Medicare Administrative Contractors (MAC) Fax Scam Alert

June 22, 2009 · Posted in Industry News 

A 06/18/09 update on the Centers for Medicare and Medicaid Services (CMS) Home Health, Hospice & Durable Medical Equipment Open Door Forum website indicates that CMS has become aware of a scam.  The scam entails the submission of faxes to practices from perpetrators posing as the Medicare carrier or Medicare Administrative Contractor (MAC). The fax tells physician staff to respond to a questionnaire to provide an account information update within 48 hours in order to prevent a gap in Medicare payments. The fax may have the CMS logo and/or the contractor logo to enhance the appearance of authenticity.

Medicare FFS providers, including physicians and non-physician practitioners, should be wary of this type of request. If you receive a request for information in the manner described above, please check with your contractor before submitting any information. Medicare providers should only send information to a Medicare contractor using the address found in the download section of the CMS.gov website found at http://www.cms.hhs.gov/MLNGenInfo/ or http://www.cms.hhs.gov/MedicareProviderSupEnroll .

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