Medicare Corner
Understanding Medicare Presentation Hybrid (in-person and virtual)
Come learn about:
Medicare basics – difference between Original Medicare & Medicare Advantage Medigap Policies (Supplementary coverage) Coordination of Benefits (Medicare and VA coverage, COBRA, Retiree Plans, AHCCCS, etc.)
How to enroll How to make changes Medicare Savings Programs for low-income beneficiaries
Location:
PCOA - The Katie 660 S. Country Club Rd. Tucson, AZ 8571616 September 8 & 22
Live Zoom Presentation
September 8 & 22
Date
Thursday, 10am -1pm https://umvirtual22.eventbrite.com
Day/Time: Registration:
Thursday, 10am -1pm https://katiemedicareip.eventbrite.com
For more information, contact PCOA Helpline at (520) 790-7262 or email SHIP@pcoa.org This project was supported, in part by grant number 90MPPG0022, from the U.S. Administration for Community Living, Department of Health and Human Services, Washington, D.C. 20201. Grantees undertaking projects with government sponsorship are encouraged to express freely their findings and conclusions. Points of view or opinions do not, therefore, necessarily represent official acl policy. Medicare Grievances, Complaints, and Beneficiary Resources
errors are honest mistakes related to the billing of a health care service or product. A pattern of errors by a physician or provider could be considered a red flag or potential fraud or abuse if not corrected. Some common examples of Medicare fraud or abuse are: • Billing for services or supplies that were not provided • Providing unsolicited supplies to beneficiaries • Misrepresenting a diagnosis, a beneficiary’s identity, the service provided, or other facts to justify payment
• Prescribing or providing excessive or unnecessary tests and services •Violating the participating provider agreement with Medicare by refusing to bill Medicare for covered services or items and billing the beneficiary instead • Offering or receiving a kickback (bribe) in exchange for a beneficiary’s Medicare number or for getting a service from them • Requesting Medicare numbers at an educational presentation or in an unsolicited phone call
What should I do if I suspect Medicare fraud, errors, or abuse? Medicare fraud occurs when someone knowingly deceives Medicare to receive payment when they should not, or to receive higher payment than they should. Medicare abuse involves billing Medicare for services that are not covered or are not correctly coded when the provider has unknowingly and unintentionally misrepresented the facts to obtain payment. Abuse includes any practice that does not provide patients with medically necessary services or meet professionally recognized standards of care. Medicare
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September 2022, Never Too Late | Page 5
Pima Council on Aging
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