December 9, 2019

Medicare Scam Alert: Genetic Testing Fraud

Genetic testing fraud is when Medicare is billed for a screening or test that is not medically necessary and/or has not been ordered by a physician who is treating you. This type of fraud is commonly advertised under some of the following names:

  • Cancer screening/ testing
  • DNA screening/ testing
  • Genetic screenings/ testing
  • Parkinson’s disease screening/ testing
  • Dementia screening/ testing

If Medicare is billed for this type of testing and it has not been ordered by a physician who is treating you, you could be billed for the entire cost- an average of $9,000- $11,000!

What can you do to stop this type of fraud?

  • Do not give out your Medicare number to anyone outside your doctor’s office.
  • Do not give out personal information at public events such as health fairs, etc.
  • Do not accept any type of medical testing unless you know your doctor has ordered it.
  • Always ready your Medicare Summary Notice and be on the lookout for terms such as “gene analysis,” “molecular pathology,” or “laboratory,” which may indicate questionable genetic testing has occurred.
  • If you have received a cheek swab or genetic test that was not medically necessary, call the Arkansas Senior Medicare Patrol (SMP) at 1-866-726-2916.


Source and more information here: Senior Medicare Patrol: Genetic Testing Fraud