When doctors or medical suppliers bill Medicare for unnecessary costs or services that aren't medically necessary, that's Medicare fraud.
The most common types of Medicare fraud include:
Here are a few tips for keeping an eye out for Medicare fraud:
If you're charged for services or supplies that you think are incorrect and you know the provider or service charging you, you may want to call their office to ask for more information.
If you contact the provider or service, and you still suspect that Medicare is being charged improperly, call 1-800-MEDICARE (1-800-633-4227), TTY users call 1-877-486-2048.
BCBSNC and the federal government take Medicare fraud very seriously. If you need to speak to us, we have a department dedicated to preventing health care fraud and abuse, known as the Special Investigations Unit (SIU). The SIU reviews all allegations of suspected fraud and abuse.
If you need to reach SIU immediately:
We make every effort to keep all information that we receive confidential. Your assistance helps BCBSNC fight the rising costs of health care.
Stop Medicare Fraud: A website from the U.S. Department of Health and Human Services and the U.S. Department of Justice. Committed to helping Medicare members report fraud.
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The information on this page is current as of 10/01/2015.
Y0079_7169 CMS Approved 11102015