How do you recognize and report suspected fraud with a home health care agency?:QuickMedicareSupplement.com

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How do you recognize and report suspected fraud with a home health care agency?

How do you recognize and report suspected fraud with a home health care agency?

The largest part of home health agencies are sincere, and use accurate billing information. Unfortunately, fraud can happen in the home health industry. It wastes Medicare dollars and takes money used to pay claims. You are essential in the fight to prevent fraud, waste, and abuse in the Medicare program.

The finest way to protect your home health benefit is to be acquainted with what Medicare covers, and to be familiar with what your doctor has intended for you. If you do not understand something in your care plan, ask questions.

Suspected home health care fraud can be reported to your Regional Home Health Intermediary (RHHI).

You must search for:

- Home health visits that your doctor orders that you never get.

- Visits by home health staff that is not required.

- Bills for services and equipment you by no means get.

- Faking your signature or your doctor’s signature.

- Force to accept items and services that you do not require.

- Items listed on your Medicare Summary Notice or Explanation of Medicare Benefits that you do not think you obtained.

You also have to be careful about activities such as:

- Home health services your doctor did not order. The doctor who approves home health services for you must be familiar with you, and must be involved in your care. If your care plan changes, confirm that your doctor was involved in making those changes.

- A home health agency that offers you free goods or services in exchange for your Medicare number. Treat your Medicare card like a credit card or cash. Never give your Medicare or Medicaid number to people who notify you that a service is free, but they want your number for their records.

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