The Senior Medicare Patrol presents: This resource was supported in part by a grant (No. 90NP0003) from the Administration for Community Living (ACL), U.S. Department of Health and Human Services (DHHS). Grantees carrying out projects under government sponsorship are encouraged to express freely their findings and conclusions. Therefore, points of view or opinions do not necessarily represent official ACL or DHHS policy.

Are you Smarter than a Scam Artist? Consequences 1 Marketing Guidelines Medicare Advantage Fraud, Errors, & Abuse Medicare Supplemental Insurance Outreach Beneficiaries SMP Volunteer Roles How SMPs Help 1 Detect Consequences 2 How SMPs Help 2 Prevent Select a topic to help the SMPs save Medicare money! Final Question

The _____ is to empower and assist Medicare beneficiaries, their families, and caregivers to prevent, detect, and report health care fraud, errors, and abuse through outreach, counseling, and education. SMP oath SMP oath SMP oath SMP oath SMP mission SMP mission SMP mission SMP mission SMP agreement SMP agreement SMP agreement SMP agreement SMP law SMP law SMP law SMP law

That’s Correct! You saved Medicare money

I’m Sorry The correct answer is: SMP mission

Because Medicare cards and numbers contain __________, they are as valuable to identity thieves as credit cards. Bar codes Bar codes Bar codes Bar codes Magnetic strips Magnetic strips Magnetic strips Magnetic strips Social Security numbers Social Security numbers Social Security numbers Social Security numbers Phone numbers Phone numbers Phone numbers Phone numbers

That’s Correct! You saved Medicare money

I’m Sorry The correct answer is: Social Security numbers

Which of the following can be used to cross-check services outlined on Medicare Summary Notices and Explanations of Benefits? A Personal Healthcare Journal A Personal Healthcare Journal A Personal Healthcare Journal A Personal Healthcare Journal A credit card A credit card A credit card A credit card An EOB An EOB An EOB An EOB An MSN An MSN An MSN An MSN

That’s Correct! You saved Medicare money

I’m Sorry The correct answer is: A Personal Healthcare Journal

Which of the following is a possible consequence to beneficiaries of Medicare fraud, errors, and abuse? False diagnoses False diagnoses False diagnoses False diagnoses Denial of needed Medicare benefits Denial of needed Medicare benefits Denial of needed Medicare benefits Denial of needed Medicare benefits Medical identity theft Medical identity theft Medical identity theft Medical identity theft All of the above All of the above All of the above All of the above

That’s Correct! You saved Medicare money

I’m Sorry The correct answer is: All of the above (false diagnoses, denial of needed Medicare benefits, and medical identity theft)

Which of the following is NOT a standard role for SMP volunteers? Distributing information Distributing information Distributing information Distributing information Making group presentations Making group presentations Making group presentations Making group presentations Investigating suspected fraud and abuse Investigating suspected fraud and abuse Investigating suspected fraud and abuse Investigating suspected fraud and abuse Handling complex issues and referrals Handling complex issues and referrals Handling complex issues and referrals Handling complex issues and referrals

That’s Correct! You saved Medicare money

I’m Sorry The correct answer is: Investigating suspected fraud and abuse

SMPs serve as ___________ in their communities, educating beneficiaries to be the first line of defense against Medicare fraud and abuse. Cops and robbers Cops and robbers Cops and robbers Cops and robbers Eyes and ears Eyes and ears Eyes and ears Eyes and ears Judge and jury Judge and jury Judge and jury Judge and jury Spies and investigators Spies and investigators Spies and investigators Spies and investigators

That’s Correct! You saved Medicare money

I’m Sorry The correct answer is: Eyes and ears

Approximately how many Medicare beneficiaries are reached each year with the help of about 5,000 SMP volunteers nationwide? 100, ,000 1,000,000 2,000,000

That’s Correct! You saved Medicare money

I’m Sorry The correct answer is: 2,000,000

As of 2013, how many people were covered by Medicare? Around 2 million Around 2 million Around 2 million Around 2 million Under 8.5 million Under 8.5 million Under 8.5 million Under 8.5 million Around 42 million Around 42 million Around 42 million Around 42 million Over 52 million Over 52 million Over 52 million Over 52 million

That’s Correct! You saved Medicare money

I’m Sorry The correct answer is: Over 52 million

Medicare is a _______ health insurance program. Local State Federal Free

That’s Correct! You saved Medicare money

I’m Sorry The correct answer is: Federal

Medicare Supplement Insurance, also known as _________, is not a part of Medicare and is offered by private insurance companies. Medical Medigap Medisupplement Medisure

That’s Correct! You saved Medicare money

I’m Sorry The correct answer is: Medigap

Beneficiaries on Medicare Advantage Plans receive ______ instead of MSNs. ABCs ESPNs PHCJs EOBs

That’s Correct! You saved Medicare money

I’m Sorry The correct answer is: EOBs

____________ in the Medicare program include(s) fraud, abuse, and errors. Waste Benefits Premiums Copayments

That’s Correct! You saved Medicare money

I’m Sorry The correct answer is: Waste

The Medicare program loses ____________ of dollars each year due to fraud, errors, and abuse. Hundreds Thousands Millions Billions

That’s Correct! You saved Medicare money

I’m Sorry The correct answer is: Billions

Medicare Advantage and Medicare Prescription Drug Plans are allowed to offer this at a marketing event. A light snack A light snack A light snack A light snack A lunch buffet A lunch buffet A lunch buffet A lunch buffet A steak and lobster dinner A steak and lobster dinner A steak and lobster dinner A steak and lobster dinner All you can eat sushi All you can eat sushi All you can eat sushi All you can eat sushi

That’s Correct! You saved Medicare money

I’m Sorry The correct answer is: A light snack

The national SMP program receives funding from which of the following sources? 100% from private foundations 100% from private foundations 100% from private foundations 100% from private foundations 100% from volunteers 100% from volunteers 100% from volunteers 100% from volunteers The Older American’s Act The Older American’s Act The Older American’s Act The Older American’s Act The Office of Inspector General The Office of Inspector General The Office of Inspector General The Office of Inspector General

That’s Correct! You saved Medicare money

I’m Sorry The correct answer is: The Older American’s Act

Thank you for helping to preserve the Medicare Trust Fund!