{"id":35349,"date":"2008-03-26T16:35:41","date_gmt":"2008-03-26T21:35:41","guid":{"rendered":"https:\/\/content.findlaw-admin.com\/ability-legal\/uncategorized\/medicare-fraud-tips.html"},"modified":"2008-03-26T16:35:41","modified_gmt":"2008-03-26T21:35:41","slug":"medicare-fraud-tips","status":"publish","type":"corporate","link":"https:\/\/corporate.findlaw.com\/law-library\/medicare-fraud-tips.html","title":{"rendered":"Medicare Fraud Tips"},"content":{"rendered":"<section class=\"fl-gutenberg-byline\">\n    <div class=\"fl-gutenberg-byline-content\">\n                    <p><em>This article was edited and reviewed by <a href=\"https:\/\/www.findlaw.com\/company\/our-team.html\" rel=\"noopener\">FindLaw Attorney Writers<\/a><\/em><\/p>\n\n                | Last reviewed\n        <time>\n                            May 09, 2026\n                    <\/time>\n    <\/div>\n\n    \n    <details class=\"fl-gutenberg-byline-toggle fl-gutenberg-byline-legally-reviewed\">\n        <summary>\n            <i class=\"fl-gutenberg-byline-icon\" aria-hidden=\"true\"><\/i>\n            Legally Reviewed\n        <\/summary>\n\n        <div class=\"fl-gutenberg-byline-toggle-content\">\n            <p><em>This article has been written and reviewed for legal accuracy, clarity, and style by <a href=\"https:\/\/www.findlaw.com\/company\/our-team.html\" rel=\"noopener\">FindLaw\u2019s team of legal writers and attorneys<\/a> and in accordance with <a href=\"https:\/\/www.findlaw.com\/company\/company-history\/editorial-policy.html\" rel=\"noopener\">our editorial standards<\/a>.<\/em><\/p>\n\n        <\/div>\n    <\/details>\n\n    <details class=\"fl-gutenberg-byline-toggle fl-gutenberg-byline-fast-checked\">\n        <summary>\n            <i class=\"fl-gutenberg-byline-icon\" aria-hidden=\"true\"><\/i>\n            Fact-Checked\n        <\/summary>\n\n        <div class=\"fl-gutenberg-byline-toggle-content\">\n            <p><em>The last updated date refers to the last time this article was reviewed by FindLaw or one of our <a href=\"https:\/\/www.findlaw.com\/company\/our-team\/contributing-authors.html\" rel=\"noopener\">contributing authors<\/a>. We make every effort to keep our articles updated. For information regarding a specific legal issue affecting you, please <a href=\"https:\/\/lawyers.findlaw.com\/?fli=bylinelink\" rel=\"noopener\">contact an attorney in your area<\/a>.<\/em><\/p>\n\n        <\/div>\n    <\/details>\n<\/section>\n\n\n\n<div class=\"rxbodyfield\" xmlns:o=\"urn:www.microsoft.com\/office\" xmlns:st1=\"urn:www.microsoft.com\/smarttags\" xmlns:w=\"urn:www.microsoft.com\/word\" xmlns:x=\"urn:www.microsoft.com\/excel\"><p>You should be suspicious if the provider tells you that:<\/p><ul><li>The test is free; he only needs your Medicare number for his records.<\/li><li>Medicare wants you to have the item or service.<\/li><li>They know how to get Medicare to pay for it.<\/li><li>The more tests they provide the cheaper they are.<\/li><li>The equipment or service is free; it won&#39;t cost you anything.<\/li><\/ul><p>Be suspicious of providers that:<\/p><ul><li>Routinely waive copayments without checking on your ability to pay.<\/li><li>Advertise &quot;free&quot; consultations to Medicare beneficiaries.<\/li><li>Claim they represent Medicare.<\/li><li>Use pressure or scare tactics to sell you high priced medical services or diagnostic tests.<\/li><li>Bill Medicare for services you do not recall receiving.<\/li><li>Use telemarketing and door-to-door selling as marketing tools.<\/li><\/ul><p>Be suspicious of:<\/p><ul><li>Home health providers that offer non-medical transportation services or housekeeping as Medicare approved services.<\/li><li>Physicians who bill Medicare for telephone calls, conferences with the family, or scheduled but not kept appointments.<\/li><li>Physicians who bill Medicare for routine check-up.<\/li><li>Ambulance companies that bill Medicare for routine trips to a doctor&#39;s office.<\/li><li>Physicians that give the wrong diagnosis on the claim form so Medicare will pay.<\/li><li>Ambulance companies that bill for trips which are not emergency in nature.<\/li><li>Home health providers that bill for patients who are not confined to their home.<\/li><li>Home health providers bill for Medicare patients who still drive an automobile.<\/li><li>Suppliers that bill Medicare for medical equipment for beneficiaries in nursing home.<\/li><li>Hospital providers that bill Medicare for tests you received as an inpatient or within 72 hours of admission or discharge.<\/li><\/ul><\/div>","protected":false},"excerpt":{"rendered":"<p>You should be suspicious if the provider tells you that: Hospital providers that bill Medicare for tests you received as an inpatient or within 72 hours of admission or &#8230;<\/p>\n","protected":false},"template":"","meta":{"_acf_changed":false,"_stopmodifiedupdate":true,"_modified_date":"","_cloudinary_featured_overwrite":false},"corporate_categories":[6509,6497],"class_list":["post-35349","corporate","type-corporate","status-publish","hentry","corporate_categories-law-library__health-law","corporate_categories-law-library"],"acf":[],"_links":{"self":[{"href":"https:\/\/corporate.findlaw.com\/legal-api\/wp-json\/wp\/v2\/corporate\/35349","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/corporate.findlaw.com\/legal-api\/wp-json\/wp\/v2\/corporate"}],"about":[{"href":"https:\/\/corporate.findlaw.com\/legal-api\/wp-json\/wp\/v2\/types\/corporate"}],"wp:attachment":[{"href":"https:\/\/corporate.findlaw.com\/legal-api\/wp-json\/wp\/v2\/media?parent=35349"}],"wp:term":[{"taxonomy":"corporate_categories","embeddable":true,"href":"https:\/\/corporate.findlaw.com\/legal-api\/wp-json\/wp\/v2\/corporate_categories?post=35349"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}