Posts

The Reporting Process: What to Expect When You Report Medicare Fraud

Image
Medicare fraud is a serious issue that affects millions of people and costs the healthcare system billions of dollars annually. If you suspect Medicare fraud, it's crucial to report it to help protect the integrity of the program and ensure that resources are used properly. Here’s a detailed guide on what to expect when you report Medicare fraud, specifically tailored for Hawaii residents. 1. Recognizing Medicare Fraud Medicare fraud involves knowingly submitting false claims or making misrepresentations of fact to obtain a federal healthcare payment. Examples include: Billing for services not provided. Upcoding or exaggerating the services rendered. Misrepresenting diagnoses to justify unnecessary tests. 2. Gathering Information Before reporting, gather as much information as possible to support your claim. Key details include: Provider's name and address. Dates of service. Description of the fraudulent activity. Any evidence, such as billing statements or correspondence. 3. H

How NEMT Improved Healthcare Access in Rural Areas

Image
Transportation accessibility is one of the most pressing problems in a rural area, even more so if we are talking about transportation for seniors. As it is, the lack of sufficient appropriate vehicles for seniors is one of the major problems faced by the elderly in the United States . One can only imagine the same struggle in rural areas. It prevents people from accessing the best healthcare facilities, forcing them to settle for mediocre treatment.  However, recent times have witnessed an improvement in this field, thanks to the NEMT services reaching almost every corner of the country. The lack of appropriate transportation for the elderly has been a huge obstacle in medical treatment. Patients miss their appointments and settle for local doctors, adversely affecting their health. NEMT services ensure that they get the best treatment and medical facilities. We must delve deep into the matter to understand the far-reaching effects of NEMT services in rural areas. So let’s see how non

How Technology Will Revolutionize The NEMT Industry and Its Services

Image
Technology has touched almost every aspect of our lives. The medical industry has and continues to be benefitted the most from technology. It is making the lives of many patients easier and allowing them to live comfortably. Integration of technology in the NEMT industry has been a game-changer. To be honest, the future seems even brighter. The next generation will witness a surge of technological innovations that will transform NEMT and its usage.  NEMT has acted as a boon for the older and the disabled. There has always been a lack of appropriate transportation for seniors . The NEMT industry bestowed upon them the power to be independent, and with the future advancements in technology, it wouldn't be a surprise if they changed the entire experience for the better. How Technology Will Change the Future of NEMT Complete Digitization of Rides With technology advancing, complete digital rides are not very far away. NEMT rides will become digitized, which will help track and combat i

Identifying the Distinction Between Medicare Abuse and Fraud and how to Report Them?

Image
 Health centers are an integral part of a country’s working mechanisms. When a patient undergoes medical treatment, there is some information, including billing and medicinal costs, which he is unaware of at the initial stages. Instead, people often rely on medical institutions to assist them in the best manner possible. However, medical abuse and fraud are common activities in different parts of the world, including Hawaii.  Medicare scams and abuse are often used interchangeably, but they are quite distinct from one another. While both often involve charging patients unnecessary expenses and medical bills, they are not the same. Hence, it becomes essential to distinguish them from one another so that patients can identify them and take action accordingly. What is Medicare Abuse? Medicare abuse refers to the deliberate malpractices and improper conduct by medical staff members, including doctors, that do not fall within the purview of the professional code of conduct mandated by the

Things Caregivers Can Do to Protect Their Elders from Scams

Image
It is a sad truth that scammers target older adults more than youngsters. These conmen take advantage of older people's vulnerability, inadequate knowledge of technology, and other emotional causes. Since technology is not the strong point of most older adults, they target such vulnerable people to meet their vested ends. Medicare scams have become one of the most common frauds across Hawaii and the entire US. Everyone is susceptible to scams, but seniors are in a worse position, and thus it becomes imperative for caregivers to protect their loved ones against such scams. SMP Hawaii is a senior medicare patrol program that protects the rights of elders and prevents them from falling prey to Medicare frauds. The advocates take up scam complaints and investigate to their core. They also offer counseling and support to seniors in the case of Medicare. However, as a caregiver, you also have your part to play. If you are wondering what you can do to help your seniors, here are some wa