Page 34 - Amarillo Senior Link Magazine Winter 2020- Online Magazine
P. 34

HONORING SENIORS


                                                             GENETIC



                                                             TESTING




                                                             FRAUD





                                                         SWEEPS STATE, NATION








                cross the nation – including   condition,” said Jennifer Salazar,   Refuse to give out their personal
                in the state of Texas –       Director, Texas Senior Medicare     information or accept screening
         Agenetic testing company             Patrol (TXSMP).                     services, including a cheek swab,
         representatives are offering                                             from someone at a community
         “free” genetic tests to Medicare     Because confusion exists regarding   event, a local fair, a farmer’s
         beneficiaries. These tests can also   Medicare’s coverage for genetic    market, a parking lot, and/or any
         be referred to as DNA screenings,    tests for cancer and other          other large event.
         cancer screenings, and hereditary    conditions, the Office of Inspector
         testing, to name a few. The          General (OIG) released a fraud alert   Go to their own doctor to assess
         representatives go to senior centers,   on the topic. It advises the public   their condition, not a doctor on the
         senior housing,                                 to be suspicious of      phone whom they’ve never met and
         health fairs, and                               anyone who offers free   from a company they don’t know.
         even parking                                    genetic testing and      Always read their Medicare
         lots to convince                                then requests their      Summary Notice (MSN) or
         people to let                                   Medicare number.         Explanation of Benefits (EOB).
         them take a                                     The OIG’s fraud          The words “gene analysis” or
         cheek swab for                                  alert also states that   “molecular pathology” as service
         testing. They                                   a physician, whom        codes may indicate questionable
         advertise on TV                                 a person knows and       genetic testing.
         and online. They                                trusts, should approve
         promise that                                    any requests for         Refuse the delivery of any genetic
         the results will                                genetic testing. In fact,   testing kit that was not ordered by
         help recipients                                 federal regulations      their physician.
         avoid diseases                                  state that diagnostic
         or find the right                               tests must be ordered    Be suspicious of anyone who
         medications. All                     by the physician who is treating    offers free genetic testing and then
         they ask for in return is the person’s   the beneficiary – in other words,   requests their Medicare number.
         Medicare number.                     the person’s own doctor. “A doctor   If their personal information is
         While this may sound harmless,       who has never met or examined       compromised, it may be used in
                                                                                  other fraud schemes.
         in reality, it is dangerous. “These   a patient, often hired by a genetic
         companies can steal people’s         testing company, should not be      Contact their local SMP for help.
         medical identity and falsely bill    signing off on any tests. That’s a red   SMPs empower and assist Medicare
         Medicare, draining the system        flag,” said Ms. Salazar.            beneficiaries, their families, and
         of needed funds. Tests ordered       The SMP recommends that             caregivers to prevent, detect, and
         under these circumstances are        beneficiaries should:               report health care fraud, errors, and
         unnecessary and could lead to                                            abuse.
         confusion about someone’s health



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