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Tuesday, March 13, 2012

Medicare Combats Fraud with Consumer Friendly Billing

By Susan Jaffe
Kaiser Health News in conjunction with The Washington Post
Originally published March 7, 2012

In the latest effort to enlist seniors in the fight against Medicare fraud, federal officials have overhauled Medicare billing statements to make it easier to find bogus charges without a magnifying glass.

The new, more consumer friendly format, which goes online Saturday on Medicare's secure website, www.mymedicare.gov, includes larger type and explanations of medical services in plain English. The revised paper version, which is mailed to seniors every three months, will be phased in early next year.

"You can make a difference!" the revamped statement says. "Last year Medicare saved taxpayers $4 billion - the largest sum ever reported in a single year thanks to people who reported suspicious activity to Medicare."

And for those who might need an incentive to scour their bills, the new statements promise a reward of up to $1,000 for a tip that leads to uncovering fraud. Although the bonus isn't new, there's no mention of it on current forms, which are sent to about 36 million beneficiaries in traditional Medicare.

"We approached this redesign from the standpoint of making it a more consumer-friendly document for beneficiaries and also a better fraud-fighting tool," said Erin Pressley, director of creative services for the Centers for Medicare and Medicaid Services. "If they are paying attention to these documents, they are going to be the best defense we have."