Individual Interaction Form

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Topics Discussed:

Consumer Protection Durable Medical Equipment (DME) Employer Health Plan General Fraud, Errors, and Abuse Home Health Care Hospice Medicaid Medical Identity Theft Medicare Advantage Medicare Part A and B Medicare Part D Medigap or Supplemental Insurance Other SMP Program Information SMP Volunteer Recruitment Social Security TRICARE Veterans Health Benefits (VA)

Issues Covered:

Beneficiary Perpetrated Fraud Billing Error Billing for Services Different from Received Billing for Services Not Provided Compromised Medicare Number Double Billing Enrollment/Disenrollment Issues Kickbacks Marketing Fraud No Issue-General Education Provided Other Fraud, Error, or Abuse Quality of Care Issues Scams

Beneficiary Information

Subject Information

Actions Taken

SMP Actions:

Contact 1-800-Medicare Contact CMS Regional Office Contact Federal Trade Commission Contact Medicare Advantage Plan or Part D Plan Contact Medicare PSC or MEDIC Contractor Contact MFCU or Medicaid Office Contact OIG Contact Ombudsman Contact Other CMS Contractor Contact Provider/Practitioner Contact Quality Improvement Organization (QIO) Contact Secondary Insurer/Plan Contact SHIP Contact SMP Resource Center Contact State Insurance Department Other Other Contact Other Research Referral Review Guidelines, Policies, or Procedures Send Release of Information Form and Request Documents

SMP Representative Information:

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