Medicare Fraud? Tips on How You Can Tell

Medicare and Medicaid services were created to help the elderly and or those with disabilities or certain other medical conditions be able to better afford medical coverage in order to pay for supplies, medical care, treatments, doctor’s visits and much more. This all seems like a good idea if it works the way it should and benefits those it is suppose to. Unfortunately though, there have been more and more cases of Medicare and Medicaid fraud and people are getting sneaky about how they get around the rules. Billing Medicare for services that were not received or provided can cost taxpayers millions of dollars each year and it also hurts those people that really need the medical care and services by causing them to pay more. To help avoid being a victim of Medicare Fraud use the following helpful detection tips. These tips include:

  • Be suspicious if a test is free and if a provider only needs your Medicare information for their records.
  •  Be aware if Medicare wants you to have a certain item or service.
  • Be cautious if the provider knows how to get Medicare to pay for an item or service
  • Be on the look out for provider that offer many tests at cheaper or discounted prices
  • Be careful if the equipment or service is free or you are offered a gift for the service

 

It is also important to know what services and equipment or medical supplies you are entitled to and report or question anything that seems out of the ordinary. As a general rule do not give out your Medicare health insurance claim number expect to your doctor or Medicare provider.

It is unfortunate that many people will try to scam those in need out of services and medical supplies for their own personal gain. It is good to know though that you can do something to help stop cases of fraud.

For additional information on Medicare fraud and prevention, you may visit:

http://www.medicare.gov/Fraudabuse/Tips.asp

If you or a loved one feel you have been a victim of Medicare fraud, please contact a  whistleblower attorney right away. They can help your case to be heard and make sure you get the care you deserve.

Nursing Home Abuse Lawyers Fight Scheme

Did you know that nursing home abuse can be lucrative? Insurance companies do! The economy is struggling. You and I, our families and friends, even big companies are struggling to stay alive in a toxic economic climate. The difference is, these insurance companies have corporate shareholders to keep at bay. Their answer? Cash in on nursing home residents’ insurance policies of course!

Nursing home abuse against scheme to make death profit

nursing home abuse attorneys new jersey philadelphia Fight Scheme
Greedy Scrooge McDuck in the 1983 Disney animated feature

Remember when Ebenezer Scrooge died and his house cleaner sold his stuff to cash in? Well, insurance companies and nursing homes are now scheming to do the same to residents. It involves encouraging patients in long term care and assisted institutions to sell their policies for a discounted cash amount. The patients get a pittance of a return – which they can spend at the home for “care.” In exchange, the nursing homes and the insurance carriers get the insurance policies from the patients. These policies are then packaged and sold to Wall Street as future bonds. When the patient dies, Wall Street or the care facilities gets the payout. Talk about a conflict of interest! The longer the patient lives, the greater the cost to the nursing home and the smaller the profit on the policy. Conversly, if the patient dies just after the purchase, the care center reaps the profits.

Nursing home abuse and the “profits over people”

We believe that these institutions should be in the business of caring for our elderly loved ones, not stealing from them. They should not be in the business of leveraging a patient’s health and life as a commodity to be traded on the market. Such practices are depraved. But, this nursing home business IS big business, and as is often the case, “profits over people” is business as usual. Every day, we read about how nursing home abuse and negligence take the place of adequate and compassionate care, only to make an easier and quicker profit. People and their medical care should come first. We understand this and are ready to help you.

Nursing home abuse lawyers in NJ and PA

If you feel that your rights are being violated or that a loved one has not received proper care or may be a victim of nursing home abuse, contact the Mininno Law Office for a free case evaluation. The nursing home abuse lawyers at the Mininno Law Office will make sure that your loved ones’ voices are heard and their rights protected. You may also call for a free consultation at (856) 833-0600 in New Jersey, or (215) 567-2380 in Philadelphia.

Make sure that care is put before profits and advocate for these rights. Let the Mininno Law Office team earn you the compensation you deserve.

Full NY Times article, Wall Street Pursues Profit in Bundles of Life Insurance

Is Grandma Safe in the Nursing “Home” for the Holidays? Safety violations reported in 94% corporate nursing homes

“More than 90 percent of nursing homes were cited for violations of federal health and safety standards last year, and for-profit homes were more likely to have problems than other types of nursing homes, federal investigators say in a report issued on Monday.” Robert Pear, The New York Times

The Department of Human Health and Services has found nearly 94% of for profit nursing homes, many run by large corporations, have been cited for safety violations.This statistic is appalling, considering the millions dollar profits being made by these nursing homes. For the year 2008, nursing homes charge families $77,380 on average for a room and $36,372 for assisted living rooms.With costs increasingly rising, poor patient care and frequent violations are inexcusable.

If it wasn’t bad enough that these corporate nursing homes drastically overcharge, for the quality of care they provide, they are also supplementing their profits by overcharging taxpayers.Inspector General of the Department of Human Health and Services said he had found some cases in which nursing homes billed Medicare and Medicaid for services that, “were not provided, or were so wholly deficient that they amounted to no care at all.”

The decision to place a member of your family in a nursing home or assisted living is difficult, but often necessary.If you currently have a family member in assisted living or a nursing home, please make sure that someone you trusts checks them regularly to ensure that the home is providing proper care.Never hesitate to ask the staff any question, and always bring up any concern you have.Write down the names of the individuals with whom you speak.Do not let nursing home staffs tell you that you are worrying too much.When it comes to the care of your family, you can never be cautious enough. Finally, remember that neglect and abuse has many signs, some of which can be hard to immediately detect.Every time you visit your family member, be sure to always check the following by talking to the staff, and making your own observations: 1. be sure that there are no signs of bruising on your family member from possible abuse, 2. make sure that they are receiving the proper and necessary medication and nutrition, 3, makes sure that the staff is frequently monitoring that there are no bed or pressure sores developing, and 4. make sure that nursing home staff is capable of responding immediately to an emergency situation.

If you suspect abuse, you can report it to the local regulatory authorities:

In Pennsylvania you can go to the Office of Aging website

http://www.aging.state.pa.us/aging/site/default.asp

In New Jersey, contact the Adult Protective Services

http://www.state.nj.us/health/senior/aps.shtml

Contact a Medical Malpractice Lawyer in New Jersey

Contact a Medical Malpractice Lawyer in Pennsylvania

Contact a Nursing Home Abuse Lawyer in New Jersey

Contact a Nursing Home Abuse Lawyer in Pennsylvania