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OTHER NAMES Letter to Report Medicare Fraud

What is a Medicare Unnecessary Bill or Service?

Submitting a Medicare Unnecessary Bill or Service is your first step in starting an investigation if you suspect a hospital is functioning less than honestly. It doesn't matter if you're a patient of staff member, if you're aware of inappropriate treatment being administered or wrongful charges being billed you're in a position to set things right. Get things taken care of with a Medicare Unnecessary Bill or Service document. 
 
Sometimes there are mistakes in billing or treatment but other times it's fraud. A Medicare Unnecessary Bill or Service document helps you protect Medicare and all of its beneficiaries. You might suspect a medical facility is caught up in billing fraud; perhaps you've been tested for unrelated conditions that Medicare covers, or maybe you've noticed consistent billing errors or medically unnecessary procedures taking place. The Medicare system might be getting abused, and you can help stop it. Sending a Medicare Unnecessary Bill or Service helps protect both the system and the patients.

When to use a Medicare Unnecessary Bill or Service:

  • You want to inform Medicare of suspected fraud or abuse.
  • You want to report inappropriate treatment methods.

Sample Medicare Unnecessary Bill or Service

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,

 

 

,

 

Re: Beneficiary's Name:

Medicare No.

 

 

The purpose of this letter is to advise your office of suspected Medicare fraud or abuse.

 

This complaint involves , of , , .

 

On ,

 

On , I wrote a letter to of , , . A copy of my letter is attached for your reference.

On , contacted me and advised me to

You may contact me if you have any questions or need additional information. or

 

Thank you for your assistance in this matter.

 

Sincerely,

 

 

 

 

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