Home Health & Hospice Week
Senior Medicare Patrol Fights Home Health Fraud
Project reached 1.7 million people last year. The fanfare over the Senior Medicare Patrol has died down since the program’s debut in 1997, but the fraud-fighting initiative is still going strong — and racking up millions in related recoveries. In 2018, a large share of the recoveries came from two home health scams, the HHS Office of Inspector General says in a new report examining the program’s 2018 results. About $11.9 million in expected Medicare recoveries “came from three projects that validated information for existing cases regarding two home health fraud schemes and one individual physician who provided unnecessary services and falsified records,” the OIG says. The OIG also reports $15,136 in other expected Medicare recoveries and $5,734 in expected Medicaid recoveries. Cost avoidance totaled $602,063, while savings to beneficiaries and others reached $27,689. Sixty-one SMP projects across the nation had 6,935 total active team members who conducted 26,932 group outreach and education events, reaching an estimated 1.7 million people, according to the OIG. In addition, the projects had 278,761 individual interactions with, or on behalf of, a Medicare beneficiary. The report is at https://oig.hhs.gov/oei/reports/oei-02-19-00280.pdf.
Home Health & Hospice Week
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Senior Medicare Patrol Fights Home Health Fraud
Project reached 1.7 million people last year. The fanfare over the Senior Medicare Patrol has [...] - Industry Note:
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