Here’s the stuff they’re looking to report to the OIG.
The government recruits different types of people to check for Medicare fraud, but not all of those recruits are attorneys or federal employees. In fact, some of them might be…
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December 30th, 2009 at 12:36 pm
How does one join the Senior Medicare Patrol? I am a former hospital administrator living in Germantown, TN
December 31st, 2009 at 12:39 pm
Hi, Maurice: Thanks so much for writing in. I’m sure your state’s SMP would welcome your experience in hospital administration, which would do a lot to prevent ‘false alarms’–a big drawback of the SMP. For example, one coder friend told me about how her 80-something dad was bound and determined to report a teaching hospital to the feds after he looked at his EOB and saw doctors’ names he didn’t recall seeing. She had to remind him he had been ‘out of it’ for a big part of his stay, and that he’d been seen by residents under a teaching physician’s supervision. So an SMP volunteer who knows his way around an EOB would be a big help, I think.
Below is the contact info for TN’s statewide SMP coordinator, as well as the web site where you can learn more about SMP. And I hope you stay tuned to HC Compliance Essentials and Coding News to learn about fraudulent billing patterns, as well as innocent billing patterns sometimes misperceived as fraudulent.
Best of luck catching the bad guys, and keep in touch!
Erin Lang Masercola, PhD, CPC, Editor
http://www.smpresource.org//AM/Template.cfm?Section=Home
Lanelle Godsey, BS Soc/SW
Statewide SMP Coordinator
Upper Cumberland Development District
1225 South Willow Ave.
Cookeville, TN 38506
Direct: 931-432-4111 Ext. 237
Toll Free: 1-866-836-7677
Fax: 931-432-8112
lgodsey@ucdd.org