Senior Medicare Patrols
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Senior Medicare Patrols
The Senior Medicare Patrols (SMP) are a group of volunteer organizations funded by the United States Department of Health and Human Services, which educate U.S. senior citizens on how to prevent, detect, and report Medicare and Medicaid fraud, error, and abuse. From the program's start in 1997 through December 2019, SMP projects and staff have recovered about $129 million in Medicare and Medicaid funds, and between 2016 through 2019, the program led 107,000 group education sessions and reached an estimated 6.5 million people through community education events. SMP has trained over 30,000 volunteers and received more than 300,000 complaints for investigation. Further, but untrackable, reductions in fraud and error likely occur because of beneficiaries' increased scrutiny of their bills. In August 2020, the Administration for Community Living awarded funding to the Northeast Iowa Area Agency on Aging to act as the Senior Medicare Patrol National Resource Center (SMPNRC). Planned initi ...
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United States Department Of Health And Human Services
The United States Department of Health and Human Services (HHS) is a cabinet-level executive branch department of the U.S. federal government created to protect the health of all Americans and providing essential human services. Its motto is "Improving the health, safety, and well-being of America". Before the separate federal Department of Education was created in 1979, it was called the Department of Health, Education, and Welfare (HEW). HHS is administered by the Secretary of Health and Human Services, who is appointed by the president with the advice and consent of the United States Senate. The position is currently held by Xavier Becerra. The United States Public Health Service Commissioned Corps, the uniformed service of the PHS, is led by the Surgeon General who is responsible for addressing matters concerning public health as authorized by the secretary or by the assistant secretary for Health in addition to his or her primary mission of administering the Commission ...
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Senior Citizens
Old age refers to ages nearing or surpassing the life expectancy of human beings, and is thus the end of the human biological life cycle, life cycle. Terms and euphemisms for people at this age include old people, the elderly (worldwide usage), OAPs (British usage which stands for Pensioner, Old Age Pensioner), seniors, senior citizens (American usage), older adults (in the social sciences), and the elders (in many cultures). Elderly people often have limited regenerative abilities and are more susceptible to AIDS, herpes, hemorrhoids, and other illnesses than younger adults. A number of other disciplines and domains concern the aging and the aged, such as organic processes of aging (senescence), medical studies of the aging process (gerontology), diseases that afflict older adults (geriatrics), technology to support the aging society (gerontechnology), or leisure and sport activities adapted to older people, such as senior sport. The elderly face various social issues concern ...
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Medicare (United States)
Medicare is a government national health insurance program in the United States, begun in 1965 under the Social Security Administration (SSA) and now administered by the Centers for Medicare and Medicaid Services (CMS). It primarily provides health insurance for Americans aged 65 and older, but also for some younger people with disability status as determined by the SSA, including people with end stage renal disease and amyotrophic lateral sclerosis (ALS or Lou Gehrig's disease). In 2018, according to the 2019 Medicare Trustees Report, Medicare provided health insurance for over 59.9 million individuals—more than 52 million people aged 65 and older and about 8 million younger people. According to annual Medicare Trustees reports and research by the government's MedPAC group, Medicare covers about half of healthcare expenses of those enrolled. Enrollees almost always cover most of the remaining costs by taking additional private insurance and/or by joining a public Part C or P ...
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Medicaid
Medicaid in the United States is a federal and state program that helps with healthcare costs for some people with limited income and resources. Medicaid also offers benefits not normally covered by Medicare, including nursing home care and personal care services. The main difference between the two programs is that Medicaid covers healthcare costs for people with low incomes while Medicare provides health coverage for the elderly. There are also dual health plans for people who have both Medicaid and Medicare. The Health Insurance Association of America describes Medicaid as "a government insurance program for persons of all ages whose income and resources are insufficient to pay for health care." Medicaid is the largest source of funding for medical and health-related services for people with low income in the United States, providing free health insurance to 74 million low-income and disabled people (23% of Americans) as of 2017, as well as paying for half of all U.S. births i ...
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Fraud
In law, fraud is intentional deception to secure unfair or unlawful gain, or to deprive a victim of a legal right. Fraud can violate civil law (e.g., a fraud victim may sue the fraud perpetrator to avoid the fraud or recover monetary compensation) or criminal law (e.g., a fraud perpetrator may be prosecuted and imprisoned by governmental authorities), or it may cause no loss of money, property, or legal right but still be an element of another civil or criminal wrong. The purpose of fraud may be monetary gain or other benefits, for example by obtaining a passport, travel document, or driver's license, or mortgage fraud, where the perpetrator may attempt to qualify for a mortgage by way of false statements. Internal fraud, also known as "insider fraud", is fraud committed or attempted by someone within an organisation such as an employee. A hoax is a distinct concept that involves deliberate deception without the intention of gain or of materially damaging or depriving a vi ...
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Administration For Community Living
The Administration for Community Living (ACL) is part of the United States Department of Health and Human Services. It is headed by the Administrator and Assistant Secretary for Aging, who reports directly to the Secretary of Health and Human Services (HHS). ACL's Principal Deputy Administrator serves as Senior Advisor to the HHS Secretary for Disability Policy. Organization ACL is structured to provide general policy coordination while retaining programmatic operations specific to the needs of each population served. ACL is divided into the following units: * Office of the Administrator * Administration on Aging (AoA) * Administration on Disabilities (AoD) * National Institute on Disability, Independent Living, and Rehabilitation Research (NIDILRR) * Center for Integrated Programs (CIP) * Center for Management and Budget (CMB) * Center for Policy and Evaluation (CPE) See also * President's Committee for People with Intellectual Disabilities The President's Committee for P ...
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Medicare Fraud
In the United States, Medicare fraud is the claiming of Medicare health care reimbursement to which the claimant is not entitled. There are many different types of Medicare fraud, all of which have the same goal: to collect money from the Medicare program illegitimately. The total amount of Medicare fraud is difficult to track, because not all fraud is detected and not all suspicious claims turn out to be fraudulent. According to the Office of Management and Budget, Medicare "improper payments" were $47.9 billion in 2010, but some of these payments later turned out to be valid.politifact.com
(2011-01-04). Retrieved on 2011-01-05.
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Health Fraud
Quackery, often synonymous with health fraud, is the promotion of fraudulent or ignorant medical practices. A quack is a "fraudulent or ignorant pretender to medical skill" or "a person who pretends, professionally or publicly, to have skill, knowledge, qualification or credentials they do not possess; a charlatan or snake oil salesman". The term ''quack'' is a clipped form of the archaic term ', from nl, kwakzalver a "hawker of salve". In the Middle Ages the term ''quack'' meant "shouting". The quacksalvers sold their wares on the market shouting in a loud voice. Common elements of general quackery include questionable diagnoses using questionable diagnostic tests, as well as untested or refuted treatments, especially for serious diseases such as cancer. Quackery is often described as "health fraud" with the salient characteristic of aggressive promotion. Definition Psychiatrist and author Stephen Barrett of Quackwatch defines quackery "as the promotion of unsubstantia ...
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