Senior Medicare Patrol (SMP)
Preventing Medicare Fraud, Abuse and Errors

 

Senior Medicare Patrol (SMP) empowers and assists Medicare beneficiaries, their families, and caregivers to prevent, detect, and report healthcare fraud, errors, and abuse through outreach, counseling, and education. SMPs are grant-funded projects of the U.S. Department of Health and Human Services and U.S. Administration for Community Living.

Local SMPs use trained senior volunteers to help educate and empower seniors in the fight against healthcare fraud. Your SMP can help you with questions, concerns or  complaints about potential fraud and abuse issues. It also provides information and educational presentations.

For more information, or to file a complaint, call TN SMP

at 1-866-836-7677.

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WHY SHOULD I REPORT SUSPECTED MEDICARE FRAUD?
Medicare fraud and abuse affects everyone. Medicare loses billions of dollars to improper claims every year. This affects everyone by wasting billions of taxpayer dollars. This also affects you. CLICK HERE to learn more.
WHAT ARE THE DIFFERENCES BETWEEN ERRORS, FRAUD AND ABUSE?

Medicare is complicated. What may seem like an error to the beneficiary may simply be the result of a misunderstanding about benefits. It may also be abuse, which involves billing Medicare for services that are not covered or are not correctly coded. The provider has not knowingly and intentionally misrepresented the facts to obtain payment. Medicare fraud assumes criminal intent. CLICK HERE to learn more.

WHAT CAN I DO TO PREVENT FRAUD?
There are several simple tips that can help you avoid being the victim of a health care scam. CLICK HERE to learn more.
WHAT INFORMATION SHOULD I HAVE ON HAND WHEN I CALL?
If you are calling about information on a medical bill or your Medicare statement, ideally you will need the provider name in question, the date of the service, the location of the service, and the provider phone number. If you are calling to report unsolicited marketing or personal contact by an agent of an insurance company or broker, the name of the company and the person you spoke with (if possible) will enable the SMP staff to take action. CLICK HERE to learn more.
CAN I CALL ON BEHALF OF SOMEONE ELSE?
An SMP representative will be happy to assist you with a family member or friend's Medicare concerns as long as you have their permission. CLICK HERE to learn more.
WHO CAN I CALL FOR NON-MEDICARE SCAMS?
The Federal Trade Commission protects consumers and ensures competition by preventing anti-competitive, deceptive, and unfair business practices through law enforcement, advocacy, and education. CLICK HERE to learn more.
SMP DISCLAIMER
CLICK HERE to learn more.