Medicare Scams & Frauds

Genetic Testing Fraud

Genetic Testing Fraud occurs when Medicare is billed for a test or screening that was not medically necessary and/or was not ordered by a beneficiary’s treating physician. Scammers offer Medicare beneficiaries cheek swabs for genetic testing to obtain their Medicare information for identity theft and fraudulent billing purposes. Each cheek swab could potentially make the scammer thousands of dollars by billing Medicare and/or you for services that were not needed. To learn more about Genetic Testing Fraud, click here.

Durable Medical Equipment Fraud

Durable Medical Equipment, or DME, is medical equipment and supplies prescribed to you by your doctor that is reusable and has a usable life of at least three years.  It is usually equipment mainly used in the home and for medical reasons. Examples of this type of equipment are back/knee braces, walkers, wheelchairs, hospital beds, home oxygen equipment, diabetic supplies, therapeutic shoes, and scooters, among others. DME fraud occurs when fraudulent companies bill Medicare for equipment the beneficiary never receives, that is not medically necessary and has not been ordered by the beneficiary’s doctor. To learn more about DME Fraud, click here.

Home Health and Hospice Fraud

Home Health and Hospice Fraud occurs when Medicare is billed for home health services (physical, occupational or speech therapy) and hospice care that was never provided. There are several differences between home health and hospice care. In addition, there are some similarities that make it difficult for people to tell the difference between the two. To get a better understanding of these two types of care services and to learn how to avoid becoming a victim of Home Health and Hospice fraud, click here.