The SMP Program: Empowering Consumers to Prevent Healthcare Fraud. Presented By:. Erin Weir, Healthcare Consumer Protection Coordinator AgeOptions. What We Will Cover Today. The SMP Program What is Healthcare Fraud? Examples of Healthcare Fraud The SMP Message:
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Protect, Detect, Report!
The SMP Program Fraud
Medicare & Medicaid Lose FraudBILLIONS of Dollars every year to fraud, abuse, and errors!
At least $68 BILLION was lost in 2008!(National Health Care Anti-Fraud Association - www.nhcaa.org)
Fraud affects: Fraud
“Senior citizens are our best front line defense against these losses.
Yet often they don’t have the information and expertise needed to recognize and accurately report cases of error, fraud, and abuse.”
Source: U.S. Senate Report 104-368
We need YOUR help!
Fraud occurs when an individual or organization deliberately deceives others to gain unauthorized benefit.
Inappropriate practices that start as abuse
can evolve into fraud.
These are usually billing errors that can be corrected by the provider (and the SMP program can help!)
The SMP Message: Reported & Corrected
PROTECT Yourself From Fraud! Reported & Corrected
DETECT Fraud! Reported & Corrected
REPORT Fraud! Reported & Corrected
People who commit fraud are STEALING from you, not helping you!
Report Fraud When You Find It! Reported & Corrected
If you notice a mistake: