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How to spot Medicare fraud

Medicare.gov has some recommendations for how to spot fraud. Review your Medicare Summary Notices for errors and report anything suspicious to Medicare.

• Compare the dates and services on your calendar with the statements you get from Medicare to make sure you got each service listed and that all the details are correct.
  • These include the “Medicare Summary Notice” (MSN) if you have Original Medicare , or similar statements from your plan if you’re in a Medicare Advantage Plan. They list the services you got or prescriptions you filled.
  • Check your claims early—the sooner you see and report errors, the sooner you can help stop fraud. Log into (or create) your secure Medicare account to view your Original Medicare claims as soon as they’re processed, or call us at 1-800-MEDICARE (1-800-633-4227).
• Check the receipts and statements you get from providers for mistakes.

If you think a charge is incorrect and you know the provider, you may want to call their office to ask about it. The person you speak to may help you better understand the services or supplies you got, or they may realize a billing error was made.

If you’ve contacted the provider and you suspect that Medicare is being charged for health care you didn’t get, or you don’t know the provider on the claim, find out how to report fraud.