header image

[Sign Up Now] to Receive Our FREE Daily SCVTV-SCVNews Digest by E-Mail

Inside
Weather


 
Calendar
Today in
S.C.V. History
January 19
1967 - Original airing of Star Trek "Arena" Episode: Kirk battles the Gorn commander (Saugus resident Bobby Clark) at Vasquez Rocks [watch]
Kirk vs. Gorn commander


Commentary by David Sayen
| Wednesday, Apr 15, 2015

davidsayen091114Most doctors, pharmacists and other health care providers who work with Medicare are honest. Unfortunately, some aren’t.

One common form of Medicare fraud is when Medicare is billed for health care services or benefits you never received. Someone could have gotten access to your Medicare number and submitted a false claim. In some cases, fraudsters pay Medicare beneficiaries to use their Medicare numbers.

To prevent this from taking place, never share your Medicare number with anyone you don’t know and trust.

Medicare fraud costs taxpayers and people with Medicare lots of money each year. So what can you do to help stop it?

When you get health care services, write down the dates on your calendar and save the receipts and statements you get from your doctors and other providers to check for mistakes. If you think you see an error, or you were billed for services you didn’t get, take these steps:

* If you are in the original Medicare program (where the federal government pays health care claims for you), check your monthly “Medicare Summary Notice” (MSN) to see if the applicable services were billed correctly to Medicare. The services and claims should match, like checks on a bank statement. If there are services, doctors, or suppliers that you don’t know and can’t reconcile, there may be a problem.

* If you’re in a Medicare Advantage private health plan, check the statements you get from your plan.

* If you’re unsure what services were billed, call and ask the doctor or other supplier for an itemized statement. They should give this to you within 30 days.

In any case, the sooner you see and report errors in your health care billing, the sooner we can help address and stop fraud.

How do you report suspected fraud?

If you’ve contacted the health care provider or supplier, and you suspect that Medicare is being charged for a service, device, or other supplies that you didn’t receive, or if you don’t recognize the doctor or other providers listed on the claim, here’s what to do:

* Call the fraud hotline of the U.S. Department of Health and Human Services Office of the Inspector General at 1-800-HHS-TIPS (1-800-447-8477). TTY users should call 1-800-377-4950.

* Alert Medicare’s customer service team at 1-800-MEDICARE (1-800-633-4227) that you have concerns or questions about information appearing on your MSN.

Did you know there’s a program that works with Medicare beneficiaries around the country to fight fraud? It’s called the Senior Medicare Patrol (SMP) Program.

The SMP Program educates and empowers people with Medicare and their families to take an active role in detecting and preventing health care fraud and abuse. SMP not only protects people with Medicare, it also helps preserve Medicare. There’s an SMP Program in every state, the District of Columbia, Guam, U.S. Virgin Islands, and Puerto Rico.

You can contact your local SMP Program to get personalized counseling, find out about community events in your area, or volunteer. For more information or to find your local SMP Program, visit smpresource.org, or call 1-877-808-2468. You can also call 1-800-MEDICARE.

Keep in mind that every tip counts. Medicare takes all reports of suspected fraud seriously.

When you report fraud, you may not hear of an outcome right away. It takes time to investigate and build a case. Be assured that your information is helping us protect Medicare and you.

 

David Sayen is Medicare’s regional administrator for Arizona, California, Hawaii, Nevada, and the Pacific Territories. You can always get answers to your Medicare questions by calling 1-800-MEDICARE (1-800-633-4227).

Comment On This Story
COMMENT POLICY: We welcome comments from individuals and businesses. All comments are moderated. Comments are subject to rejection if they are vulgar, combative, or in poor taste.
REAL NAMES ONLY: All posters must use their real individual or business name. This applies equally to Twitter account holders who use a nickname.

2 Comments

  1. msc545 says:

    David, very useful article. Perhaps your next one might address the issue of Medicare Recovery Audits and how they affect the willingness of providers to even participate in the Medicare program ?

Leave a Comment


Opinion Section Policy
All opinions and ideas are welcome. Factually inaccurate, libelous, defamatory, profane or hateful statements are not. Your words must be your own. All commentary is subject to editing for legibility. There is no length limit, but the shorter, the better the odds of people reading it. "Local" SCV-related topics are preferred. Send commentary to: LETTERS (at) SCVNEWS.COM. Author's full name, community name, phone number and e-mail address are required. Phone numbers and e-mail addresses are not published except at author's request. Acknowledgment of submission does not guarantee publication.
Read More From...
RECENT COMMENTARY
Friday, Jan 16, 2026
There are places in our community where history is not simply remembered, but carefully safeguarded and brought to life every day. William S. Hart Park is one of those rare treasures.
Tuesday, Jan 13, 2026
Assemblywoman Pilar Schiavo (D-Chatsworth) released the following statement on Friday, Jan. 9 in response to Governor Gavin Newsom's proposed 2026–27 State Budget.
Saturday, Jan 10, 2026
This week marked the one-year anniversary of the Eaton Fire. As I reflect on the past year and look toward what lies ahead, my message to survivors is clear: I see your pain, I respect your resilience and I remain committed to walking with you on the long road ahead.
Friday, Jan 2, 2026
As we usher in a new year, I want to wish you and your family a very happy and healthy 2026.
Friday, Jan 2, 2026
It’s hard to believe 2025 is now in the rearview mirror.
Monday, Dec 29, 2025
The end of the year points out that time speeds up as you get older, or get bored, or think too much.

Latest Additions to SCVNews.com
1967 - Original airing of Star Trek "Arena" Episode: Kirk battles the Gorn commander (Saugus resident Bobby Clark) at Vasquez Rocks [watch]
Kirk vs. Gorn commander
1899 - Martin & Richard Wood buy J.H. Tolfree's Saugus Eating House (still inside Saugus Depot), rename it Saugus Cafe [story]
Saugus Cafe
1994, 4:31 a.m. - Magnitude 6.7 Northridge earthquake rocks Santa Clarita Valley [video]
collapsed freeway bridge
A strong defensive performance by The Master's University Lady Mustangs basketball team led to a 73-45 win against OUAZ in Surprise, Ariz.
Lady Mustangs Power Past OUAZ On the Road
The Tejon Ranch Conservancy has published its calendar of nature programs it will host in February.
Tejon Ranch Conservancy Offers February Nature Programs
The regular meeting of the Saugus Union School District Governing Board of Trustees will be held Tuesday, Jan. 20 beginning at 6:30 p.m. The board will first meet in closed session at 5:30 p.m.
Jan. 20: SUSD to Meet in Closed Session with City Regarding Santa Clarita Elementary
The William S. Hart Union School District has announced that Dr. Collyn Nielsen, Deputy Superintendent, Human Resources, has been named the 2026 Negotiator of the Year by the Association of California School Administrators.
Hart District’s Collyn Nielsen Named ACSA Negotiator of the Year
The city of Santa Clarita Planning Commission has scheduled a site tour of the Princessa Crossroads Specific Plan Project and a virtual tour of the Belcaro at Sand Canyon Project. These projects are expected to hold public hearings in the near future.
Jan. 20: City of Santa Clarita Planning Commission Plans Site Tours
Free business training webinars are available from the College of the Canyons Small Business Development Center this January.
COC SBDC Hosting Free Webinars to Help Grow Businesses
The Santa Clarita Valley Historical Society will celebrate its 50th anniversary with a unique gala on Saturday, March 7, 6-10 p.m.
March 7: ‘Live From Santa Clarita, It’s Saturday Night’ SCVHS 50th Anniversary
Saugus High School Instrumental Music gives back while raising much-needed funds for the high school's music program.
Saugus High Music Clothes for Cash Fundraiser
Join the Santa Clarita Valley Chamber of Commerce for a special Non-Profit Council Roundtable, "Non-Profit Love Match: A High-Impact Networking Experience for Professionals & Nonprofits," 5-6:30 p.m. Tuesday, Feb. 10 at the Education Center at Child & Family Center.
Feb. 10: Non-Profit Council Roundtable’s ‘Non-Profit Love Match’ at Child & Family Center
There are places in our community where history is not simply remembered, but carefully safeguarded and brought to life every day. William S. Hart Park is one of those rare treasures.
Laurene Weste | Preserving the Past, Building the Future at Hart Park
Congregation Beth Shalom offers a monthly film series that shows selected independent films one Sunday per month at 2 p.m.
Jan. 18: CBS Film Series Presents ‘Truth & Treason’
The California Department of Public Health is collaborating with the California Department of Alcoholic Beverage Control and the California Department of Tax and Fee Administration to remind consumers and retailers that products containing kratom or 7-hyrdroxymitragynine, commonly known as 7-OH, are associated with addiction, serious harm, overdose and death.
CDPH Reminds Retailers, Public About Dangers of Kratom, 7-OH Products
Foothill League soccer is coming into a final flurry of league matches that will sort out standings.
Foothill League Soccer: The Big Push
The Valencia FivePoint Farmers Market will offer a special live cooking demonstration and tasting on Sunday, Jan. 18.
Jan. 18: Valencia FivePoint Farmers Market Free Cooking Demonstration
In honor of Martin Luther King Jr. Day, Governor Gavin Newsom announced that California residents and visitors will receive free vehicle day-use entry to participating California state parks on Monday, Jan. 19.
Jan. 19: California State Parks to Offer Free Vehicle Entry on MLK Day
1926 - Newhall Community Hospital, est. 1922, opens in larger, more modern hospital building at 6th & Spruce streets [story]
Newhall Community Hospital
Assemblywoman Pilar Schiavo will host the Third Annual MLK Day of Service on Monday, Jan. 19. The event will be held 11:30 a.m.-1 p.m. at the Santa Clarita Vallet Boys and Girls Club Thomas E. Dierckman Clubhouse.
Jan. 19: Schiavo to Host MLK Day of Service, Donations Encouraged
The Ridge Route Preservation Organization will host a Ridge Route Storm Clean Up Day Sunday, Jan. 18 at 7 a.m.
Jan. 18: Ridge Route Preservation Organization Work Day
The city of Santa Clarita January Community Hike will be held Saturday, Jan. 17, at 10 a.m. in the Quigley Canyon Open Space, Cleardale Avenue, Santa Clarita, CA 91321.
Jan. 17: Santa Clarita Community Hike in Quigley Canyon Open Space
The city of Santa Clarita invites the community to celebrate the groundbreaking of Via Princessa Park on Thursday, Jan. 22, at 10 a.m.
Jan. 22: City of Santa Clarita to Break Ground on Via Princessa Park
Canyon Country Jo Anne Darcy Library will host a "Teen Library Eats: Ramen Noodle," event Thursday, Jan. 29, 4-5 p.m. at 18601 Soledad Canyon Road, Santa Clarita, CA 91351.
Jan. 29: ‘Teen Library Eats: Ramen Noodle Bar’ at Canyon Country Library
SCVNews.com