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FRAUD RED ALERT

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  • AmLee Billing Services
    This is to inform you that Medicare is aware of an organized group who is representing themselves as either a Medicare Fraud Investigator; or a Medicare
    Message 1 of 1 , Jan 3, 2005
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      This is to inform you that Medicare is aware of an organized group who is
      representing themselves as either a Medicare Fraud Investigator; or a
      Medicare employee from the enrollment, claims or audit units. These
      callers tell the physician, or office personnel, that the Medicare
      computer system has had a malfunction and they need to update lost
      information. The callers may also say they need to update the physician’s
      provider record. They then request via telephone or fax the following
      information:

      Copy of Physician’s Drivers License;
      Copy of Physician’s Social Security Number (SSN);
      Unique Physician Identification Number (UPIN);
      Verification of education;
      Verification of Practice Location;
      Copy of Physician’s Medical License;
      Copy of Patient’s Charts for a specific period of time.

      Once the entity receives this information, they falsify enrollment data
      using the physician’s name and request a change to their practice
      locations, telephone numbers, and pay-to-addresses.

      The Centers for Medicare & Medicaid Services (CMS) has not suffered any
      computer system malfunction and are not calling providers requesting the
      above information be provided. If you should receive such a call, please
      try to verify the telephone number of the caller, and immediately notify
      your Medicare carrier that you suspect fraud.

      The CMS is committed to protecting all Medicare providers/suppliers and to
      ensuring that only those qualified make changes to enrollment data. We
      believe that with your help we can target those unscrupulous individuals
      that are looking to take advantage of you and the Medicare trust fund.





















      Amie Pennington-White CCHRS;CMHRS;CMRS;CPC;MA;CNA;RNA
      CEO AmLee Billing Services
      Office: (817) 676-2221
      Fax: (817) 788-2175
      www.amleebillingservices.com
      Proud Member Of:
      American Academy Of Professional Coders

      American Medical Billing Association (AMBA)

      Coalition of Healthcare Administrative Management Professionals (CHAMPS)

      Texas Psychiatric Association

      Texas Chiropractic Association

      Texas Dental Association

      American Medical Association

      Practice Managers Resource Networking (PMRC)

      Biller's Network www.billerswebsite.com


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