What Is Senior Medicare Patrol?

Short answer

Senior Medicare Patrol programs help beneficiaries, families and caregivers prevent, detect and report Medicare fraud, errors and abuse.

Coverage And Action

SMP can help beneficiaries review Medicare statements, recognize suspicious activity and route concerns to appropriate reporting channels.

Not Automatic

SMP is not law enforcement and does not itself adjudicate Medicare claims or coverage appeals.

Practical Example

A beneficiary who sees unfamiliar DME claims can ask SMP for help understanding the statement before reporting suspected fraud.

Questions to verify

  • Is this an error, fraud concern or coverage dispute?
  • What records should I bring?
  • Which agency ultimately receives the report?

Related Medicare topics

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