Here are some steps you can take to detect potential errors, fraud and abuse:
Always review your Medicare Summary Notice (MSN) and Part D Explanation of Benefits (EOB) for mistakes. Access to your current Medicare account is available 24 hours a day. Simply visit www.MyMedicare.gov.
Keep records of your health care visits, services and equipment provided, significant lab results, etc. The SMP personal health care journal or a pocket calendar is a good place to make notes.
Keep and file copies of any bills or notices from insurance companies, doctors, hospitals, pharmacies, etc., as well as cancelled checks.
Compare your MSN and EOB to your personal health care journal and prescription drug receipts to make sure they are correct.
Look for three things on your billing statement:
Charges for something you didn’t get
Billing for the same thing twice
Services that were not ordered by your doctor
Ask questions – ask your provider or plan*:
WHEN…you don’t understand the charges billed
WHEN…you don’t think you received the service
WHEN…you feel the service was unnecessary
*If your provider or plan do not help you, contact us.