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SHIIP |
| NCSMP PROGRAM |
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| The North Carolina Senior Medicare Patrol (NCSMP) Program is housed within the Seniors’ Health Insurance Information Program (SHIIP) at the North Carolina Department of Insurance. NCSMP is a preventive educational program whose goal is to reduce Medicare/Medicaid error, fraud and abuse through statewide coordinated efforts of educational and promotional activities and to encourage reporting of discrepancies by Medicare/Medicaid beneficiaries and caregivers to the NCSMP |
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| Program. NCSMP’s purpose is to educate Medicare/Medicaid beneficiaries and caregivers about Medicare/Medicaid benefits in order to understand Medicare Statements such as Medicare Summary Notices, Medicare Part D Prescription Drug Plan (PDP) Explanations of Benefits (EOB) and other related health care statements. Through this knowledge, a person can identify, resolve and/or report possible billing errors, fraud, abuse and waste to NCSMP. |
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| Did you know that: |
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- 19 billion dollars of the taxpayers’ money is lost annually to billing discrepancies, fraud, abuse and waste in the Medicare program?
- “fraud and abuse” in the Medicare/Medicaid program often times are actually billing errors or discrepancies?
- the process of reporting suspected fraud abuse and waste is to contact the provider to seek resolution; to contact their Medicare carriers and insurance companies and to file an appeal by following the appeal instructions found on the back of the Medicare Summary Notice? And if your situation is not resolved satisfactorily, you should contact the North Carolina SMP Program at the nationwide toll free number, 1-800-443-9354?
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| Remember to: |
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- review your Medicare Statements
- protect your Medicare Number
- do not be influenced by advertising for services, medications or products that sound “too good to be true”
- educate yourself about your Medicare benefits
- rarely are Medicare services “free”
- Medicare does not solicit door-to-door
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Protect...Detect...Report
Contact NCSMP at SHIIP – 1-800-443-9354
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| This project is supported, in part, by a grant, number 90AM2698, from the Administration on Aging, Department of Health and Human Services, Washington, D.C. 20201. Grantees undertaking projects under government supervision sponsorship are encouraged to express freely their findings and conclusions. Points of view or opinions do not, therefore, necessarily represent official Administration on Aging policy. |
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