tci Medicare Compliance & Reimbursement - 2019 Issue 12

Industry Note: OIG Warns About Genetic Testing Fraud

If your Medicare patients call with questions about cheek swabs for tests that you never ordered, you may want to investigate. Swindlers are tricking beneficiaries across the nation in the latest Medicare-related identity theft scam. Logistics: The fraud scheme involves the illegal collection of cheek swabs for genetic testing by thieves hoping to use Medicare beneficiaries’ data to steal their identities and/or submit fraudulent bills to Medicare for the service, according to an HHS Office of Inspector General (OIG) alert. “Fraudsters are targeting beneficiaries through telemarketing calls, booths at public events, health fairs, and door-to-door visits,” the...

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