SMP - Empowering Seniors to Prevent Healthcare Fraud
The goal of the SMP program is to empower seniors to prevent health care fraud through outreach and education. It is composed of staff and volunteers and is supported in part by the Administration on Aging.
The three roles of the SMP program are:
- Disseminating SMP fraud prevention and identification information
- Assisting beneficiaries in resolving potential fraud-related inquiries and issues
- Making referrals of suspected cases of fraud, waste and abuse to the appropriate investigative entities.
The Department of Health and Human Services estimated the Medicare program loses billions of dollars each year through fraud, error and abuse.
The majority of healthcare providers are honest, yet fraud can and does occur. If you have questions about the accuracy of your healthcare charges, contact your healthcare provider such as physician, hospital or equipment vendor. If you are not satisfied with the response or suspect fraud, contact the Nebraska SMP.
Examples of Possible Health Care Fraud:
- Billing twice for the same service or item
- Billing for services or items not provided
- Continuing to bill for services no longer medically necessary
- Billing for rental equipment after date of return
To discuss a complaint of possible Medicare or Medicaid fraud or to learn more about becoming a SMP volunteer, contact:
Debbie Schipper at 1-800-672-8368 or 402-370-3454 or e-mail at debbie.schipper(at)nebraska.gov