La Patrulla Medicare Puerto Rico
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Acerca de SMP
La Patrulla Medicare Puerto Rico (Senior Medicare Patrol / SMP) ayuda a los beneficiarios de Medicare y Medicaid a evitar, así como detectar y denunciar el fraude y abuso en servicios médicos. Ofrece protección a los beneficiarios y ayuda a preservar la integridad de los programas Medicare y Medicaid, recuperando y evitando el gasto de miles de millones de dólares que por lo general se pierden a través del fraude en servicios médicos cada año. Los SMPs a nivel nacional reclutan y educan a miles de voluntarios cada año en todos los Estados y territorios para ayudar en este esfuerzo y servir a los beneficiarios de Medicare. Para más detalles sobre este programa visite el Centro de recursos Senior Medicare Patrol. |
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Financiación
Los SMPs son financiados por la Administración para la Vida en Comunidad (Administation for Community Living - ACL). Las actividades que llevan a cabo los SMP apoyan los objetivos de ACL de promover una mayor independencia entre adultos mayores y personas con discapacidad. En 1995, la administración sobre el envejecimiento, que está ahora en la ACL, se convirtió en socio en un esfuerzo dirigido por el gobierno federal para luchar contra el fraude y el abuso en los programas Medicare y Medicaid a través de la implementación de un proyecto llamado Operación Restaurar Confianza (Operation Restore Trust – ORT). Durante su fase de demostración, ORT logró recuperar $23 por cada $1 gastado en las áreas de más rápido crecimiento de fraude de Medicare, incluyendo: atención médica domiciliaria y especializada, enfermería, instalaciones de salud y proveedores de equipo médico duradero. Los SMPs son proyectos financiados por el Departamento de Salud y Servicios Humanos federal (Department of Health and Human Services - HHS) y la Administración para la Vida en Comunidad (Administation for Community Living - ACL). El trabajo se realiza principalmente a través de voluntarios. Los SMPs dan presentaciones en centros de ancianos, exhibiciones en diversos eventos y ferias de salud y trabajan directamente con los beneficiarios de Medicare. Estos voluntarios enseñan a sus compañeros a:
Instituto Hispano-Americano funciona Puerto Rico SMP. |
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Copyright (c) 2018 Hispanic-American Institute. Todos los derechos reservados.
Senior Medicare Patrol
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About SMP
Senior Medicare Patrol (SMP) helps Medicare and Medicaid beneficiaries avoid, as well as detect and report health care fraud. SMP protects beneficiaries and helps to preserve the integrity of the Medicare and Medicaid programs by recovering and avoiding the billions of dollars typically lost to health care fraud each year. Nationwide SMPs recruit and teach thousands of volunteers annually within their states and territories to help in this effort and serve the Medicare beneficiaries. SMP Volunteers work in their community, educating their peers about health care fraud, how to protect their identity and how to review their Medicare Summary Notices. For more details on this program go to the Senior Medicare Patrol Resource Center. |
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Funding
SMPs are funded by the Administration for Community Living. SMP activities support ACL’s goals of promoting greater independence among older adults and people with disabilities.
In 1995, the Administration on Aging, which is now under the ACL, became a partner in a government-led effort to fight fraud and abuse in the Medicare and Medicaid programs through the implementation of a project called Operation Restore Trust (ORT). During its demonstration phase, ORT returned $23 for every $1 spent, looking at the fastest growing areas of Medicare fraud, including home health care, skilled nursing facilities and providers of durable medical equipment.
SMPs are grant-funded projects of the federal U.S. Department of Health and Human Services (HHS), U.S. Administration for Community Living (ACL). The work is accomplished primarily through volunteer outreach and education. SMPs give presentations at senior centers, exhibit at events and health fairs, and work directly with Medicare beneficiaries. These volunteers teach their peers how to:
Hispanic-American Institute runs Puerto Rico's SMP.
SMPs are funded by the Administration for Community Living. SMP activities support ACL’s goals of promoting greater independence among older adults and people with disabilities.
In 1995, the Administration on Aging, which is now under the ACL, became a partner in a government-led effort to fight fraud and abuse in the Medicare and Medicaid programs through the implementation of a project called Operation Restore Trust (ORT). During its demonstration phase, ORT returned $23 for every $1 spent, looking at the fastest growing areas of Medicare fraud, including home health care, skilled nursing facilities and providers of durable medical equipment.
SMPs are grant-funded projects of the federal U.S. Department of Health and Human Services (HHS), U.S. Administration for Community Living (ACL). The work is accomplished primarily through volunteer outreach and education. SMPs give presentations at senior centers, exhibit at events and health fairs, and work directly with Medicare beneficiaries. These volunteers teach their peers how to:
- Protect their identity
- How to identify and report errors on their health care bills
- How to identify fraudulent practices
- When fraud or abuse is suspected, they make referrals to the appropriate state and federal agencies for further investigation
Hispanic-American Institute runs Puerto Rico's SMP.
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Copyright (c) 2018 Hispanic-American Institute. All rights reserved.