eQHealth QIO, has been the sponsor of Senior Medicare Patrol (SMP) in Louisiana since 2009, in Mississippi since 2015 and Georgia since 2018. Through community outreach events, group presentations and one-on-one counseling, seniors are empowered to prevent healthcare fraud and make an impact on healthcare reform.
The SMP Programs
Senior Medicare Patrol programs help Medicare and Medicaid beneficiaries prevent, detect and report health care fraud.
In doing so, they not only protect older persons, they also help preserve the integrity of the Medicare and Medicaid programs. Because this work often requires face-to-face contact to be most effective, SMPs nationwide recruit and teach nearly 5,000 volunteers every year to help in this effort. Most SMP volunteers are both retired and Medicare beneficiaries and thus well-positioned to assist their peers.
Senior Medicare Patrol staff and their highly trained volunteers conduct outreach to Medicare beneficiaries in their communities through group presentations, exhibiting at community events, answering calls to the SMP help lines and one-on-one counseling. Their primary goal is to teach Medicare beneficiaries how to protect their personal identity, identify and report errors on their health care bills, and identify deceptive health care practices, such as illegal marketing, providing unnecessary or inappropriate services and charging for services that were never provided. In some cases, SMPs do more than educate: When Medicare and Medicaid beneficiaries are unable to act on their own behalf to address these problems, the SMPs work with family caregivers and others to address the problems, and if necessary, make referrals to outside organizations who are able to intervene.
Medicare Fraud and the Healthcare Reform Bill
The Patient Protection and Affordable Care Act, otherwise known as the healthcare reform bill, projects that reforms will save Medicare $500 billion dollars over 10 years. One way to save money will be putting a stop to the $60 billion lost each year to fraud, error and abuse. SMP will play a vital role in the fight against Medicare fraud. Do your part and call today to schedule a Medicare fraud education session for your church, social or professional group.