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 … [Read more...]

How to Report Elder Abuse or Elder Neglect in NJ

Filing a report with the State of New Jersey in the event of nursing home neglect is the first step in pursuing a claim for elder abuse.  The process is very simple and extremely helpful if you have considered taking legal action against the facility. How It Works When you call the New Jersey Department of Health and Senior Services,  a representative will discuss and document any problems or issues you are having with the particular nursing home facility.  Based on your information, an investigator will be sent to the facility within ten (10) days to investigate the claim.  The investigator will then review the patient's chart, … [Read more...]

How to File a Hospital or Nursing Home Discharge Appeal With Medicare

If you believe that a Medicare patient is being inappropriately discharged from a hospital or nursing home facility, you must file the following procedure from the Department of Health and Human Services to appeal the decision: Steps to Appeal Your Discharge: Step 1:  You must contact the Quality Improvement Organization (QIO) no later than your planned discharge date and before you leave the hospital.  If you do this, you will not have to pay for the services you receive during the appeal (except for charges like co-pays and deductibles). Here is the contact information for the QIO: (800) 624-4557 or tty 1-(877) 486-2048 You can … [Read more...]