Providers Should Be Aware of Medicare Fraud Scheme

July 23, 2025

Providers Should Be Aware of Medicare Fraud Scheme

The Centers for Medicare & Medicaid Services (CMS) has identified a fraud scheme targeting Medicare providers and suppliers.

Scammers are impersonating CMS and sending phishing requests for medical records or payment of alleged Medicare debts, often via fax or email, falsely claiming to be part of a Medicare audit or debt collection efforts.

CMS generally does not initiate audits via fax or email unless a provider requests it, and Medicare overpayment collections are handled through the Medicare Administrative Contractors (MACs).

If you receive a suspicious request, don’t respond. Work with your Medical Review Contractor to confirm if a medical records request is real or with your MAC to discuss overpayment collections.

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