaries Medicare numbers and physician names during unsolicited calls is an example of what type of equipment and supplies fraud? A: Billing Practices B: Falsely Documenting Medical Necessity C: Marketing Violations D: Prescription Drug $500,000 Requesting beneficiaries Medicare numbers and physician names during unsolicited calls is an example of what type of equipment and supplies fraud? A: Billing Practices B: Falsely Documenting Medical Necessity C: Marketing Violations D: Prescription Drug 35

61 7/12/2016 $500,000 Requesting beneficiaries Medicare numbers and physician names during unsolicited calls is an example of what type of equipment and supplies fraud? A: Billing Practices B: Falsely Documenting Medical Necessity C: Marketing Violations D: Prescription Drug $500,000 Requesting beneficiaries Medicare numbers and physician names during unsolicited calls is an example of what type of equipment and supplies fraud? A: Billing Practices B: Falsely Documenting Medical Necessity C: Marketing Violations D: Prescription Drug 36

62 7/12/2016 $1 Million Marketing discount cards for a fee when the cards are actually free is an example of what type of prescription drug fraud scheme? A: Medicare Card C: Bank Account Debit B: Falsely Billing Medicare D: Prescription Drug Diversion $1 Million Marketing discount cards for a fee when the cards are actually free is an example of what type of prescription drug fraud scheme? A: Medicare Card C: Bank Account Debit B: Falsely Billing Medicare D: Prescription Drug Diversion 37

63 7/12/2016 $1 Million Marketing discount cards for a fee when the cards are actually free is an example of what type of prescription drug fraud scheme? A: Medicare Card C: Bank Account Debit B: Falsely Billing Medicare D: Prescription Drug Diversion $1 Million Marketing discount cards for a fee when the cards are actually free is an example of what type of prescription drug fraud scheme? A: Medicare Card C: Bank Account Debit B: Falsely Billing Medicare D: Prescription Drug Diversion 38

64 7/12/2016 $1 Million Marketing discount cards for a fee when the cards are actually free is an example of what type of prescription drug fraud scheme? A: Medicare Card C: Bank Account Debit B: Falsely Billing Medicare D: Prescription Drug Diversion 39

65 California SMP

66 Medicare Fraud Quiz California Senior Medicare Patrol 1. What is the number on the Medicare card? a. Medicare Provider ID b. Social Security Number c. A Unique Identifier 2. When a podiatrist trims the toe nails of a Medicare beneficiary, she can bill for Medicare surgery. a. True b. False 3. Medicare only covers durable medical equipment, like a walker or oxygen, if you get it from a supplier enrolled in the Medicare program with a prescription from your doctor. a. True b. False 4. A Medicare beneficiary allows her sister, who has no health care coverage, to use her Medicare card to get health care services. This is an act of kindness with no consequences. a. True b. False 5. The Affordable Care Act is issuing new Medicare cards that can be scanned or swiped like a credit card. a. True b. False 6. At a health fair, it is acceptable for a person who offers a $50 voucher for medications, to get your Medicare number in return. a. True b. False 7. Those who commit Medicare fraud can include: a. People with Medicare b. Suppliers of durable medical equipment c. Doctors and health care practitioners d. All of the above 8. According to the U.S. False Claims Act, prosecutors have to prove: a. Intent to commit fraud b. They bent the rules c. Criminals are bad guys 9. Reviewing your or is an excellent way to detect potentially fraudulent Medicare billing activity. a. Wells Fargo or Bank of America statements b. Medicare Summary Notice or Explanation of Benefits c. Daily newspaper or NPR news report 10. In order to qualify for home health benefits, a Medicare beneficiary must have a doctor s prescription and be homebound. a. True b. False

67 Medicare Fraud Quiz California Senior Medicare Patrol ANSWERS 1. Social Security Number 2. False 3. True 4. False 5. False 6. False 7. All of the Above 8. Intent to Commit Fraud 9. Medicare Summary Notice or Explanation of Benefits 10. True

68 Florida SMP

69 Medicare Fraud Bingo B I N G O 2 Medicare fraud costs Americans billions a year 7 If you have the slightest doubt about an offer, Check It Out 4 Use a Personal Health Journal to track your health care information 11 Review your Medicare statements for services not received 15 We ll cover all your prescription drugs for just $299 a year is probably a scam hang up! 16 Medicare will NOT call you asking for personal information 20 Information on free and low-cost prescription drug programs is available AT NO CHARGE 18 Be sure your doctors office provides you with a fee slip showing the services performed 19 Compare the doctors fee slip to your Medicare statement 24 Don t accept offers of money or gifts for showing your Medicare card 31 Read the fine print before signing up 32 Never accept medical supplies from door-todoor salesmen FREE! SMP Empowering Seniors to Prevent Healthcare Fraud If you become a victim of fraud, let the authorities know 39 If a company uses false information to mislead you into joining a Medicare plan, that s fraud! 47 Providers cannot bill Medicare for medical equipment for people in a nursing home 59 Fraud schemes can be carried out by individuals, companies or groups of individuals 53 Be suspicious if a service or equipment is free, but your Medicare number is needed 54 We know how to get Medicare to pay for the item or service could be fraud! 46 To schedule a presentation about fraud, call the SMP 62 Understand the type of Medicare plan you re joining BEFORE signing up to avoid problems or even fraud 64 If a company uses false information to mislead you into joining a Medicare plan, THAT s fraud 65 Still receiving bills for medical equipment you ve returned? This could be fraud! 61 Report high-pressure insurance sales tactics to the Department of Insurance. 68 Be sure Medicare only pays once for covered services and supplies

70 Medicare Fraud Bingo B I N G O 5 Just say I don t give out personal information over the phone 6 Never loan your Medicare card to someone else it s Medicare fraud! 1 Know the total cost of products before accepting them 8 If a home health agency bills Medicare for visits you did not receive, this could be a billing error or even Medicare fraud! 3 If a medical equipment supplier tries to sell you equipment your doctor didn t prescribe, they may be trying to defraud Medicare 19 Compare the doctors fee slip to your Medicare statement 26 Don t accept medical supplies you don t need 25 Before you make a decision, take your time and ask for written info 21 Immediate payment necessary? Don t do it! 18 Be sure your doctors office provides you with a fee slip showing the services performed 38 Errors, fraud and abuse occur with medical equipment like wheelchairs 39 If a company uses false information to mislead you into joining a Medicare plan, that s fraud! FREE! SMP Empowering Seniors to Prevent Healthcare Fraud If a test is free, you don t need to provide your Medicare # 42 Advertising free consultations to people with Medicare could be a scam 50 Medicare plans are not allowed to ask you for payment over the phone or internet 60 Protect your Medicare card to avoid identity theft and fraud 48 Medicare plans are not allowed to come to your home uninvited 58 Most health care providers and suppliers are honest 53 Be suspicious if a service or equipment is free, but your Medicare number is needed 63 Report ALL suspected instances of fraud or identity theft to the SMP 70 Insurance companies selling Medicare plans are not allowed to sell door-to-door 67 Be sure your name and address are correct on your Medicare statements 62 Understand the type of Medicare plan you re joining BEFORE signing up to avoid problems or even fraud 69 Not sure whether something in fraud? Call the SMP

71 Medicare Fraud Bingo B I N G O 7 If you have the slightest doubt about an offer, Check It Out! 5 Just say I don t give out personal information over the phone 3 If a medical equipment supplier tries to sell you equipment your doctor didn t prescribe, they may be trying to defraud Medicare 4 Use a Personal Health Journal to track your health care information 6 Never loan your Medicare card to someone else it s Medicare fraud! 22 It s illegal for telemarketers to misrepresent info 18 Be sure your doctors office provides you with a fee slip showing the services performed 19 Compare the doctors fee slip to your Medicare statement 17 Medicare Part D plans cannot enroll you over the phone unless YOU call THEM 26 Don t accept medical supplies you don t need 45 A provider who uses a wrong diagnosis to get Medicare to pay is committing fraud 34 Never give your Medicare number over the phone or internet FREE! SMP Empowering Seniors to Prevent Healthcare Fraud Read the fine print before signing up 40 All Medicare drug plans MUST be approved by Medicare 51 Reporting Medicare errors saves money for taxpayers and protects Medicare for the future 58 Most health care providers and suppliers are honest 46 To schedule a presentation about fraud, call the SMP 60 Protect your Medicare card to avoid identity theft and fraud 54 We know how to get Medicare to pay for the item or service could be fraud! 65 Still receiving bills for medical equipment you ve returned? This could be fraud! 73 Most Medicare payment issues are a result of errors, not fraud 66 Know your Medicare rights to avoid errors or even fraud 64 If a company uses false information to mislead you into joining a Medicare plan, THAT s fraud 70 Insurance companies selling Medicare plans are not allowed to sell door-to-door

72 Medicare Fraud Bingo B I N G O 8 If a home health agency bills Medicare for visits you did not receive, this could be a billing error or even Medicare fraud! 10 If in doubt, say NO! Trust your instincts 30 Read your Medicare statements 21 Immediate payment necessary? Don t do it! 35 Keep info about your bank accounts to yourself 37 If a test is free, you don t need to provide your Medicare # 53 Be suspicious if a service or equipment is free, but your Medicare number is needed 55 Report high pressure or scare tactics to sell you Medicare plans or services 66 Know your Medicare rights to avoid errors or even fraud 74 Need assistance with Medicare issues afterhours? Call Medicare 6 Never loan your Medicare card to someone else it s Medicare fraud! 5 Just say I don t give out personal information over the phone 1 Know the total cost of products before accepting them 28 If there is an error on your Medicare statement, call your provider or SMP 19 Compare the doctors fee slip to your Medicare statement FREE! SMP Empowering Seniors to Prevent Healthcare Fraud Medicare does NOT pay for housekeeping services 58 Most health care providers and suppliers are honest 57 If you think someone is using your personal information, contact the SMP 60 Protect your Medicare card to avoid identity theft and fraud 67 Be sure your name and address are correct on your Medicare statements 65 Still receiving bills for medical equipment you ve returned? This could be fraud! 72 If you suspect Medicare fraud, be sure to also notify your supplemental insurance company 22 It s illegal for telemarketers to misrepresent info 32 Never accept medical supplies from door-todoor salesmen

73 Medicare Fraud Bingo B I N G O 10 If in doubt, say NO! Trust your instincts 7 If you have the slightest doubt about an offer, Check It Out! 17 Medicare Part D plans cannot enroll you over the phone unless YOU call THEM 19 Compare the doctors fee slip to your Medicare statement 39 If a company uses false information to mislead you into joining a Medicare plan, that s fraud! 33 If you become a victim of fraud, let the authorities know 56 If your Medicare card is lost or stolen, call Social Security at We know how to get Medicare to pay for the item or service could be fraud! 69 Not sure whether something in fraud? Call the SMP 75 Defrauding Medicare is defrauding American taxpayers! 4 Use a Personal Health Journal to track your health care information 11 Review your Medicare statements for services not received 22 It s illegal for telemarketers to misrepresent info 25 Before you make a decision, take your time and ask for written info FREE! SMP Empowering Seniors to Prevent Healthcare Fraud If a test is free, you don t need to provide your Medicare # 60 Protect your Medicare card to avoid identity theft and fraud 50 Medicare plans are not allowed to ask you for payment over the phone or internet 57 If you think someone is using your personal information, contact the SMP 68 Be sure Medicare only pays once for covered services and supplies 66 Know your Medicare rights to avoid errors or even fraud 15 We ll cover all your prescription drugs for just $299 a year is probably a scam hang up! 27 Medicare salespeople are NOT allowed to come to your home uninvited 40 All Medicare drug plans MUST be approved by Medicare 72 If you suspect Medicare fraud, be sure to also notify your supplemental insurance company

74 Medicare Fraud Bingo B I N G O 11 Review your Medicare statements for services not received 8 If a home health agency bills Medicare for visits you did not receive, this could be a billing error or even Medicare fraud! 9 To avoid sales calls, place your name on the national Do Not Call List Count the pills in your prescription bottle to be sure the pharmacy gave you a full supply 2 Medicare fraud costs Americans billions a year 25 Before you make a decision, take your time and ask for written info 23 Medicare Advantage plans are NOT just like Traditional Medicare! 16 Medicare will NOT call you asking for personal information 30 Read your Medicare statements 17 Medicare Part D plans cannot enroll you over the phone unless YOU call THEM 44 Review your Medicare statements for services not received 42 Advertising free consultations to people with Medicare could be a scam FREE! SMP Empowering Seniors to Prevent Healthcare Fraud If a test is free, you don t need to provide your Medicare # 41 Do not buy products over the phone or doorto-door 59 Fraud schemes can be carried out by individuals, companies or groups of individuals 53 Be suspicious if a service or equipment is free, but your Medicare number is needed 57 If you think someone is using your personal information, contact the SMP 56 If your Medicare card is lost or stolen, call Social Security at Reporting Medicare errors saves money for taxpayers and protects Medicare for the future 74 Need assistance with Medicare issues afterhours? Call Medicare 65 Still receiving bills for medical equipment you ve returned? This could be fraud! 72 If you suspect Medicare fraud, be sure to also notify your supplemental insurance company 69 Not sure whether something in fraud? Call the SMP 73 Most Medicare payment issues are a result of errors, not fraud

75 Medicare Fraud Bingo B I N G O 14 If you never picked up your prescription from the pharmacy, be sure your insurance didn t pay for it 13 Count the pills in your prescription bottle to be sure the pharmacy gave you a full supply 12 If a Podiatrist bills Medicare for surgery when they only clipped your nails, this could be fraud! 2 Medicare fraud costs Americans billions a year 29 Resist high pressure sales tactics 27 Medicare salespeople are NOT allowed to come to your home uninvited 30 Read your Medicare statements 20 Information on free and low-cost prescription drug programs is available AT NO CHARGE 36 Don t use your Medicare card for prize drawings 44 Medicare does NOT pay for housekeeping services FREE! SMP Empowering Seniors to Prevent Healthcare Fraud Never accept medical supplies from door-todoor salesmen 54 We know how to get Medicare to pay for the item or service could be fraud! 51 Reporting Medicare errors saves money for taxpayers and protects Medicare for the future 55 Report high pressure or scare tactics to sell you Medicare plans or services 50 Medicare plans are not allowed to ask you for payment over the phone or internet 64 If a company uses false information to mislead you into joining a Medicare plan, THAT s fraud 62 Understand the type of Medicare plan you re joining BEFORE signing up to avoid problems or even fraud 63 Report ALL suspected instances of fraud or identity theft to the SMP 72 If you suspect Medicare fraud, be sure to also notify your supplemental insurance company 4 Use a Personal Health Journal to track your health care information 18 Be sure your doctors office provides you with a fee slip showing the services performed 38 Errors, fraud and abuse occur with medical equipment like wheelchairs 60 Protect your Medicare card to avoid identity theft and fraud 75 Defrauding Medicare is defrauding American taxpayers!

76 Medicare Fraud Bingo B I N G O 12 If a Podiatrist bills Medicare for surgery when they only clipped your nails, this could be fraud 15 We ll cover all your prescription drugs for just $299 a year is probably a scam hang up 8 If a home health agency bills Medicare for visits you did not receive, this could be a billing error or even Medicare fraud! 2 Medicare fraud costs Americans billions a year 7 If you have the slightest doubt about an offer, Check It Out 18 Be sure your doctors office provides you with a fee slip showing the services performed 24 Don t accept offers of money or gifts for showing your Medicare card 16 Medicare will NOT call you asking for personal information 23 Medicare Advantage plans are NOT just like Traditional Medicare! 30 Read your Medicare statements 41 Do not buy products over the phone or doorto-door 35 Keep info about your bank accounts to yourself FREE! SMP Empowering Seniors to Prevent Healthcare Fraud A provider who uses a wrong diagnosis to get Medicare to pay is committing fraud 43 If a test is free, you don t need to provide your Medicare # 46 To schedule a presentation about fraud, call the SMP 50 Medicare plans are not allowed to ask you for payment over the phone or internet 47 Providers cannot bill Medicare for medical equipment for people in a nursing home 49 Medicare plans are not allowed to offer you cash to join their plan 58 Most health care providers and suppliers are honest 61 Report high-pressure insurance sales tactics to the Department of Insurance. 74 Need assistance with Medicare issues afterhours? Call Medicare 75 Defrauding Medicare is defrauding American taxpayers! 68 Be sure Medicare only pays once for covered services and supplie 70 Insurance companies selling Medicare plans are not allowed to sell door-to-door

77 Medicare Fraud Bingo B I N G O 6 Never loan your Medicare card to someone else it s Medicare fraud 3 If a medical equipment supplier tries to sell you equipment your doctor didn t prescribe, they may be trying to defraud Medicare 13 Count the pills in your prescription bottle to be sure the pharmacy gave you a full supply 9 To avoid sales calls, place your name on the national Do Not Call List If you never picked up your prescription from the pharmacy, be sure your insurance didn t pay for it 23 Medicare Advantage plans are NOT just like Traditional Medicare! 16 Medicare will NOT call you asking for personal information 27 Medicare salespeople are NOT allowed to come to your home uninvited 29 Resist high pressure sales tactics 28 If there is an error on your Medicare statement, call your provider or SMP 37 If a test is free, you don t need to provide your Medicare # 43 If a test is free, you don t need to provide your Medicare # FREE! SMP Empowering Seniors to Prevent Healthcare Fraud Advertising free consultations to people with Medicare could be a scam 36 Don t use your Medicare card for prize drawings 58 Most health care providers and suppliers are honest 53 Be suspicious if a service or equipment is free, but your Medicare number is needed 46 To schedule a presentation about fraud, call the SMP 48 Medicare plans are not allowed to come to your home uninvited 56 If your Medicare card is lost or stolen, call Social Security at If you suspect Medicare fraud, be sure to also notify your supplemental insurance company 68 Be sure Medicare only pays once for covered services and supplies 66 Know your Medicare rights to avoid errors or even fraud 74 Need assistance with Medicare issues afterhours? Call Medicare 63 Report ALL suspected instances of fraud or identity theft to the SMP

78 Medicare Fraud Bingo B I N G O 3 If a medical equipment supplier tries to sell you equipment your doctor didn t prescribe, they may be trying to defraud Medicare 2 Medicare fraud costs Americans billions a year 27 Medicare salespeople are NOT allowed to come to your home uninvited 25 Before you make a decision, take your time and ask for written info 40 All Medicare drug plans MUST be approved by Medicare 32 Never accept medical supplies from door-todoor salesmen 53 Be suspicious if a service or equipment is free, but your Medicare number is needed 47 Providers cannot bill Medicare for medical equipment for people in a nursing home 70 Insurance companies selling Medicare plans are not allowed to sell door-to-door 61 Report high-pressure insurance sales tactics to the Department of Insurance 11 Review your Medicare statements for services not received 12 If a Podiatrist bills Medicare for surgery when they only clipped your nails, this could be fraud! 1 Know the total cost of products before accepting them 21 Immediate payment necessary? Don t do it! 22 It s illegal for telemarketers to misrepresent info 16 Medicare will NOT call you asking for personal information FREE! SMP Empowering Seniors to Prevent Healthcare Fraud If you become a victim of fraud, let the authorities know 34 Never give your Medicare number over the phone or internet 60 Protect your Medicare card to avoid identity theft and fraud 46 To schedule a presentation about fraud, call the SMP 50 Medicare plans are not allowed to ask you for payment over the phone or internet 64 If a company uses false information to mislead you into joining a Medicare plan, THAT s fraud 67 Be sure your name and address are correct on your Medicare statements 66 Know your Medicare rights to avoid errors or even fraud

79 Medicare Fraud Bingo B I N G O 12 If a Podiatrist bills Medicare for surgery when they only clipped your nails, this could be fraud! 1 Know the total cost of products before accepting them 20 Information on free and low-cost prescription drug programs is available AT NO CHARGE 22 It s illegal for telemarketers to misrepresent info 32 Never accept medical supplies from door-todoor salesmen 40 All Medicare drug plans MUST be approved by Medicare 60 Protect your Medicare card to avoid identity theft and fraud 56 If your Medicare card is lost or stolen, call Social Security at Defrauding Medicare is defrauding American taxpayers 65 Still receiving bills for medical equipment you ve returned? This could be fraud! 5 Just say I don t give out personal information over the phone 10 If in doubt, say NO! Trust your instincts 27 Medicare salespeople are NOT allowed to come to your home uninvited 17 Medicare Part D plans cannot enroll you over the phone unless YOU call THEM 25 Before you make a decision, take your time and ask for written info FREE! SMP Empowering Seniors to Prevent Healthcare Fraud Advertising free consultations to people with Medicare could be a scam 37 If a test is free, you don t need to provide your Medicare # 55 Report high pressure or scare tactics to sell you Medicare plans or services 58 Most health care providers and suppliers are honest 70 Insurance companies selling Medicare plans are not allowed to sell door-to-door 63 Report ALL suspected instances of fraud or identity theft to the SMP 61 Report high-pressure insurance sales tactics to the Department of Insurance. 8 If a home health agency bills Medicare for visits you did not receive, this could be a billing error or even Medicare fraud 47 Providers cannot bill Medicare for medical equipment for people in a nursing home

80 Medicare Fraud Bingo B I N G O 15 We ll cover all your prescription drugs for just $299 a year is probably a scam hang up! 3 If a medical equipment supplier tries to sell you equipment your doctor didn t prescribe, they may be trying to defraud Medicare 10 If in doubt, say NO! Trust your instincts 6 Never loan your Medicare card to someone else it s Medicare fraud! 8 If a home health agency bills Medicare for visits you did not receive, this could be a billing error or even Medicare fraud 29 Resist high pressure sales tactics 19 Compare the doctors fee slip to your Medicare statement 21 Immediate payment necessary? Don t do it! 18 Be sure your doctors office provides you with a fee slip showing the services performed 25 Before you make a decision, take your time and ask for written info 32 Never accept medical supplies from door-todoor salesmen 45 A provider who uses a wrong diagnosis to get Medicare to pay is committing fraud FREE! SMP Empowering Seniors to Prevent Healthcare Fraud All Medicare drug plans MUST be approved by Medicare 38 Errors, fraud and abuse occur with medical equipment like wheelchairs 54 We know how to get Medicare to pay for the item or service could be fraud 59 Fraud schemes can be carried out by individuals, companies or groups of individuals 50 Medicare plans are not allowed to ask you for payment over the phone or internet 52 Medicare drug plans may call you to tell you about their plans, but can t enroll you over the phone unless you call them 58 Most health care providers and suppliers are honest 75 Defrauding Medicare is defrauding American taxpayers 62 Understand the type of Medicare plan you re joining BEFORE signing up to avoid problems or even fraud 70 Insurance companies selling Medicare plans are not allowed to sell door-to-door 68 Be sure Medicare only pays once for covered services and supplies 65 Still receiving bills for medical equipment you ve returned? This could be fraud!

81 Medicare Fraud Bingo B I N G O 4 Use a Personal Health Journal to track your health care information 9 To avoid sales calls, place your name on the national Do Not Call List If you never picked up your prescription from the pharmacy, be sure your insurance didn t pay for it 7 If you have the slightest doubt about an offer, Check It Out! 12 If a Podiatrist bills Medicare for surgery when they only clipped your nails, this could be fraud! 27 Medicare salespeople are NOT allowed to come to your home uninvited 19 Compare the doctors fee slip to your Medicare statement 23 Medicare Advantage plans are NOT just like Traditional Medicare! 24 Don t accept offers of money or gifts for showing your Medicare card 16 Medicare will NOT call you asking for personal information 44 Medicare does NOT pay for housekeeping services 31 Read the fine print before signing up FREE! SMP Empowering Seniors to Prevent Healthcare Fraud If a company uses false information to mislead you into joining a Medicare plan, that s fraud! 36 Don t use your Medicare card for prize drawings 46 To schedule a presentation about fraud, call the SMP 52 Medicare drug plans may call you to tell you about their plans, but can t enroll you over the phone unless you call them 58 Most health care providers and suppliers are honest 54 We know how to get Medicare to pay for the item or service could be fraud! 48 Medicare plans are not allowed to come to your home uninvited 64 If a company uses false information to mislead you into joining a Medicare plan, THAT s fraud 71 If a health care provider is defrauding you, they re probably defrauding others 66 Know your Medicare rights to avoid errors or even fraud 73 Most Medicare payment issues are a result of errors, not fraud 67 Be sure your name and address are correct on your Medicare statements

82 Medicare Fraud Bingo B I N G O 4 Use a Personal Health Journal to track your health care information 26 Don t accept medical supplies you don t need 32 Never accept medical supplies from door-todoor salesmen 48 Medicare plans are not allowed to come to your home uninvited 68 Be sure Medicare only pays once for covered services and supplies 12 If a Podiatrist bills Medicare for surgery when they only clipped your nails, this could be fraud 2 Medicare fraud costs Americans billions a year 6 Never loan your Medicare card to someone else it s Medicare fraud! 16 Medicare will NOT call you asking for personal information 20 Information on free and low-cost prescription drug programs is available AT NO CHARGE 28 If there is an error on your Medicare statement, call your provider or SMP 43 If a test is free, you don t need to provide your Medicare FREE! SMP Empowering Seniors to Prevent Healthcare Fraud Do not buy products over the phone or doorto-door 57 If you think someone is using your personal information, contact the SMP 46 To schedule a presentation about fraud, call the SMP 51 Reporting Medicare errors saves money for taxpayers and protects Medicare for the future 72 If you suspect Medicare fraud, be sure to also notify your supplemental insurance company 69 Not sure whether something in fraud? Call the SMP 74 Need assistance with Medicare issues afterhours? Call Medicare 11 Review your Medicare statements for services not received 19 Compare the doctors fee slip to your Medicare statement 34 Never give your Medicare number over the phone or internet 56 If your Medicare card is lost or stolen, call Social Security at Be sure your name and address are correct on your Medicare statements

83 Medicare Fraud Bingo B I N G O 13 Count the pills in your prescription bottle to be sure the pharmacy gave you a full supply 2 Medicare fraud costs Americans billions a year 24 Don t accept offers of money or gifts for showing your Medicare card 17 Medicare Part D plans cannot enroll you over the phone unless YOU call THEM 33 If you become a victim of fraud, let the authorities know 41 Do not buy products over the phone or doorto-door 58 Most health care providers and suppliers are honest 49 Medicare plans are not allowed to offer you cash to join their plan 72 If you suspect Medicare fraud, be sure to also notify your supplemental insurance company 68 Be sure Medicare only pays once for covered services and supplies 10 If in doubt, say NO! Trust your instincts 7 If you have the slightest doubt about an offer, Check It Out! 5 Just say I don t give out personal information over the phone 22 It s illegal for telemarketers to misrepresent info 30 Read your Medicare statements 19 Compare the doctors fee slip to your Medicare statement FREE! SMP Empowering Seniors to Prevent Healthcare Fraud If a test is free, you don t need to provide your Medicare 44 Medicare does NOT pay for housekeeping services 60 Protect your Medicare card to avoid identity theft and fraud 53 Be suspicious if a service or equipment is free, but your Medicare number is needed 47 Providers cannot bill Medicare for medical equipment for people in a nursing home 62 Understand the type of Medicare plan you re joining BEFORE signing up to avoid problems or even fraud 75 Defrauding Medicare is defrauding American taxpayers! 63 Report ALL suspected instances of fraud or identity theft to the SMP

84 Medicare Fraud Bingo B I N G O 9 To avoid sales calls, place your name on the national Do Not Call List If you never picked up your prescription from the pharmacy, be sure your insurance didn t pay for it 7 If you have the slightest doubt about an offer, Check It Out 10 If in doubt, say NO! Trust your instincts 8 If a home health agency bills Medicare for visits you did not receive, this could be a billing error or even Medicare fraud! 21 Immediate payment necessary? Don t do it! 30 Read your Medicare statements 17 Medicare Part D plans cannot enroll you over the phone unless YOU call THEM 26 Don t accept medical supplies you don t need 23 Medicare Advantage plans are NOT just like Traditional Medicare 42 Advertising free consultations to people with Medicare could be a scam 39 If a company uses false information to mislead you into joining a Medicare plan, that s fraud FREE! SMP Empowering Seniors to Prevent Healthcare Fraud Never give your Medicare number over the phone or internet 40 All Medicare drug plans MUST be approved by Medicare 53 Be suspicious if a service or equipment is free, but your Medicare number is needed 49 Medicare plans are not allowed to offer you cash to join their plan 59 Fraud schemes can be carried out by individuals, companies or groups of individuals 52 Medicare drug plans may call you to tell you about their plans, but can t enroll you over the phone unless you call them 50 Medicare plans are not allowed to ask you for payment over the phone or internet 67 Be sure your name and address are correct on your Medicare statements 72 If you suspect Medicare fraud, be sure to also notify your supplemental insurance company 64 If a company uses false information to mislead you into joining a Medicare plan, THAT s fraud 73 Most Medicare payment issues are a result of errors, not fraud 65 Still receiving bills for medical equipment you ve returned? This could be fraud!

85 Medicare Fraud Bingo B I N G O 13 Count the pills in your prescription bottle to be sure the pharmacy gave you a full supply 4 Use a Personal Health Journal to track your health care information 30 Read your Medicare statements 22 It s illegal for telemarketers to misrepresent info 41 Do not buy products over the phone or doorto-door 36 Don t use your Medicare card for prize drawings 55 Report high pressure or scare tactics to sell you Medicare plans or services 56 If your Medicare card is lost or stolen, call Social Security at Not sure whether something in fraud? Call the SMP 61 Report high-pressure insurance sales tactics to the Department of Insurance 7 If you have the slightest doubt about an offer, Check It Out 15 We ll cover all your prescription drugs for just $299 a year is probably a scam hang up! 26 Don t accept medical supplies you don t need 18 Be sure your doctors office provides you with a fee slip showing the services performed FREE! SMP Empowering Seniors to Prevent Healthcare Fraud Keep info about your bank accounts to yourself 54 We know how to get Medicare to pay for the item or service could be fraud 47 Providers cannot bill Medicare for medical equipment for people in a nursing home 71 If a health care provider is defrauding you, they re probably defrauding others 67 Be sure your name and address are correct on your Medicare statements 9 To avoid sales calls, place your name on the national Do Not Call List Resist high pressure sales tactics 33 If you become a victim of fraud, let the authorities know 53 Be suspicious if a service or equipment is free, but your Medicare number is needed 64 If a company uses false information to mislead you into joining a Medicare plan, THAT s fraud

86 Medicare Fraud Bingo B I N G O 6 Never loan your Medicare card to someone else it s Medicare fraud! 22 It s illegal for telemarketers to misrepresent info 33 If you become a victim of fraud, let the authorities know 49 Medicare plans are not allowed to offer you cash to join their plan 70 Insurance companies selling Medicare plans are not allowed to sell door-to-door 1 Know the total cost of products before accepting them 14 If you never picked up your prescription from the pharmacy, be sure your insurance didn t pay for it 3 If a medical equipment supplier tries to sell you equipment your doctor didn t prescribe, they may be trying to defraud Medicare 13 Count the pills in your prescription bottle to be sure the pharmacy gave you a full supply 18 Be sure your doctors office provides you with a fee slip showing the services performed 29 Resist high pressure sales tactics 24 Don t accept offers of money or gifts for showing your Medicare card 30 Read your Medicare statements 45 A provider who uses a wrong diagnosis to get Medicare to pay is committing fraud FREE! SMP Empowering Seniors to Prevent Healthcare Fraud Don t use your Medicare card for prize drawings 35 Keep info about your bank accounts to yourself 57 If you think someone is using your personal information, contact the SMP 50 Medicare plans are not allowed to ask you for payment over the phone or internet 55 Report high pressure or scare tactics to sell you Medicare plans or services 51 Reporting Medicare errors saves money for taxpayers and protects Medicare for the future 63 Report ALL suspected instances of fraud or identity theft to the SMP 69 Not sure whether something in fraud? Call the SMP 71 If a health care provider is defrauding you, they re probably defrauding others 62 Understand the type of Medicare plan you re joining BEFORE signing up to avoid problems or even fraud

87 Medicare Fraud Bingo B I N G O 1 Know the total cost of products before accepting them 11 Review your Medicare statements for services not received 15 We ll cover all your prescription drugs for just $299 a year is probably a scam hang up! 20 Information on free and low-cost prescription drug programs is available AT NO CHARGE 28 If there is an error on your Medicare statement, call your provider or SMP 16 Medicare will NOT call you asking for personal information 34 Never give your Medicare number over the phone or internet 38 Errors, fraud and abuse occur with medical equipment like wheelchairs FREE! SMP Empowering Seniors to Prevent Healthcare Fraud If you think someone is using your personal information, contact the SMP 56 If your Medicare card is lost or stolen, call Social Security at Medicare plans are not allowed to offer you cash to join their plan 61 Report high-pressure insurance sales tactics to the Department of Insurance 72 If you suspect Medicare fraud, be sure to also notify your supplemental insurance company 74 Need assistance with Medicare issues afterhours? Call Medicare 5 Just say I don t give out personal information over the phone 10 If in doubt, say NO! Trust your instincts 23 Medicare Advantage plans are NOT just like Traditional Medicare! 29 Resist high pressure sales tactics 39 If a company uses false information to mislead you into joining a Medicare plan, that s fraud! 31 Read the fine print before signing up 51 Reporting Medicare errors saves money for taxpayers and protects Medicare for the future 48 Medicare plans are not allowed to come to your home uninvited 63 Report ALL suspected instances of fraud or identity theft to the SMP 66 Know your Medicare rights to avoid errors or even fraud

88 Medicare Fraud Bingo B I N G O 3 If a medical equipment supplier tries to sell you equipment your doctor didn t prescribe, they may be trying to defraud Medicare 9 To avoid sales calls, place your name on the national Do Not Call List Review your Medicare statements for services not received 2 Medicare fraud costs Americans billions a year 8 If a home health agency bills Medicare for visits you did not receive, this could be a billing error or even Medicare fraud 28 If there is an error on your Medicare statement, call your provider or SMP 17 Medicare Part D plans cannot enroll you over the phone unless YOU call THEM 30 Read your Medicare statements 27 Medicare salespeople are NOT allowed to come to your home uninvited 21 Immediate payment necessary? Don t do it! 43 If a test is free, you don t need to provide your Medicare # 31 Read the fine print before signing up FREE! SMP Empowering Seniors to Prevent Healthcare Fraud Don t use your Medicare card for prize drawings 35 Keep info about your bank accounts to yourself 60 Protect your Medicare card to avoid identity theft and fraud 46 To schedule a presentation about fraud, call the SMP 53 Be suspicious if a service or equipment is free, but your Medicare number is needed 59 Fraud schemes can be carried out by individuals, companies or groups of individuals 49 Medicare plans are not allowed to offer you cash to join their plan 73 Most Medicare payment issues are a result of errors, not fraud 66 Know your Medicare rights to avoid errors or even fraud 62 Understand the type of Medicare plan you re joining BEFORE signing up to avoid problems or even fraud 70 Insurance companies selling Medicare plans are not allowed to sell door-to-door 74 Need assistance with Medicare issues afterhours? Call Medicare

89 Fraude al Medicare Bingo B I N G O 2 El fraude al Medicare nos cuesta billones cada año 7 Si tiene la minima duda de una oferta, asegurese de revisar bien la informacion 4 Use un diario personal de salud o Calendario para hacerle seguimiento a la informacion acerca de su salud 11 Revise su estado de cuenta de Medicare por servicios que usted no a recibido. 15 Le vamos a cubrir sus prescripciones de droga por solo $299 al año probablemente es fraude. Cuelque la llamada. 16 Medicare no va a llamar pidiendo informacion personal. 20 Informacion sobre programas gratis y de bajo costo para planes de medicina estan disponible sin ningun costo a usted. 18 Asegurece que la oficina del doctor le entregue un papel de confirmacion que enseñe los servicios prestados. 19 Compara la factura de su doctor y la de su declaracion de Medicare. 24 No acepte ofertas de dinero o regalos a cambio de mostrar su tarjeta de Medicare. 31 Lea las letras pequeñas, antes de inscribirse 32 Nunca acepte suministros medicos de quienes toquen a su puerta. LIBRE Florida SMP Como habilitar a las personas mayors para evitar los frauds relacionados con la assistencia medica Si usted se convierte en una victima de fraude, contacte a las autoridades. 39 Si una compañia usa informacion falsa para convencerlo de que se inscriba a un plan, eso es fraude. 47 Proveedores no pueden facturar a Medicare por equipos medicos de personas que estan en un hogar de ancianos 59 Esquemas de fraude pueden ser realizados por personas, empresas o grupos de individuos 53 Tenga sospechas si un servicio o equipo es gratis, y su numero de Medicare es necesario. 54 Nosotros sabemos como hacer que Medicare pague por articulos o servicios Puede ser fraude. 46 Para programar una presentacion acerca de fraude, llame a Florida SMP 62 Entienda el tipo de plan de Medicare al cual usted se va a inscribir antes de inscribirse, para evitar problemas o fraude. 64 Si una compañia usa informacion falsa para engañarlo e inscribirlo al plan de ellos. Eso es Fraude. 65 Todavia esta recibiendo facturas de el equipo medico que usted ya dio de regreso?. Esto puede ser Fraude. 61 Reporte ventas de seguros hechas con tacticas de presion al Florida SHINE al ELDER 68 Asegurese que Medicare solo pague una vez por los servicios que estan cubiertos y los subministros.

90 Fraude al Medicare Bingo B I N G O 5 Simplemente diga Yo no doy mi informacion personal por el telefono. 6 Nunca preste su tarjeta de Medicare a otra persona. Eso es Fraude al Medicare. 1 Conoce el costo total de los productos antes de aceptarlos. 8 Si una agencia de servicios de salud de hogar factura a Medicare por visitas que usted no recibio, esto podria ser un error de facturacion o fraude al Medicare! 3 Si un proveedor de equipo medico trata de venderle un equipo medico que su doctor no le prescribio, pueda que esten tratando de cometerle fraude al Medicare. 19 Compara la factura de su doctor y la de su declaracion de Medicare. 26 No acepte equipo medicos que usted no necesita. 25 Antes de tomar una decision, tomese su tiempo y pida informacion por escrito. 21 Solicitan un pago inmediamente? No lo haga! 18 Asegurece que la oficina del doctor le entregue un papel de confirmacion que enseñe los servicios prestados. 38 Errores, fraude y abuso occuren con equipo medico, como sillas de ruedas. 39 Si una compañia usa informacion falsa para convencerlo de que se inscriba a un plan, eso es fraude. LIBRE Florida SMP Como habilitar a las personas mayors para evitar los frauds relacionados con la assistencia medica Si un examen es gratis, no es necessario proporcionar su numero de Medicare. 42 Propagandas de consultas gratis a personas con Medicare pueden ser estafas. 50 Planes de Medicare no estan permitidos a requerir pagos por telefono o internet. 60 Proteja su tarjeta de Medicare para evitar el robo de identitad y fraude. 48 Planes de Medicare no estan permitidos a llegar a su casa cuando no han sido invitados. 58 La mayoria de los medicos y proveedores son honestos. 53 Tenga sospechas si un servicio o equipo es gratis, y su numero de Medicare es necesario. 63 Reporte cualquier sospecha de fraude o robo de identidad al Florida SMP. 70 Las compañias de seguros que venden planes de Medicare no tienen permiso para vender puerta a puerta. 67 Asegurese que su nombre y direccion esten correctos en sus estados de cuenta de Medicare. 62 Entienda el tipo de plan de Medicare al cual usted se va a inscribir antes de inscribirse, para evitar problemas o fraude. 69 Si usted no esta seguro que algo puede ser fraude. Llame al Florida SMP.

91 Fraude al Medicare Bingo B I N G O 7 Si tiene la minima duda de una oferta, asegurese de revisar bien la informacion 5 Simplemente diga Yo no doy mi informacion personal por el telefono. 3 Si un proveedor de equipo medico trata de venderle un equipo medico que su doctor no le prescribio, pueda que esten tratando de cometerle fraude al Medicare. 4 Use un diario personal de salud o Calendario para hacerle seguimiento a la informacion acerca de su salud 6 Nunca preste su tarjeta de Medicare a otra persona. Eso es Fraude al Medicare. 22 Es illegal que televendedores falsifiquen informacion 18 Asegurece que la oficina del doctor le entregue un papel de confirmacion que enseñe los servicios prestados. 19 Compara la factura de su doctor y la de su declaracion de Medicare. 17 Planes de Medicare parte D no pueden inscribir a ninguna persona por telefono. Solamente si USTED los llama. 26 No acepte equipo medicos que usted no necesita. 45 Un proveedor que usa un diagnostico incorrecto para que Medicare le pague esta cometiendo fraude. 34 Nunca de su numero de Medicare por el telefono o internet. LIBRE Florida SMP Como habilitar a las personas mayors para evitar los frauds relacionados con la assistencia medica Lea las letras pequeñas, antes de inscribirse 40 Todos los planes de prescripcion de drogas Tinenen que ser aprovados por Medicare 51 Reportar los errores al Medicare, ayuda a ahorrar a los contribuyentes y protégé a Medicare para el futuro. 58 La mayoria de los medicos y proveedores son honestos. 46 Para programar una presentacion acerca de fraude, llame a Florida SMP 60 Proteja su tarjeta de Medicare para evitar el robo de identitad y fraude. 54 Nosotros sabemos como hacer que Medicare pague por articulos o servicios Puede ser fraude. 65 Todavia esta recibiendo facturas de el equipo medico que usted ya dio de regreso?. Esto puede ser Fraude. 73 La mayoria de problemas de pago con Medicare son errores, no son fraude. 66 Conozca sus derechos de Medicare para evitar errores y fraude. 64 Si una compañia usa informacion falsa para engañarlo e inscribirlo al plan de ellos. Eso es Fraude. 70 Las compañias de seguros que venden planes de Medicare no tienen permiso para vender puerta a puerta.

92 Fraude al Medicare Bingo B I N G O 8 Si una agencia de servicios de salud de hogar factura a Medicare por visitas que usted no recibio, esto podria ser un error de facturacion o fraude al Medicare! 10 En caso de duda, diga NO!. Tenga confianza en sus instintos. 6 Nunca preste su tarjeta de Medicare a otra persona. Eso es Fraude al Medicare.. 5 Simplemente diga Yo no doy mi informacion personal por el telefono. 1 Conoce el costo total de los productos antes de aceptarlos. 30 Lea sus estados de cuanta de Medicare 21 Solicitan un pago inmediamente? No lo haga! 28 Si hay un error en su estado de cuenta de Medicare, llame a su proveedor o al SMP de la Florida. 19 Compara la factura de su doctor y la de su declaracion de Medicare. 22 Es illegal que televendedores falsifiquen informacion 35 No de la informacion de su cuenta bancaria a nadie 37 Si un examen es gratis, no es necessario proporcionar su numero de Medicare. LIBRE Florida SMP Como habilitar a las personas mayors para evitar los frauds relacionados con la assistencia medica Medicare no paga por servicios de limpieza. 32 Nunca acepte suministros medicos de quienes toquen a su puerta. 53 Tenga sospechas si un servicio o equipo es gratis, y su numero de Medicare es necesario. 55 Reporte tacticas alarmantes o presionantes para venderle planes de servicios de Medicare. 58 La mayoria de los medicos y proveedores son honestos. 57 Si usted cree que alguien esta usando su informacion personal, llame al SMP de Florida. 60 Proteja su tarjeta de Medicare para evitar el robo de identitad y fraude. 66 Conozca sus derechos de Medicare para evitar errores y fraude. 74 Necesita asistencia con temas de Medicare en horario fuera de oficina? Llame a Medicare. 67 Asegurese que su nombre y direccion esten correctos en sus estados de cuenta de Medicare. 65 Todavia esta recibiendo facturas de el equipo medico que usted ya dio de regreso?. Esto puede ser Fraude. 72 Si usted sospecha fraude al Medicare, asegurese de tambien notificar a su compañia de seguro supplemental.

93 Fraude al Medicare Bingo B I N G O 10 En caso de duda, diga NO!. Tenga confianza en sus instintos. 7 Si tiene la minima duda de una oferta, asegurese de revisar bien la informacion 4 Use un diario personal de salud o Calendario para hacerle seguimiento a la informacion acerca de su salud 11 Revise su estado de cuenta de Medicare por servicios que usted no a recibido. 15 Le vamos a cubrir sus prescripciones de droga por solo $299 al año probablemente es fraude. Cuelque la llamada. 17 Planes de Medicare parte D no pueden inscribir a ninguna persona por telefono. Solamente si USTED los llama. 19 Compara la factura de su doctor y la de su declaracion de Medicare. 22 Es illegal que televendedores falsifiquenr informacion 25 Antes de tomar una decision, tomese su tiempo y pida informacion por escrito. 27 Los vendedores de Medicare no estan permitidos a llegar a su casa cuando no han sido invitados. 39 Si una compañia usa informacion falsa para convencerlo de que se inscriba a un plan, eso es fraude. 33 Si usted se convierte en una victima de fraude, contacte a las autoridades. LIBRE Florida SMP Como habilitar a las personas mayors para evitar los frauds relacionados con la assistencia medica Si un examen es gratis, no es necessario proporcionar su numero de Medicare. 40 Todos los planes de prescripcion de drogas Tinenen que ser aprovados por Medicare 56 Si su tarjeta de Medicare se le perdio o fue robada, llame al Seguro Social al Nosotros sabemos como hacer que Medicare pague por articulos o servicios Puede ser fraude. 60 Proteja su tarjeta de Medicare para evitar el robo de identitad y fraude. 50 Planes de Medicare no estan permitidos a requerir pagos por telefono o internet. 57 Si usted cree que alguien esta usando su informacion personal, llame al SMP de Florida. 69 Si usted no esta seguro que algo puede ser fraude. Llame al Florida SMP. 75 Fraude al Medicare es fraude a los contribuyentes de este pais. 68 Asegurese que Medicare solo pague una vez por los servicios que estan cubiertos y los subministros. 66 Conozca sus derechos de Medicare para evitar errores y fraude. 72 Si usted sospecha fraude al Medicare, asegurese de tambien notificar a su compañia de seguro supplemental

94 Fraude al Medicare Bingo B I N G O 11 Revise su estado de cuenta de Medicare por servicios que usted no a recibido. 8 Si una agencia de servicios de salud de hogar factura a Medicare por visitas que usted no recibio, esto podria ser un error de facturacion o fraude al Medicare! 9 Para evitar las llamadas de ventas, registre su numero de telefono en el Registro Nacional de No Llame Cuente las pastillas en su bottella de prescripcion para estar seguro que la farmacia le dio un suministro completo. 2 El fraude al Medicare nos cuesta billones cada año 25 Antes de tomar una decision, tomese su tiempo y pida informacion por escrito. 23 Los planes de Medicare Advantage No son como los Planes de Medicare Tradicionales! 16 Medicare no va a llamar pidiendo informacion personal. 30 Lea sus estados de cuanta de Medicare 17 Planes de Medicare parte D no pueden inscribir a ninguna persona por telefono. Solamente si USTED los llama. 44 Medicare no paga por servicios de limpieza. 42 Propagandas de consultas gratis a personas con Medicare pueden ser estafas. LIBRE Florida SMP Como habilitar a las personas mayors para evitar los frauds relacionados con la assistencia medica Si un examen es gratis, no es necessario proporcionar su numero de Medicare. 41 No compre productos por el telefono o de puerta a puerta. 59 Esquemas de fraude pueden ser realizados por personas, empresas o grupos de individuos 53 Tenga sospechas si un servicio o equipo es gratis, y su numero de Medicare es necesario. 57 Si usted cree que alguien esta usando su informacion personal, llame al SMP de Florida. 56 Si su tarjeta de Medicare se le perdio o fue robada, llame al Seguro Social al Reportar los errores al Medicare, ayuda a ahorrar a los contribuyentes y protégé a Medicare para el futuro. 74 Necesita asistencia con temas de Medicare en horario fuera de oficina? Llame a Medicare. 65 Todavia esta recibiendo facturas de el equipo medico que usted ya dio de regreso?. Esto puede ser Fraude. 72 Si usted sospecha fraude al Medicare, asegurese de tambien notificar a su compañia de seguro supplemental 69 Si usted no esta seguro que algo puede ser fraude. Llame al Florida SMP. 73 La mayoria de problemas de pago con Medicare son errores, no son fraude.

95 Fraude al Medicare Bingo B I N G O 14 Si no recogio su prescripcion de la farmacia. Asegurece que su seguro medico no haya pagado por la prescripcion. 13 Cuente las pastillas en su bottella de prescripcion para estar seguro que la farmacia le dio un suministro completo. 12 Si un podiatra le cobra a Medicare por cirugia cuando solo le corto las uñas, esto podria ser fraude! 2 El fraude al Medicare nos cuesta billones cada año 4 Use un diario personal de salud o Calendario para hacerle seguimiento a la informacion acerca de su salud 29 Resista tácticas de ventas de alta presion. 27 Los vendedores de Medicare no estan permitidos a llegar a su casa cuando no han sido invitados. 30 Lea sus estados de cuanta de Medicare 20 Informacion sobre programas gratis y de bajo costo para planes de medicina estan disponible sin ningun costo a usted. 18 Asegurece que la oficina del doctor le entregue un papel de confirmacion que enseñe los servicios prestados. 36 No utilize su tarjeta de Medicare para sorteos de premios. 44 Medicare no paga por servicios de limpieza. LIBRE Florida SMP Como habilitar a las personas mayors para evitar los frauds relacionados con la assistencia medica Nunca acepte suministros medicos de quienes toquen a su puerta. 38 Errores, fraude y abuso occuren con equipo medico, como sillas de ruedas. 54 Nosotros sabemos como hacer que Medicare pague por articulos o servicios Puede ser fraude. 51 Reportar los errores al Medicare, ayuda a ahorrar a los contribuyentes y protégé a Medicare para el futuro. 55 Reporte tacticas alarmantes o presionantes para venderle planes de servicios de Medicare. 50 Planes de Medicare no estan permitidos a requerir pagos por telefono o internet. 60 Proteja su tarjeta de Medicare para evitar el robo de identitad y fraude. 64 Si una compañia usa informacion falsa para engañarlo e inscribirlo al plan de ellos. Eso es Fraude. 62 Entienda el tipo de plan de Medicare al cual usted se va a inscribir antes de inscribirse, para evitar problemas o fraude. 63 Reporte cualquier sospecha de fraude o robo de identidad al Florida SMP. 72 Si usted sospecha fraude al Medicare, asegurese de tambien notificar a su compañia de seguro supplemental 75 Fraude al Medicare es fraude a los contribuyentes de este pais.

96 Fraude al Medicare Bingo B I N G O 12 Si un podiatra le cobra a Medicare por cirugia cuando solo le corto las uñas, esto podria ser fraude! 15 Le vamos a cubrir sus prescripciones de droga por solo $299 al año probablemente es fraude. Cuelque la llamada. 8 Si una agencia de servicios de salud de hogar factura a Medicare por visitas que usted no recibio, esto podria ser un error de facturacion o fraude al Medicare! 2 El fraude al Medicare nos cuesta billones cada año 7 Si tiene la minima duda de una oferta, asegurese de revisar bien la informacion 18 Asegurece que la oficina del doctor le entregue un papel de confirmacion que enseñe los servicios prestados. 24 No acepte ofertas de dinero o regalos a cambio de mostrar su tarjeta de Medicare. 16 Medicare no va a llamar pidiendo informacion personal. 23 Los planes de Medicare Advantage No son como los Planes de Medicare Tradicionales! 30 Lea sus estados de cuanta de Medicare 41 No compre productos por el telefono o de puerta a puerta. 35 No de la informacion de su cuenta bancaria a nadie LIBRE Florida SMP Como habilitar a las personas mayors para evitar los frauds relacionados con la assistencia medica Un proveedor que usa un diagnostico incorrecto para que Medicare le pague esta cometiendo fraude. 43 Si un examen es gratis, no es necessario proporcionar su numero de Medicare. 46 Para programar una presentacion acerca de fraude, llame a Florida SMP 50 Planes de Medicare no estan permitidos a requerir pagos por telefono o internet. 47 Proveedores no pueden facturar a Medicare por equipos medicos de personas que estan en un hogar de ancianos 49 Planes de Medicare no estan permitidos a ofrecerle dinero para que se inscriba en sus planes. 58 La mayoria de los medicos y proveedores son honestos. 61 Reporte ventas de seguros hechas con tacticas de presion al Florida SHINE al ELDER 74 Necesita asistencia con temas de Medicare en horario fuera de oficina? Llame a Medicare. 75 Fraude al Medicare es fraude a los contribuyentes de este pais. 68 Asegurese que Medicare solo pague una vez por los servicios que estan cubiertos y los subministros. 70 Las compañias de seguros que venden planes de Medicare no tienen permiso para vender puerta a puerta.

97 Fraude al Medicare Bingo B I N G O 6 Nunca preste su tarjeta de Medicare a otra persona. Eso es Fraude al Medicare. 3 Si un proveedor de equipo medico trata de venderle un equipo medico que su doctor no le prescribio, pueda que esten tratando de cometerle fraude al Medicare. 13 Cuente las pastillas en su bottella de prescripcion para estar seguro que la farmacia le dio un suministro completo. 9 Para evitar las llamadas de ventas, registre su numero de telefono en el Registro Nacional de No Llame Si no recogio su prescripcion de la farmacia. Asegurece que su seguro medico no haya pagado por la prescripcion. 23 Los planes de Medicare Advantage No son como los Planes de Medicare Tradicionales! 16 Medicare no va a llamar pidiendo informacion personal. 27 Los vendedores de Medicare no estan permitidos a llegar a su casa cuando no han sido invitados. 29 Resista tácticas de ventas de alta presion. 28 Si hay un error en su estado de cuenta de Medicare, llame a su proveedor o al SMP de la Florida. 37 Si un examen es gratis, no es necessario proporcionar su numero de Medicare. 43 Si un examen es gratis, no es necessario proporcionar su numero de Medicare. LIBRE Florida SMP Como habilitar a las personas mayors para evitar los frauds relacionados con la assistencia medica Propagandas de consultas gratis a personas con Medicare pueden ser estafas. 36 No utilize su tarjeta de Medicare para sorteos de premios. 58 La mayoria de los medicos y proveedores son honestos. 53 Tenga sospechas si un servicio o equipo es gratis, y su numero de Medicare es necesario. 46 Para programar una presentacion acerca de fraude, llame a Florida SMP 48 Planes de Medicare no estan permitidos a llegar a su casa cuando no han sido invitados. 56 Si su tarjeta de Medicare se le perdio o fue robada, llame al Seguro Social al Si usted sospecha fraude al Medicare, asegurese de tambien notificar a su compañia de seguro supplemental 68 Asegurese que Medicare solo pague una vez por los servicios que estan cubiertos y los subministros. 66 Conozca sus derechos de Medicare para evitar errores y fraude. 74 Necesita asistencia con temas de Medicare en horario fuera de oficina? Llame a Medicare. 63 Reporte cualquier sospecha de fraude o robo de identidad al Florida SMP.

98 Fraude al Medicare Bingo B I N G O 3 Si un proveedor de equipo medico trata de venderle un equipo medico que su doctor no le prescribio, pueda que esten tratando de cometerle fraude al Medicare. 2 El fraude al Medicare nos cuesta billones cada año 11 Revise su estado de cuenta de Medicare por servicios que usted no a recibido. 12 Si un podiatra le cobra a Medicare por cirugia cuando solo le corto las uñas, esto podria ser fraude! 1 Conoce el costo total de los productos antes de aceptarlos. 27 Los vendedores de Medicare no estan permitidos a llegar a su casa cuando no han sido invitados. 25 Antes de tomar una decision, tomese su tiempo y pida informacion por escrito. 21 Solicitan un pago inmediamente? No lo haga! 22 Es illegal que televendedores falsifiquenr informacion 16 Medicare no va a llamar pidiendo informacion personal. 40 Todos los planes de prescripcion de drogas Tinenen que ser aprovados por Medicare 32 Nunca acepte suministros medicos de quienes toquen a su puerta. FREE! Louisiana SMP Empowering Seniors to Prevent Healthcare Fraud Si usted se convierte en una victima de fraude, contacte a las autoridades. 34 Nunca de su numero de Medicare por el telefono o internet. 53 Tenga sospechas si un servicio o equipo es gratis, y su numero de Medicare es necesario. 47 Proveedores no pueden facturar a Medicare por equipos medicos de personas que estan en un hogar de ancianos 60 Proteja su tarjeta de Medicare para evitar el robo de identitad y fraude. 46 Para programar una presentacion acerca de fraude, llame a Florida SMP 50 Planes de Medicare no estan permitidos a requerir pagos por telefono o internet. 70 Las compañias de seguros que venden planes de Medicare no tienen permiso para vender puerta a puerta. 61 Reporte ventas de seguros hechas con tacticas de presion al Florida SHINE al ELDER 64 Si una compañia usa informacion falsa para engañarlo e inscribirlo al plan de ellos. Eso es Fraude. 67 Asegurese que su nombre y direccion esten correctos en sus estados de cuenta de Medicare. 66 Conozca sus derechos de Medicare para evitar errores y fraude.

99 Fraude al Medicare Bingo B I N G O 12 Si un podiatra le cobra a Medicare por cirugia cuando solo le corto las uñas, esto podria ser fraude! 1 Conoce el costo total de los productos antes de aceptarlos. 5 Simplemente diga Yo no doy mi informacion personal por el telefono. 10 En caso de duda, diga NO!. Tenga confianza en sus instintos. 8 Si una agencia de servicios de salud de hogar factura a Medicare por visitas que usted no recibio, esto podria ser un error de facturacion o fraude al Medicare! 20 Informacion sobre programas gratis y de bajo costo para planes de medicina estan disponible sin ningun costo a usted. 22 Es illegal que televendedores falsifiquen informacion 27 Los vendedores de Medicare no estan permitidos a llegar a su casa cuando no han sido invitados. 17 Planes de Medicare parte D no pueden inscribir a ninguna persona por telefono. Solamente si USTED los llama. 25 Antes de tomar una decision, tomese su tiempo y pida informacion por escrito. 32 Nunca acepte suministros medicos de quienes toquen a su puerta. 40 Todos los planes de prescripcion de drogas Tinenen que ser aprovados por Medicare LIBRE Florida SMP Como habilitar a las personas mayors para evitar los frauds relacionados con la assistencia medica Propagandas de consultas gratis a personas con Medicare pueden ser estafas. 37 Si un examen es gratis, no es necessario proporcionar su numero de Medicare. 60 Proteja su tarjeta de Medicare para evitar el robo de identitad y fraude. 56 Si su tarjeta de Medicare se le perdio o fue robada, llame al Seguro Social al Reporte tacticas alarmantes o presionantes para venderle planes de servicios de Medicare. 58 La mayoria de los medicos y proveedores son honestos. 47 Proveedores no pueden facturar a Medicare por equipos medicos de personas que estan en un hogar de ancianos 75 Fraude al Medicare es fraude a los contribuyentes de este pais. 65 Todavia esta recibiendo facturas de el equipo medico que usted ya dio de regreso?. Esto puede ser Fraude. 70 Las compañias de seguros que venden planes de Medicare no tienen permiso para vender puerta a puerta. 63 Reporte cualquier sospecha de fraude o robo de identidad al Florida SMP. 61 Reporte ventas de seguros hechas con tacticas de presion al Florida SHINE al ELDER

100 Fraude al Medicare Bingo B I N G O 15 Le vamos a cubrir sus prescripciones de droga por solo $299 al año probablemente es fraude. Cuelque la llamada 3 Si un proveedor de equipo medico trata de venderle un equipo medico que su doctor no le prescribio, puede que esten tratando de defraudar a Medicare. 10 En caso de duda, diga NO!. Tenga confianza en sus instintos. 6 Nunca preste su tarjeta de Medicare a otra persona. Eso es Fraude al Medicare. 8 Si una agencia de servicios de salud de hogar factura a Medicare por visitas que usted no recibio, esto podria ser un error de facturacion o fraude al Medicare! 29 Resista tácticas de ventas de alta presion. 19 Compara la factura de su doctor y la de su declaracion de Medicare. 21 Solicitan un pago inmediamente? No lo haga! 18 Asegurece que la oficina del doctor le entregue un papel de confirmacion que enseñe los servicios prestados. 25 Antes de tomar una decision, tomese su tiempo y pida informacion por escrito. 32 Nunca acepte suministros medicos de quienes toquen a su puerta. 45 Un proveedor que usa un diagnostico incorrecto para que Medicare le pague esta cometiendo fraude. LIBRE Florida SMP Como habilitar a las personas mayors para evitar los frauds relacionados con la assistencia medica Todos los planes de prescripcion de drogas Tinenen que ser aprovados por Medicare 38 Errores, fraude y abuso occuren con equipo medico, como sillas de ruedas. 54 Nosotros sabemos como hacer que Medicare pague por articulos o servicios Puede ser fraude. 59 Esquemas de fraude pueden ser realizados por personas, empresas o grupos de individuos 50 Planes de Medicare no estan permitidos a requerir pagos por telefono o internet. 52 Planes de Medicinas de Medicare pueden llamarlo pare darle informacion acerca de sus planes, pero no pueden inscribirlo por telefono, solo si usted los llama a ellos. 58 La mayoria de los medicos y proveedores son honestos. 75 Fraude al Medicare es fraude a los contribuyentes de este pais. 62 Entienda el tipo de plan de Medicare al cual usted se va a inscribir antes de inscribirse, para evitar problemas o fraude. 70 Las compañias de seguros que venden planes de Medicare no tienen permiso para vender puerta a puerta. 68 Asegurese que Medicare solo pague una vez por los servicios que estan cubiertos y los subministros. 65 Todavia esta recibiendo facturas de el equipo medico que usted ya dio de regreso?. Esto puede ser Fraude.

101 Fraude al Medicare Bingo B I N G O 4 Use un diario personal de salud o Calendario para hacerle seguimiento a la informacion acerca de su salud 9 Para evitar las llamadas de ventas, registre su numero de telefono en el Registro Nacional de No Llame Si no recogio su prescripcion de la farmacia. Asegurece que su seguro medico no haya pagado por la prescripcion. 7 Si tiene la minima duda de una oferta, asegurese de revisar bien la informacion 12 Si un podiatra le cobra a Medicare por cirugia cuando solo le corto las uñas, esto podria ser fraude! 27 Los vendedores de Medicare no estan permitidos a llegar a su casa cuando no han sido invitados. 19 Compara la factura de su doctor y la de su declaracion de Medicare. 23 Los planes de Medicare Advantage No son como los Planes de Medicare Tradicionales! 24 No acepte ofertas de dinero o regalos a cambio de mostrar su tarjeta de Medicare. 16 Medicare no va a llamar pidiendo informacion personal. 44 Medicare no paga por servicios de limpieza. 31 Lea las letras pequeñas, antes de inscribirse LIBRE Florida SMP Como habilitar a las personas mayors para evitar los frauds relacionados con la assistencia medica Si una compañia usa informacion falsa para convencerlo de que se inscriba a un plan, eso es fraude. 36 No utilize su tarjeta de Medicare para sorteos de premios. 46 Para programar una presentacion acerca de fraude, llame a Florida SMP 52 Planes de Medicinas de Medicare pueden llamarlo pare darle informacion acerca de sus planes, pero no pueden inscribirlo por telefono, solo si usted los llama a ellos. 58 La mayoria de los medicos y proveedores son honestos. 54 Nosotros sabemos como hacer que Medicare pague por articulos o servicios Puede ser fraude. 48 Planes de Medicare no estan permitidos a llegar a su casa cuando no han sido invitados. 64 Si una compañia usa informacion falsa para engañarlo e inscribirlo al plan de ellos. Eso es Fraude. 71 Si su proveedor le esta haciendo fraude. Probablemente tambien lo este haciendo con otros. 66 Conozca sus derechos de Medicare para evitar errores y fraude. 73 La mayoria de problemas de pago con Medicare son errores, no son fraude. 67 Asegurese que su nombre y direccion esten correctos en sus estados de cuenta de Medicare.

102 Fraude al Medicare Bingo B I N G O 4 Use un diario personal de salud o Calendario para hacerle seguimiento a la informacion acerca de su salud 12 Si un podiatra le cobra a Medicare por cirugia cuando solo le corto las uñas, esto podria ser fraude! 2 El fraude al Medicare nos cuesta billones cada año 6 Nunca preste su tarjeta de Medicare a otra persona. Eso es Fraude al Medicare. 11 Revise su estado de cuenta de Medicare por servicios que usted no a recibido. 26 No acepte equipo medicos que usted no necesita. 16 Medicare no va a llamar pidiendo informacion personal. 20 Informacion sobre programas gratis y de bajo costo para planes de medicina estan disponible sin ningun costo a usted. 28 Si hay un error en su estado de cuenta de Medicare, llame a su proveedor o al SMP de la Florida. 19 Compara la factura de su doctor y la de su declaracion de Medicare. 32 Nunca acepte suministros medicos de quienes toquen a su puerta. 43 Si un examen es gratis, no es necessario proporcionar su numero de Medicare. LIBRE Florida SMP Como habilitar a las personas mayors para evitar los frauds relacionados con la assistencia medica No compre productos por el telefono o de puerta a puerta. 34 Nunca de su numero de Medicare por el telefono o internet. 48 Planes de Medicare no estan permitidos a llegar a su casa cuando no han sido invitados. 57 Si usted cree que alguien esta usando su informacion personal, llame al SMP de Florida. 46 Para programar una presentacion acerca de fraude, llame a Florida SMP 51 Reportar los errores al Medicare, ayuda a ahorrar a los contribuyentes y protégé a Medicare para el futuro. 56 Si su tarjeta de Medicare se le perdio o fue robada, llame al Seguro Social al Asegurese que Medicare solo pague una vez por los servicios que estan cubiertos y los subministros. 72 Si usted sospecha fraude al Medicare, asegurese de tambien notificar a su compañia de seguro supplemental 69 Si usted no esta seguro que algo puede ser fraude. Llame al Florida SMP. 74 Necesita asistencia con temas de Medicare en horario fuera de oficina? Llame a Medicare. 67 Asegurese que su nombre y direccion esten correctos en sus estados de cuenta de Medicare.

103 Fraude al Medicare Bingo B I N G O 13 Cuente las pastillas en su bottella de prescripcion para estar seguro que la farmacia le dio un suministro completo. 2 El fraude al Medicare nos cuesta billones cada año 10 En caso de duda, diga NO!. Tenga confianza en sus instintos. 7 Si tiene la minima duda de una oferta, asegurese de revisar bien la informacion 5 Simplemente diga Yo no doy mi informacion personal por el telefono. 24 No acepte ofertas de dinero o regalos a cambio de mostrar su tarjeta de Medicare. 17 Planes de Medicare parte D no pueden inscribir a ninguna persona por telefono. Solamente si USTED los llama. 22 Es illegal que televendedores falsifiquen informacion 30 Lea sus estados de cuanta de Medicare 19 Compara la factura de su doctor y la de su declaracion de Medicare. 33 Si usted se convierte en una victima de fraude, contacte a las autoridades. 41 No compre productos por el telefono o de puerta a puerta. LIBRE Florida SMP Como habilitar a las personas mayors para evitar los frauds relacionados con la assistencia medica Si un examen es gratis, no es necessario proporcionar su numero de Medicare. 44 Medicare no paga por servicios de limpieza. 58 La mayoria de los medicos y proveedores son honestos. 49 Planes de Medicare no estan permitidos a ofrecerle dinero para que se inscriba en sus planes. 60 Proteja su tarjeta de Medicare para evitar el robo de identitad y fraude. 53 Tenga sospechas si un servicio o equipo es gratis, y su numero de Medicare es necesario. 47 Proveedores no pueden facturar a Medicare por equipos medicos de personas que estan en un hogar de ancianos 72 Si usted sospecha fraude al Medicare, asegurese de tambien notificar a su compañia de seguro supplemental 68 Asegurese que Medicare solo pague una vez por los servicios que estan cubiertos y los subministros. 62 Entienda el tipo de plan de Medicare al cual usted se va a inscribir antes de inscribirse, para evitar problemas o fraude. 75 Fraude al Medicare es fraude a los contribuyentes de este pais. 63 Reporte cualquier sospecha de fraude o robo de identidad al Florida SMP.

104 Fraude al Medicare Bingo B I N G O 9 Para evitar las llamadas de ventas, registre su numero de telefono en el Registro Nacional de No Llame Si no recogio su prescripcion de la farmacia. Asegurece que su seguro medico no haya pagado por la prescripcion. 7 Si tiene la minima duda de una oferta, asegurese de revisar bien la informacion 10 En caso de duda, diga NO!. Tenga confianza en sus instintos. 8 Si una agencia de servicios de salud de hogar factura a Medicare por visitas que usted no recibio, esto podria ser un error de facturacion o fraude al Medicare! 21 Solicitan un pago inmediamente? No lo haga! 30 Lea sus estados de cuanta de Medicare 17 Planes de Medicare parte D no pueden inscribir a ninguna persona por telefono. Solamente si USTED los llama. 26 No acepte equipo medicos que usted no necesita. 23 Los planes de Medicare Advantage No son como los Planes de Medicare Tradicionales! 42 Propagandas de consultas gratis a personas con Medicare pueden ser estafas. 39 Si una compañia usa informacion falsa para convencerlo de que se inscriba a un plan, eso es fraude. LIBRE Florida SMP Como habilitar a las personas mayors para evitar los frauds relacionados con la assistencia medica Nunca de su numero de Medicare por el telefono o internet. 40 Todos los planes de prescripcion de drogas Tinenen que ser aprovados por Medicare 53 Tenga sospechas si un servicio o equipo es gratis, y su numero de Medicare es necesario. 49 Planes de Medicare no estan permitidos a ofrecerle dinero para que se inscriba en sus planes. 59 Esquemas de fraude pueden ser realizados por personas, empresas o grupos de individuos 52 Planes de Medicinas de Medicare pueden llamarlo pare darle informacion acerca de sus planes, pero no pueden inscribirlo por telefono, solo si usted los llama a ellos. 50 Planes de Medicare no estan permitidos a requerir pagos por telefono o internet. 67 Asegurese que su nombre y direccion esten correctos en sus estados de cuenta de Medicare. 72 Si usted sospecha fraude al Medicare, asegurese de tambien notificar a su compañia de seguro supplemental 64 Si una compañia usa informacion falsa para engañarlo e inscribirlo al plan de ellos. Eso es Fraude. 73 La mayoria de problemas de pago con Medicare son errores, no son fraude. 65 Todavia esta recibiendo facturas de el equipo medico que usted ya dio de regreso?. Esto puede ser Fraude.

105 Fraude al Medicare Bingo B I N G O 13 Cuente las pastillas en su bottella de prescripcion para estar seguro que la farmacia le dio un suministro completo. 4 Use un diario personal de salud o Calendario para hacerle seguimiento a la informacion acerca de su salud 7 Si tiene la minima duda de una oferta, asegurese de revisar bien la informacion 15 Le vamos a cubrir sus prescripciones de droga por solo $299 al año probablemente es fraude. Cuelgue la llamada. 9 Para evitar las llamadas de ventas, registre su numero de telefono en el Registro Nacional de No Llame Lea sus estados de cuanta de Medicare 22 Es illegal que televendedores falsifiquen informacion 26 No acepte equipo medicos que usted no necesita. 18 Asegurece que la oficina del doctor le entregue un papel de confirmacion que enseñe los servicios prestados. 29 Resista tácticas de ventas de alta presion 41 No compre productos por el telefono o de puerta a puerta. 36 No utilize su tarjeta de Medicare para sorteos de premios. LIBRE Florida SMP Como habilitar a las personas mayors para evitar los frauds relacionados con la assistencia medica No de la informacion de su cuenta bancaria a nadie 33 Si usted se convierte en una victima de fraude, contacte a las autoridades. 55 Reporte tacticas alarmantes o presionantes para venderle planes de servicios de Medicare. 56 Si su tarjeta de Medicare se le perdio o fue robada, llame al Seguro Social al Nosotros sabemos como hacer que Medicare pague por articulos o servicios Puede ser fraude. 47 Proveedores no pueden facturar a Medicare por equipos medicos de personas que estan en un hogar de ancianos 53 Tenga sospechas si un servicio o equipo es gratis, y su numero de Medicare es necesario. 69 Si usted no esta seguro que algo puede ser fraude. Llame al Florida SMP. 61 Reporte ventas de seguros hechas con tacticas de presion al Florida SHINE al ELDER 71 Si su proveedor le esta haciendo fraude. Probablemente tambien lo este haciendo con otros. 67 Asegurese que su nombre y direccion esten correctos en sus estados de cuenta de Medicare. 64 Si una compañia usa informacion falsa para engañarlo e inscribirlo al plan de ellos. Eso es Fraude.

106 Fraude al Medicare Bingo B I N G O 6 Nunca preste su tarjeta de Medicare a otra persona. Eso es Fraude al Medicare. 1 Conoce el costo total de los productos antes de aceptarlos. 14 Si no recogio su prescripcion de la farmacia. Asegurece que su seguro medico no haya pagado por la prescripcion. 3 Si un proveedor de equipo medico trata de venderle un equipo medico que su doctor no le prescribio, pueda que esten tratando de cometerle fraude al Medicare. 13 Cuente las pastillas en su bottella de prescripcion para estar seguro que la farmacia le dio un suministro completo. 22 Es illegal que televendedores falsifiquen informacion 18 Asegurece que la oficina del doctor le entregue un papel de confirmacion que enseñe los servicios prestados. 29 Resista tácticas de ventas de alta presion 24 No acepte ofertas de dinero o regalos a cambio de mostrar su tarjeta de Medicare. 30 Lea sus estados de cuanta de Medicare 33 Si usted se convierte en una victima de fraude, contacte a las autoridades. 45 Un proveedor que usa un diagnostico incorrecto para que Medicare le pague esta cometiendo fraude. LIBRE Florida SMP Como habilitar a las personas mayors para evitar los frauds relacionados con la assistencia medica No utilize su tarjeta de Medicare para sorteos de premios. 35 No de la informacion de su cuenta bancaria a nadie 49 Planes de Medicare no estan permitidos a ofrecerle dinero para que se inscriba en sus planes. 57 Si usted cree que alguien esta usando su informacion personal, llame al SMP de Florida. 50 Planes de Medicare no estan permitidos a requerir pagos por telefono o internet. 55 Reporte tacticas alarmantes o presionantes para venderle planes de servicios de Medicare. 51 Reportar los errores al Medicare, ayuda a ahorrar a los contribuyentes y protégé a Medicare para el futuro. 70 Las compañias de seguros que venden planes de Medicare no tienen permiso para vender puerta a puerta. 63 Reporte cualquier sospecha de fraude o robo de identidad al Florida SMP. 69 Si usted no esta seguro que algo puede ser fraude. Llame al Florida SMP. 71 Si su proveedor le esta haciendo fraude. Probablemente tambien lo este haciendo con otros. 62 Entienda el tipo de plan de Medicare al cual usted se va a inscribir antes de inscribirse, para evitar problemas o fraude.

107 Fraude al Medicare Bingo B I N G O 1 Conoce el costo total de los productos antes de aceptarlos. 11 Revise su estado de cuenta de Medicare por servicios que usted no a recibido. 15 Le vamos a cubrir sus prescripciones de droga por solo $299 al año probablemente es fraude. Cuelque la llamada. 5 Simplemente diga Yo no doy mi informacion personal por el telefono. 10 En caso de duda, diga NO!. Tenga confianza en sus instintos. 20 Informacion sobre programas gratis y de bajo costo para planes de medicina estan disponible sin ningun costo a usted. 28 Si hay un error en su estado de cuenta de Medicare, llame a su proveedor o al SMP de la Florida. 16 Medicare no va a llamar pidiendo informacion personal. 23 Los planes de Medicare Advantage No son como los Planes de Medicare Tradicionales! 29 Resista tácticas de ventas de alta presion. 34 Nunca de su numero de Medicare por el telefono o internet. 38 Errores, fraude y abuso occuren con equipo medico, como sillas de ruedas. LIBRE Florida SMP Como habilitar a las personas mayors para evitar los frauds relacionados con la assistencia medica Si una compañia usa informacion falsa para convencerlo de que se inscriba a un plan, eso es fraude. 31 Lea las letras pequeñas, antes de inscribirse 57 Si usted cree que alguien esta usando su informacion personal, llame al SMP de Florida. 56 Si su tarjeta de Medicare se le perdio o fue robada, llame al Seguro Social al Planes de Medicare no estan permitidos a ofrecerle dinero para que se inscriba en sus planes. 51 Reportar los errores al Medicare, ayuda a ahorrar a los contribuyentes y protégé a Medicare para el futuro. 48 Planes de Medicare no estan permitidos a llegar a su casa cuando no han sido invitados. 61 Reporte ventas de seguros hechas con tacticas de presion al Florida SHINE al ELDER 72 Si usted sospecha fraude al Medicare, asegurese de tambien notificar a su compañia de seguro supplemental 74 Necesita asistencia con temas de Medicare en horario fuera de oficina? Llame a Medicare. 63 Reporte cualquier sospecha de fraude o robo de identidad al Florida SMP. 66 Conozca sus derechos de Medicare para evitar errores y fraude.

108 Fraude al Medicare Bingo B I N G O 3 Si un proveedor de equipo medico trata de venderle un equipo medico que su doctor no le prescribio, pueda que esten tratando de cometerle fraude al Medicare. 9 Para evitar las llamadas de ventas, registre su numero de telefono en el Registro Nacional de No Llame Revise su estado de cuenta de Medicare por servicios que usted no a recibido. 2 El fraude al Medicare nos cuesta billones cada año 8 Si una agencia de servicios de salud de hogar factura a Medicare por visitas que usted no recibio, esto podria ser un error de facturacion o fraude al Medicare! 28 Si hay un error en su estado de cuenta de Medicare, llame a su proveedor o al SMP de la Florida. 17 Planes de Medicare parte D no pueden inscribir a ninguna persona por telefono. Solamente si USTED los llama. 30 Lea sus estados de cuanta de Medicare 27 Los vendedores de Medicare no estan permitidos a llegar a su casa cuando no han sido invitados. 21 Solicitan un pago inmediamente? No lo haga! 43 Si un examen es gratis, no es necessario proporcionar su numero de Medicare. 31 Lea las letras pequeñas, antes de inscribirse LIBRE Florida SMP Como habilitar a las personas mayors para evitar los frauds relacionados con la assistencia medica No utilize su tarjeta de Medicare para sorteos de premios. 35 No de la informacion de su cuenta bancaria a nadie 60 Proteja su tarjeta de Medicare para evitar el robo de identitad y fraude. 46 Para programar una presentacion acerca de fraude, llame a Florida SMP 53 Tenga sospechas si un servicio o equipo es gratis, y su numero de Medicare es necesario. 59 Esquemas de fraude pueden ser realizados por personas, empresas o grupos de individuos 49 Planes de Medicare no estan permitidos a ofrecerle dinero para que se inscriba en sus planes. 73 La mayoria de problemas de pago con Medicare son errores, no son fraude. 66 Conozca sus derechos de Medicare para evitar errores y fraude. 62 Entienda el tipo de plan de Medicare al cual usted se va a inscribir antes de inscribirse, para evitar problemas o fraude. 70 Las compañias de seguros que venden planes de Medicare no tienen permiso para vender puerta a puerta. 74 Necesita asistencia con temas de Medicare en horario fuera de oficina? Llame a Medicare.

109 B-1 Know the total cost of products before accepting them B-6 Never loan your Medicare card to someone else it s Medicare fraud! B-11 Review your Medicare statements for services not received MASTER - Medicare Fraud Bingo B-2 Medicare fraud costs Americans billions a year B-7 If you have the slightest doubt about an offer, Check It Out! B-12 If a Podiatrist bills Medicare for surgery when they only clipped your nails, this could be fraud! B-3 If a medical equipment supplier tries to sell you equipment your doctor didn t prescribe, they may be trying to defraud Medicare B-8 If a home health agency bills Medicare for visits you did not receive, this could be a billing error or even Medicare fraud! B-13 Count the pills in your prescription bottle to be sure the pharmacy gave you a full supply B-4 Use a Personal Health Journal to track your health care information B-9 To avoid sales calls, place your name on the national Do Not Call List B-14 If you never picked up your prescription from the pharmacy, be sure your insurance didn t pay for it B-5 Just say I don t give out personal information over the phone B-10 If in doubt, say NO! Trust your instincts B-15 We ll cover all your prescription drugs for just $299 a year is probably a scam hang up! I-16 Medicare will NOT call you asking for personal information I-21 Immediate payment necessary? Don t do it! I-17 Medicare Part D plans cannot enroll you over the phone unless YOU call THEM I-22 It s illegal for telemarketers to misrepresent info I-18 Be sure your doctors office provides you with a fee slip showing the services performed I-23 Medicare Advantage plans are NOT just like Traditional Medicare! I-19 Compare the doctors fee slip to your Medicare statement I-24 Don t accept offers of money or gifts for showing your Medicare card I-20 Information on free and low-cost prescription drug programs is available AT NO CHARGE I-25 Before you make a decision, take your time and ask for written info

110 I-26 Don t accept medical supplies you don t need N-31 Read the fine print before signing up N-36 Don t use your Medicare card for prize drawings N-41 Do not buy products over the phone or doorto-door G-46 To schedule a presentation about fraud, call the SMP MASTER - Medicare Fraud Bingo I-27 Medicare salespeople are NOT allowed to come to your home uninvited N-32 Never accept medical supplies from door-todoor salesmen N-37 If a test is free, you don t need to provide your Medicare # N-42 Advertising free consultations to people with Medicare could be a scam G-47 Providers cannot bill Medicare for medical equipment for people in a nursing home I-28 If there is an error on your Medicare statement, call your provider or SMP N-33 If you become a victim of fraud, let the authorities know N-38 Errors, fraud and abuse occur with medical equipment like wheelchairs N-43 If a test is free, you don t need to provide your Medicare # G-48 Medicare plans are not allowed to come to your home uninvited I-29 Resist high pressure sales tactics N-34 Never give your Medicare number over the phone or internet N-39 If a company uses false information to mislead you into joining a Medicare plan, that s fraud! N-44 Medicare does NOT pay for housekeeping services G-49 Medicare plans are not allowed to offer you cash to join their plan I-30 Read your Medicare statements N-35 Keep info about your bank accounts to yourself N-40 All Medicare drug plans MUST be approved by Medicare N-45 A provider who uses a wrong diagnosis to get Medicare to pay is committing fraud G-50 Medicare plans are not allowed to ask you for payment over the phone or internet

111 G-51 Reporting Medicare errors saves money for taxpayers and protects Medicare for the future G-56 If your Medicare card is lost or stolen, call Social Security at O-61 Report high-pressure insurance sales tactics to the Department of Insurance O-66 Know your Medicare rights to avoid errors or even fraud O-71 If a health care provider is defrauding you, they re probably defrauding others MASTER - Medicare Fraud Bingo G-52 Medicare drug plans may call you to tell you about their plans, but can t enroll you over the phone unless you call them G-57 If you think someone is using your personal information, contact the SMP O-62 Understand the type of Medicare plan you re joining BEFORE signing up to avoid problems or even fraud O-67 Be sure your name and address are correct on your Medicare statements O-72 If you suspect Medicare fraud, be sure to also notify your supplemental insurance company G-53 Be suspicious if a service or equipment is free, but your Medicare number is needed G-58 Most health care providers and suppliers are honest O-63 Report ALL suspected instances of fraud or identity theft to the SMP O-68 Be sure Medicare only pays once for covered services and supplies O-73 Most Medicare payment issues are a result of errors, not fraud G-54 We know how to get Medicare to pay for the item or service could be fraud! G-59 Fraud schemes can be carried out by individuals, companies or groups of individuals O-64 If a company uses false information to mislead you into joining a Medicare plan, THAT s fraud O-69 Not sure whether something in fraud? Call the SMP O-74 Need assistance with Medicare issues afterhours? Call Medicare G-55 Report high pressure or scare tactics to sell you Medicare plans or services G-60 Protect your Medicare card to avoid identity theft and fraud O-65 Still receiving bills for medical equipment you ve returned? This could be fraud! O-70 Insurance companies selling Medicare plans are not allowed to sell door-to-door O-75 Defrauding Medicare is defrauding American taxpayers!

112 B-1 Conoce el costo total de los productos antes de aceptarlos. B-6 Nunca preste su tarjeta de Medicare a otra persona. Eso es Fraude al Medicare. B-11 Revise su estado de cuenta de Medicare por servicios que usted no a recibido. I-16 Medicare no va a llamar pidiendo informacion personal. I-21 Solicitan un pago inmediamente? No lo haga! MASTER Fraude al Medicare Bingo B-2 El fraude al Medicare nos cuesta billones cada año B-7 Si tiene la minima duda de una oferta, asegurese de revisar bien la informacion! B-12 Si un podiatra le cobra a Medicare por cirugia cuando solo le corto las uñas, esto podria ser fraude! I-17 Planes de Medicare parte D no pueden inscribir a ninguna persona por telefono. Solamente si USTED los llama. I-22 Es illegal que televendedores falsifiquen informacion B-3 Si un proveedor de equipo medico trata de venderle un equipo medico que su doctor no le prescribio, pueda que esten tratando de cometerle fraude al Medicare. B-8 Si una agencia de servicios de salud de hogar factura a Medicare por visitas que usted no recibio, esto podria ser un error de facturacion o fraude al Medicare! B-13 Cuente las pastillas en su bottella de prescripcion para estar seguro que la farmacia le dio un suministro completo. I-18 Asegurece que la oficina del doctor le entregue un papel de confirmacion que enseñe los servicios prestados. I-23 Los planes de Medicare Advantage No son como los Planes de Medicare Tradicionales! B-4 Use un diario personal de salud o Calendario para hacerle seguimiento a la informacion acerca de su salud B-9 Para evitar las llamadas de ventas, registre su numero de telefono en el Registro Nacional de No Llame B-14 Si no recogio su prescripcion de la farmacia. Asegurece que su seguro medico no haya pagado por la prescripcion. I-19 Compara la factura de su doctor y la de su declaracion de Medicare. I-24 No acepte ofertas de dinero o regalos a cambio de mostrar su tarjeta de Medicare. B-5 Simplemente diga Yo no doy mi informacion personal por el telefono. B-10 En caso de duda, diga NO!. Tenga confianza en sus instintos. B-15 Le vamos a cubrir sus prescripciones de droga por solo $299 al año probablemente es fraude. Cuelque la llamada. I-20 Informacion sobre programas gratis y de bajo costo para planes de medicina estan disponible sin ningun costo a usted. I-25 Antes de tomar una decision, tomese su tiempo y pida informacion por escrito.

113 I-26 No acepte equipo medicos que usted no necesita. N-31 Lea las letras pequeñas, antes de inscribirse N-36 No utilize su tarjeta de Medicare para sorteos de premios. N-41 No compre productos por el telefono o de puerta a puerta. G-46 Para programar una presentacion acerca de fraude, llame a Florida SMP MASTER Fraude al Medicare Bingo I-27 Los vendedores de Medicare no estan permitidos a llegar a su casa cuando no han sido invitados N-32 Nunca acepte suministros medicos de quienes toquen a su puerta N-37 Si un examen es gratis, no es necessario proporcionar su numero de Medicare. N-42 Propagandas de consultas gratis a personas con Medicare pueden ser estafas. G-47 Proveedores no pueden facturar a Medicare por equipos medicos de personas que estan en un hogar de ancianos I-28 Si hay un error en su estado de cuenta de Medicare, llame a su proveedor o al SMP de la Florida. N-33 Si usted se convierte en una victima de fraude, contacte a las autoridades. N-38 Errores, fraude y abuso occuren con equipo medico, como sillas de ruedas. N-43 Si un examen es gratis, no es necessario proporcionar su numero de Medicare. G-48 Planes de Medicare no estan permitidos a llegar a su casa cuando no han sido invitados. I-29 Resista tácticas de ventas de alta presion. N-34 Nunca de su numero de Medicare por el telefono o internet. N-39 Si una compañia usa informacion falsa para convencerlo de que se inscriba a un plan, eso es fraude. N-44 Medicare no paga por servicios de limpieza. G-49 Planes de Medicare no estan permitidos a ofrecerle dinero para que se inscriba en sus planes. I-30 Lea sus estados de cuanta de Medicare N-35 No de la informacion de su cuenta bancaria a nadie N-40 Todos los planes de prescripcion de drogas Tinenen que ser aprovados por Medicare N-45 Un proveedor que usa un diagnostico incorrecto para que Medicare le pague esta cometiendo fraude. G-50 Planes de Medicare no estan permitidos a requerir pagos por telefono o internet.

114 G-51 Reportar los errores al Medicare, ayuda a ahorrar a los contribuyentes y protégé a Medicare para el futuro. G-56 Si su tarjeta de Medicare se le perdio o fue robada, llame al Seguro Social al O-61 Reporte ventas de seguros hechas con tacticas de presion al Florida SHINE al ELDER O-66 Conozca sus derechos de Medicare para evitar errores y fraude. O-71 Si su proveedor le esta haciendo fraude. Probablemente tambien lo este haciendo con otros MASTER Fraude al Medicare Bingo G-52 Planes de Medicinas de Medicare pueden llamarlo pare darle informacion acerca de sus planes, pero no pueden inscribirlo por telefono, solo si usted los llama a ellos. G-57 Si usted cree que alguien esta usando su informacion personal, llame al SMP de Florida O-62 Entienda el tipo de plan de Medicare al cual usted se va a inscribir antes de inscribirse, para evitar problemas o fraude. O-67 Asegurese que su nombre y direccion esten correctos en sus estados de cuenta de Medicare. O-72 Si usted sospecha fraude al Medicare, asegurese de tambien notificar a su compañia de seguro supplemental G-53 Tenga sospechas si un servicio o equipo es gratis, y su numero de Medicare es necesario. G-58 La mayoria de los medicos y proveedores son honestos. O-63 Reporte cualquier sospecha de fraude o robo de identidad al Florida SMP. O-68 Asegurese que Medicare solo pague una vez por los servicios que estan cubiertos y los subministros O-73 La mayoria de problemas de pago con Medicare son errores, no son fraude. G-54 Nosotros sabemos como hacer que Medicare pague por articulos o servicios Puede ser fraude. G-59 Esquemas de fraude pueden ser realizados por personas, empresas o grupos de individuos O-64 Si una compañia usa informacion falsa para engañarlo e inscribirlo al plan de ellos. Eso es Fraude. O-69 Si usted no esta seguro que algo puede ser fraude. Llame al Florida SMP. O-74 Necesita asistencia con temas de Medicare en horario fuera de oficina? Llame a Medicare. G-55 Reporte tacticas alarmantes o presionantes para venderle planes de servicios de Medicare. G-60 Proteja su tarjeta de Medicare para evitar el robo de identitad y fraude O-65 Todavia esta recibiendo facturas de el equipo medico que usted ya dio de regreso?. Esto puede ser Fraude.! O-70 Las compañias de seguros que venden planes de Medicare no tienen permiso para vender puerta a puerta. O-75 Fraude al Medicare es fraude a los contribuyentes de este pais.

115 Iowa SMP

116 I M Not Contributing to Medicare Fraud! Am I? o Do you keep a record of all your medical appointments & prescriptions? o Do you review your Medicare Summary Notice (MSN) when it comes in the mail? o If you are on Medicare Part D, do you review your Explanation of Benefits (EOB) when it arrives? o If something looks wrong or not quite right, do you call your provider? o If you don t agree with the provider s answer, do you seek further help? o If you suspect fraud, do you know who to call to report it? What IS a (MSN) Medicare Summary Notice? It lists all your Medicare claims for a certain time period, and is sent to you every 3 months, if you have claims. Review it by comparing items listed with your personal health care journal, calendar or record book. Check your Medicare Summary Notice for: Duplicated claims Items your doctor didn t prescribe or you didn t receive. Providers you don t recognize. If you see something that doesn t look correct on your MSN, call the provider and ask questions. If they can t provide an answer, you can call Medicare directly, or the Senior Medicare Patrol (number listed on back) for help. Most simple errors get corrected. Fraudulent claims steal YOUR benefits. Report suspected fraud! [Type here] Isn t it Medicare s job to review our claims to see what is correct? Medicare processes an average of 4.4 million claims a day. Due to time and resource limitations, fewer than 3% of all submitted claims are reviewed before they are paid. The Centers for Medicare and Medicaid Services need your help to protect your benefits. Check your records for anything that seems suspicious. If you don t, you may be allowing Medicare fraudsters to get away with theft. Turn over to play a word game!

117 Unscramble the letters below to reveal key words from the other side of this page. CRIEMDEA MURSYAM DARUF CLEAPTUID SMICAL WIREEV SASTREFURD PINSTAMNETOP INAXAPNLOTE STIPERNSOCRIP GLISBILN SPOSRECES TROCOD DRIVEPOR If you think you have been a victim of Identity Theft or Medicare Fraud, contact SMP at (LOCAL AAA) office or Iowa SMP at: Insert Local AAA logo This document was supported, in part, by Grant #90MP , from the Admin. for Community Living/Admin. on Aging, Dept. of Health and Human Services. Grantees undertaking projects under government sponsorship are encouraged to express freely their findings & conclusions. Points of view or opinions do not, therefore, necessarily represent official Admin. on Aging policy. This document created by Iowa SMP volunteers at Milestones Agency on Aging.

118 Unscramble the letters below to reveal key words from the other side of this page. CRIEMDEA MURSYAM DARUF CLEAPTUIDD SMICAL WIREEV SASTREFURD PINSTAMNETOP INAXAPNLOTE STIPERNSOCRIP GLISBILN SPOSRECES TROCOD DRIVEPOR Medicare Summary Fraud Duplicated Claims Review Fraudsters Appointments Explanation Prescriptions Billings Processes Doctor Provider This document was supported, in part, by Grant #90MP , from the Admin. for Community Living/Admin. on Aging, Dept. of Health and Human Services. Grantees undertaking projects under government sponsorship are encouraged to express freely their findings & conclusions. Points of view or opinions do not, therefore, necessarily represent official Admin. on Aging policy. If you think you have been a victim of Identity Theft or Medicare Fraud, contact SMP at (LOCAL AAA) office or Iowa SMP at: Insert Local AAA logo This document created by Iowa SMP volunteers at Milestones Agency on Aging.

119 Idaho SMP

120 SMP FAMILY FEUD GAME INSTRUCTIONS & ANSWER KEY Senior Medicare Patrol of Idaho is supported by a grant from the U.S. Administration for Community Living (ACL) through the Idaho Commission on Aging (ICOA). Game created by: The Senior Medicare Patrol of Eastern Idaho, Area VI Agency on Aging

121 Contents Game Materials... 2 Rules and Instructions... 2 Game Set Up... 2 Game Rules... 2 Face-Off... 2 Family Feud Rounds... 3 Rules for Fast Money Round... 4 Alternate Rules... 5 Simplified Ruleset... 5 Timed Game Play... 5 Using the Game Board (PowerPoint Presentation)... 6 Intro..6 Navigating the Game (PowerPoint Slides)... 6 Sound Buttons...7 Fast Money Game Board...7 Family Feud Answer Key Rounds # Family Feud Answer Key Fast Money Contact Information PAGE 1

122 Game Materials Projector Projector Screen Laptop and Speakers Post-It Self Stick Easel Pad (Team s score card) Poster Markers Prizes Rules and Instructions GAME SET UP Set up the projector, screen, speakers and laptop prior to start of event. Divide the audience into two teams, or families. Have each team pick a family name and designate a team captain. Place two Post-It Self Stick posters on wall to keep track of the two teams score. Label each poster with the team s name. GAME RULES Face-Off For each round, the families will designate one contestant to face-off against a contestant from the other team. The first question will be revealed and read. The first contestant to raise their hand gets a chance to answer the question. PAGE 2

123 If the contestant s answer is on the list of possible answers, then that family can choose whether to play the question out or give it to the other family. If their answer is incorrect, then the contestant from the other team has a chance to answer. The aforementioned rules of getting it right or wrong with the first contestant are also applicable to the second contestant. Family Feud Rounds The family that wins the face-off can decide to continue guessing all of the possible answers to the question, or they can pass it to the other team. Tip: Have the team captain alternate team contestants to allow for whole team participation. If the family decides to play out the question, then they must get all of the possible answers while only getting two or fewer incorrect answers (also called strikes) in the process. If they succeed in doing this, then they get all of the points available for that round (which is simply all of the points for that question). Three strikes allow the other team a chance to steal the points from the answers that have already been revealed. The opponent team has one chance to guess an answer and if it is on the list, then they get the points for their answer plus all of the points from the answers that have been revealed by the other family. If their guess is incorrect, then the original family gets points for all of the answers that they answered correctly prior to getting three strikes. If a team gets three strikes and the opponent team makes a guess, the remaining answers will then be revealed; however, the points for these previously uncovered answers will be not be awarded. PAGE 3

124 Rules for Fast Money Round The bonus round, Fast Money, can be played after the normal rounds have been completed (or when it s time to wrap-up). The Fast Money round does not have a set amount of points assigned to each question, because it only has one answer. It is best to give each answer a substantial amount (i.e.: 50 points) so that the Fast Money round can be a possible catch-up round for the losing family. Families will each pick a contestant to compete in these Fast Money rounds. The family with the most points will get the opportunity to go first. The other chosen contestant from the opposing family will need to leave the room so that he or she cannot hear the questions and subsequent answers. If a family member from the opposing team is caught giving out information to their family contestant, then that family will be disqualified from participating in the Fast Money round. The family member contestant will have one minute to answer a series of questions that only have one specific answer. (Tip: Use the timer on the PowerPoint slide.) The contestant only gets one guess per question. If the answer is correct, the presenter clicks the + sign which is followed by victory music. If they get it wrong, the presenter clicks the X, which makes the strike noise. PAGE 4

125 Once indicated whether the contestant has answered correctly or incorrectly, click on the next box to reveal the next question. This process continues until time runs out, or until the contestant has guessed on all ten Fast Money questions. ALTERNATE RULES Simplified Ruleset If preferred, use the following alternative and simplified rules as needed. The presenter and the audience work together as a team. Each question will be revealed and then the members of the audience can simply call out answers. When a correct answer is called out, it can be revealed on the PowerPoint. The presenter is encouraged to provide hints as needed, and/or reveal answers to keep the game progressing. Omit keeping score. Omit strikes. Omit the Fast Money round. Distribute prizes to all of the audience for participating. Timed Game Play The objective of a timed game is to gain the most points before the time is up. Tip: Allow for minimum of 15 minutes of play time to maximum of 60 minutes of play time. Follow Game Rules (or Simplified Rules, if preferred). Play until out of time. When the timer goes off, the team with highest score wins. Omit Fast Money round, if out of time. Or save 5 minutes at the end to play the Fast Money round. PAGE 5

126 Using the Game Board (PowerPoint Presentation) To play the game, play the slide show from the beginning. INTRO The first two slides will play through and send the presentation to the first round (the third slide). To skip ahead of the introduction slides, click the right arrow on the keyboard and the presentation will go to the first round. NAVIGATING THE GAME (POWERPOINT SLIDES) It is important to correctly navigate the slides for each round. Click the show question button (located in the bottom-left corner of the slide) to reveal the question. Read the question aloud as it appears on the slide. While the question appears, the words light up in sequence until the end of the question. Once the last word has lit up, click the hide question button (located in the bottom-left corner of the slide) to show the numbered boxes. The contestants can begin to make guesses as soon as the numbered boxes appear. Click the number that corresponds to the answer given (refer to the answer key). Once a family has control of the round, they will continue to guess. Click the number to the corresponding answer if they get it right. If they get it wrong, click the red X (strike button) in the bottom-right corner. Navigate through the rounds (slides) by using the yellow arrows, located in the bottom left corner. PAGE 6

127 Sound Buttons Sound buttons are located in the bottom right corner of each slide. Use the cheer or boo button at your discretion throughout the round. Win button can be used if a family correctly guesses all of the answers to the question. Lose button can be used if the family gets three strikes. The silence button cuts off any current sounds. Fast Money Game Board Once the first contestant is ready to start, start the timer (located the top-right of the slide). Once the timer starts, quickly click/reveal the first question for the contestant. (Alternatively, reveal the first question just prior to starting the timer). Reveal and read the questions aloud for the contestant to make guesses. Hit the + button for correct answers and the X button for incorrect answers. Refer to answer key for Fast Money answers. PAGE 7

128 Family Feud Answer Key Rounds #1-25 #1 You re stranded on a deserted island, what s the first thing you do? 1. Find Water (30) 2. Find Food (22) 3. Build Shelter (20) 4. Look for Help (16) 5. Build a Fire (12) #2 Name a food you like so much that you d hate to be allergic to it: 1. Chocolate (26) 2. Milk (23) 3. Seafood (8) 4. Ice-cream (6) 5. Pizza (6) 6. Eggs (5) 7. Strawberries (5) 8. Meat (4) #3 Which part of Medicare loses the most money as a result of improper payment errors? 1. Part B (40) 2. Part A (30) 3. Part C (20) 4. Part D (10) #4 What are some ways to avoid Medicare fraud? 1. Safeguard Your Info (20) 2. Ask about Charges (20) 3. Review MSNs/EOBs (20) 4. Avoid Free Stuff (20) 5. Healthcare Journal (20) #5 Name something that you would hate to find in your cellar: 1. Rats/Mice (64) 2. Snake (15) 3. Water (6) 4. Bugs (5) 5. Dead Body (3) 6. Cobwebs/Spiders (2) 7. Burglar (2) 8. Mold (1) PAGE 8

129 #6 What are some red flags that may show you have become a victim of identity theft? 1. Account Statements (12) 2. MSN/ EOB s (12) 3. Late Bills (12) 4. Unrecognized Bills (12) 5. Debt Collectors (12) 6. IRS Notice (12) 7. Accounts for Minor Child (12) 8. Checks Turned Down (12) #7 Name a card game best played by four people: 1. Bridge (55) 2. Poker (17) 3. Pinochle (12) 4. Canasta (2) 5. Gin (2) 6. Uno (2) #8 If you are suspicious about a charge on your MSN, who should you contact? 1. Healthcare Provider (30) 2. SMP/ SHIP (30) 3. CMS (30) #9 Top 8 Most Fraudulent States: 1. Florida (35) 2. Colorado (20) 3. Delaware (15) 4. Maryland (10) 5. Nevada (8) 6. Arizona (6) 7. Virginia (4) 8. Georgia (2) #10 You get a call from someone stating they are from Medicare. They want to verify your Medicare number to send you a new card. What do you do? 1. Hang Up! (20) 2. Say No, Thank you. (20) 3. Call Medicare (1-800-MEDICARE) (20) 4. Don t share your information (20) 5. Report the call (ftc.gov) (20) PAGE 9

130 #11 Besides toothpaste, name something in a tube: 1. Meds/ Ointments (33) 2. Shampoo (14) 3. Glue (12) 4. Hair Gel (10) 5. Caulking/Sealant (7) 6. Frosting (4) 7. Lipstick (4) 8. Paint (4) #12 Identity theft is a common consequence of Medicare fraud. The definition of identity theft includes these 3 general types of incidents: 1. Unauthorized Use on Existing Account (30) 2. Opening New Account (30) 3. Fraudulent Purpose (30) #13 Who should Medicare beneficiaries contact if their Medicare number becomes compromised? 1. Senior Medicare Patrol (25) 2. Medicare Fraud Department (25) 3. Healthcare Providers (25) 4. FTC ID Theft Hotline (25) #14 What kinds of healthcare services have been caught committing Medicare fraud? 1. Hospitals (15) 2. Hospice Care (15) 3. Ambulance Services (15) 4. Skilled Nursing Facilities (15) 5. Home Healthcare (15) 6. DME Companies (15) #15 Name something people push around: 1. Cart (50) 2. Baby Stroller (27) 3. Vacuum (8) 4. Lawn Mower (5) PAGE 10

131 #16 What words are red flags to indicate that a medical product might be a scam? 1. Free (20) 2. Secret Formula (20) 3. Breakthrough (20) 4. No Side Effects (20) 5. No More Doctor (20) #17 Name common types of Medicare fraud scams. 1. Medicare Card Scam (12) 2. Obamacare Scam (12) 3. Ambulance Fraud Scam (12) 4. DME Fraud Scam (12) 5. Home Health/ Hospice Fraud Scam (12) 6. Nursing Facilities Fraud Scam (12) 7. Prescription Drug Fraud Scam (12) 8. Medicare Changes Scam (12) #18 Besides a bathing suit, name something people wear in the water: 1. Goggles/Mask (28) 2. Bathing Cap (20) 3. Shorts (14) 4. Wet Suit (8) 5. Ear Plugs (7) 6. Fins (5) 7. Life Jacket (4) #19 What are some common Medicare fraud schemes that you could prevent by reviewing all of your MSN s? 1. Fraudulent Bill (25) 2. Fake Provider (25) 3. Waiving Deductible (25) 4. Upcoding (25) #20 Name something a man might do for a woman that she would think is romantic: 1. Give Flowers (80) 2. Candlelight Dinner (9) 3. Give Chocolate (2) 4. Take on Trip (2) PAGE 11

132 #21 Roles of Senior Medicare Patrol Volunteers 1. Group Presentations (25) 2. Medicare Fraud Counseling (25) 3. Community Outreach (25) 4. Assist with Administration (25) #22 What are some ways identity thieves can misuse personal information for a fraudulent purpose? 1. Medical Care (15) 2. Getting a Job (15) 3. Government Benefits (15) 4. Renting Apt/House (15) 5. Avoiding Law Enforcement (15) 6. Steal Your Money (15) #23 Name an occasion for which someone might be tempted to rent a fancy car: 1. Wedding (57) 2. Prom (30) 3. Reunion (6) 4. Anniversary (3) #24 What are the steps to prevent Medicare fraud? 1. Protect (33) 2. Detect (33) 3. Report (33) #25 Top 8 Scams targeting our nation s seniors as identified by the U.S. Senate Aging Committee: 1. IRS Impersonation Scam (40) 2. Sweepstakes Scams (16) 3. Unsolicited Phone Calls (11) 4. Computer Scams (10) 5. Identity Theft (9) 6. Grandparent Scams (6) 7. Elder Financial Abuse (5) 8. Government Grant Scams (3) PAGE 12

133 Family Feud Answer Key Fast Money #1 T/F Medicare fraud is a rare crime that we shouldn t worry about. FALSE #2 What does SMP stand for? SENIOR MEDICARE PATROL #3 The difference between fraud/abuse and errors is? INTENT #4 How do you detect billing inaccuracies? REVIEW MEDICARE SUMMARY NOTICES #5 Year SMP Program was formed? 1997 #6 For each dollar that is spent fighting Medicare fraud, how many dollars are returned? $8 #7 Approximately, how much money does the Medicare trust fund lose each year to Medicare fraud, errors and abuse? $60 BILLION #8 According to CMS, how many compromised Medicare numbers are there? 284,000 #9 are the first line of defense in fighting Medicare fraud. YOU #10 T/F Identity theft is a possible consequence of Medicare fraud? TRUE PAGE 13

134 Contact Information Game created by: The Senior Medicare Patrol of Eastern Idaho Heather Croft (Eastern Idaho Area Agency on Aging Outreach Specialist/SMP Coordinator) & Brannon Jarvis (Eastern Idaho Area Agency on Aging Outreach Intern/ SMP Volunteer) Any questions? me at Heather Croft, BS Area VI Agency on Aging Outreach Specialist Eastern Idaho Community Action Partnership 935 E. Lincoln Rd. Idaho Falls, ID Ph: (208) ext 1058 Fax: (208) PAGE 14

135 FAMILY FEUD FAMILY FEUD FAMILY FEUD FAMILY FEUD FAMILY FEUD D FAMILY FEUD FAMILY FEUD FAMILY FEUD FAMILY FEUD FAMILY FE Senior Medicare Patrol of Idaho is supported by a grant from the U.S. Administration for Community Living (ACL) through the Idaho Commission on Aging (ICOA). Game created by: The Senior Medicare Patrol of Eastern Idaho, Area VI Agency on Aging

136 Round 1 FIND WATER 30 BUILD A FIRE 12 FIND FOOD 22 BUILD SHELTER 20 LOOK FOR HELP 16 Win Lose Cheer Boo Silence Round 2 CHOCOLATE 26 PIZZA 6 MILK 23 EGGS 5 SEAFOOD 8 STRAWBERRIES 5 ICE CREAM 6 MEAT 4 Win Lose Cheer Boo Silence

137 Round 3 PART B PART A PART C PART D Win Lose Cheer Boo Silence Round 4 SAFEGUARD YOUR INFO 20 HEALTHCARE JOURNAL 20 ASK ABOUT CHARGES 20 REVIEW MSNS/EOBS 20 AVOID FREE STUFF 20 Win Lose Cheer Boo Silence

138 Round 5 RATS/MICE 64 DEAD BODY 3 SNAKE 15 COBWEBS/ SPIDERS 2 WATER 6 BURGLAR 2 BUGS 5 MOLD 1 Win Lose Cheer Boo Silence Round 6 ACCOUNT STATEMENTS 12 DEBT COLLECTORS 12 MSN/EOB s 12 IRS NOTICE 12 LATE BILLS 12 ACCOUNTS FOR MINOR CHILD 12 UNRECOGNIZED BILLS 12 CHECKS TURNED DOWN 12 Win Lose Cheer Boo Silence

139 Round 7 BRIDGE 55 GIN 2 POKER 17 UNO 2 PINOCHLE 12 CANASTA 2 Win Lose Cheer Boo Silence Round 8 HEALTHCARE PROVIDER SMP/SHIP CMS Win Lose Cheer Boo Silence

140 Round 9 FLORIDA 35 NEVADA 8 COLORADO 20 ARIZONA 6 DELAWARE 15 VIRGINIA 4 MARYLAND 10 GEORGIA 2 Win Lose Cheer Boo Silence Round 10 HANG UP! 20 REPORT THE CALL FTC.GOV 20 SAY NO, THANK YOU 20 CALL MEDICARE MEDICARE 20 DON T SHARE YOUR INFORMATION 20 Win Lose Cheer Boo Silence

141 Round 11 MEDS/OINTMENTS 33 CAULKING/ SEALANT 7 SHAMPOO 14 FROSTING 4 GLUE 12 LIPSTICK 4 HAIR GEL 10 PAINT 4 Win Lose Cheer Boo Silence Round 12 UNAUTHORIZED USE ON EXISTING ACCOUNT OPENING NEW ACCOUNT FRAUDULENT PURPOSE Win Lose Cheer Boo Silence

142 Round 13 SENIOR MEDICARE PATROL MEDICARE FRAUD DEPARTMENT HEALTHCARE PROVIDERS FTC ID THEFT HOTLINE Win Lose Cheer Boo Silence Round 14 HOSPITALS 15 HOME HEALTHCARE 15 HOSPICE CARE 15 DME COMPANIES 15 AMBULANCE SERVICES 15 SKILLED NURSING FACILITIES 15 Win Lose Cheer Boo Silence

143 Round 15 CART BABY STROLLER VACUUM LAWN MOWER Win Lose Cheer Boo Silence Round 16 FREE 20 NO MORE DOCTOR 20 SECRET FORMULA 20 BREAKTHROUGH 20 NO SIDE EFFECTS 20 Win Lose Cheer Boo Silence

144 Round 17 MEDICARE CARD SCAM 12 HOME HEALTH/ HOSPICE FRAUD SCAM 12 OBAMACARE SCAM 12 NURSING FACILITIES FRAUD SCAM 12 AMBULANCE FRAUD SCAM 12 PRESCRIPTION DRUG FRAUD SCAM 12 DME FRAUD SCAM 12 MEDICARE CHANGES SCAM 12 Win Lose Cheer Boo Silence Round 18 GOGGLES/MASK 28 EAR PLUGS 7 BATHING CAP 20 FINS 5 SHORTS 14 LIFE JACKET 4 WET SUIT 8 Win Lose Cheer Boo Silence

145 Round 19 FRAUDULENT BILL FAKE PROVIDER WAIVING DEDUCTIBLE UPCODING Win Lose Cheer Boo Silence Round 20 GIVE FLOWERS CANDLELIGHT DINNER GIVE CHOCOLATE TAKE ON TRIP Win Lose Cheer Boo Silence

146 Round 21 GROUP PRESENTATIONS MEDICARE FRAUD COUNSELING COMMUNITY OUTREACH ASSIST WITH ADMINISTRATION Win Lose Cheer Boo Silence Round 22 MEDICAL CARE 15 AVOIDING LAW ENFORCEMENT 15 GETTING A JOB 15 STEAL YOUR MONEY 15 GOVERNMENT BENEFITS 15 RENTING APT/ HOUSE 15 Win Lose Cheer Boo Silence

147 Round 23 WEDDING PROM REUNION ANNIVERSARY Win Lose Cheer Boo Silence Round 24 PROTECT DETECT REPORT Win Lose Cheer Boo Silence

148 Round 25 IRS IMPERSONATION SCAMS 40 IDENTITY THEFT 9 SWEEPSTAKES SCAMS 16 GRANDPARENT SCAMS 6 UNSOLICITED PHONE CALLS 11 ELDER FINANCIAL ABUSE 5 COMPUTER SCAMS 10 GOVERNMENT GRANT SCAM 3 Win Lose Cheer Boo Silence How to use the Fast Money slide: Fast Money How to set up the board: Come up with 10 short questions with very short, definitive answers, and type those questions in the board. You will need to put the same questions in both Fast Money slides (player 1 & player 2). You will not input the answers anywhere. To work the board: Click the 1:00 in the upper right to start the time. Click on each question to have it appear, then click on the green + if they get it right, or the red x if they get it wrong. Then manually add them up at the end. Note: The correct answer will never be revealed. The host, or the game operator needs to have the answers in front of them so that they can click + or x. Select 2 people to play the round. They can either be 2 people from the winning team working together to get a certain number right (like the tv show) or they can be 1 from each team going head to head seeing who gets the most right. In either case, send player 2 out of the room, so they cannot hear the questions or the answers given when player 1 is answering. After player 1 has given their answers, record their score somewhere (if you re keeping score), move to the next slide, and bring in player 2 for their turn. If you re keeping score: Figure out how many point each correct Fast Money answer is worth. Depending on how many rounds you play, the team s point totals might be several hundred points off so for these Fast Money questions to possibly change the outcome, they need to be worth more than 1 point each. Perhaps you could have each correct answer worth 25 points.

149 Player 1 Fast Money 0:59 0:58 0:57 0:56 0:55 0:54 0:53 0:52 0:51 0:50 0:49 0:48 0:47 0:46 0:45 0:44 0:43 0:42 0:41 0:40 0:39 0:38 0:37 0:36 0:35 0:34 0:33 0:32 0:31 0:30 0:29 0:28 0:27 0:26 0:25 0:24 0:23 0:22 0:21 0:20 0:19 0:18 0:17 0:16 0:15 0:14 0:13 0:12 0:11 0:10 0:09 0:08 0:07 0:06 0:05 0:04 0:03 0:02 0:01 1:00 End How many can you get right in 1 minute? 1. T/F Medicare Question fraud is a 1rare crime that we shouldn t worry about. + x 6. Every $1 Question spent fighting 6 Medicare fraud, $ are returned + x 2. What does Question SMP stand 2 for? + x 7. Approx. Question amount ($) of Medicare 7 waste each year + x 3. The difference Question between 3 + x 8. Amount Question of compromised 8 fraud/abuse and errors is Medicare numbers _ 4. How do Question you detect billing 4 + x 9. _ are Question the first line of 9defense inaccuracies? against Medicare fraud. 5. Year SMP Question Program was 5formed + x 10. T/F Identity Question theft is a 10 possible consequence of Medicare fraud + x + x + x Win Lose Cheer Boo Silence Player 2 Fast Money 0:59 0:58 0:57 0:56 0:55 0:54 0:53 0:52 0:51 0:50 0:49 0:48 0:47 0:46 0:45 0:44 0:43 0:42 0:41 0:40 0:39 0:38 0:37 0:36 0:35 0:34 0:33 0:32 0:31 0:30 0:29 0:28 0:27 0:26 0:25 0:24 0:23 0:22 0:21 0:20 0:19 0:18 0:17 0:16 0:15 0:14 0:13 0:12 0:11 0:10 0:09 0:08 0:07 0:06 0:05 0:04 0:03 0:02 0:01 1:00 End How many can you get right in 1 minute? 1. T/F Medicare Question fraud is a 1rare crime that we shouldn t worry about. + x 6. Every $1 Question spent fighting 6 Medicare fraud, $ is returned + x 2. What does Question SMP stand 2 for? + x 7. Approx. Question amount ($) of Medicare 7 waste each year + x 3. The difference Question between 3 + x 8. Amount Question of compromised 8 fraud/abuse and errors is Medicare numbers _ 4. How do Question you detect billing 4 + x 9. _ are Question the first line of 9defense inaccuracies? against Medicare fraud. 5. Year SMP Question Program was 5formed + x 10. T/F Identity Question theft is a 10 possible consequence of Medicare fraud + x + x + x Win Lose Cheer Boo Silence