computer fraud

Did you know that Medicare Summary Notices (MSNs) provide important information to help you prevent Medicare fraud?  Many people know this as the “This is not a bill” statement. Medicare consumers should review their MSNs to be sure the information is accurate and if not, report any discrepancies.

Now, people with Medicare are able to opt out of getting paper MSNs mailed to them and instead request electronic MSNs (eMSNs).  One of the benefits of eMSNs is that individuals will get them monthly, unlike the paper version, which is mailed quarterly. They’ll be able to access their information wherever and whenever they are online, and they’ll be able to detect errors and potential fraud more quickly.

People who choose to get eMSNs can also view more information than what’s provided in the claims section on MyMedicare.gov, such as:
Medicare Part A deductible status
Medicare Part B deductible status
Inpatient benefit days remaining
Skilled nursing home benefit days remaining
Definitions of all terms used in the claims tables
Consumer-friendly descriptions for the codes used in the claims table that explain what the medical appointment was about and what procedures or activities were performed

The Centers for Medicare & Medicaid Services (CMS) anticipates that electronic adoption by just 10 percent of beneficiaries could save the program $35 million per year. To help educate consumers, Medicare has taken the following actions:
Inserted promotional information and sign-up instructions for eMSNs in most paper MSNs Oct. 1, 2015, to Dec. 31, 2015. The insert is on yellow paper.
Emailing people with Medicare who have provided an email address.
Providing information in the 2016 Medicare & You handbook.

For more information and to sign up, visit MyMedicare.gov or call 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048.

If you have a Medicare Advantage plan such as an HMO or PPO, you do not receive these MSN statements. You should ask your insurance company for explanations of benefits (EOB’s) or statements to check that claims for your health care are correct.

If you suspect you have been a victim of fraud, or have questions about charges on your statements, call the Pennsylvania Senior Medicare Patrol (PA-SMP) at 1-800-356-3606 or visit www.carie.org. Help is free and confidential.

Note: This information was compiled from resources from the Centers for Medicare & Medicaid Services (CMS), and parts were reprinted from an article by the SMP Resource Center, www.smpresource.org.

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