Comments on: Senior Medicare Patrol Recovered $4.5 Million by Watching for Fraud and Abuse http://compliancenews.inhealthcare.com/cya/senior-medicare-patrol-recovered-45-million-by-watching-for-fraud-and-abuse/ Your Weekly Guide to Stark, FCA, HIPAA, Audits & More Tue, 13 Apr 2010 14:06:29 +0000 http://wordpress.org/?v=abc hourly 1 By: Editor http://compliancenews.inhealthcare.com/cya/senior-medicare-patrol-recovered-45-million-by-watching-for-fraud-and-abuse/comment-page-1/#comment-32 Editor Thu, 31 Dec 2009 16:39:40 +0000 http://compliancenews.inhealthcare.com/?p=183#comment-32 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 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

]]> By: Maurice Elliott http://compliancenews.inhealthcare.com/cya/senior-medicare-patrol-recovered-45-million-by-watching-for-fraud-and-abuse/comment-page-1/#comment-31 Maurice Elliott Wed, 30 Dec 2009 16:36:52 +0000 http://compliancenews.inhealthcare.com/?p=183#comment-31 How does one join the Senior Medicare Patrol? I am a former hospital administrator living in Germantown, TN How does one join the Senior Medicare Patrol? I am a former hospital administrator living in Germantown, TN

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