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Medicare billed for unordered medical supplies

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Medicare billed for unordered medical supplies Reports & Reviews (38)

- Bedford, TX, USA
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Royce Medical Supply which is supposedly, according to their website, an orthopedic supplier of braces. I discovered yesterday on a statement from my Medicare Supplement plan that they were billed, thru Medicare, for $1900 a month May through October 2023 for a total of $11,400. I never heard of this company and I did not receive any medical supplies during these months. I contacted my Medicare supplement plan provider who told me it was under investigation and I should call Medicare. However, they likely would have paid the balance at some point. They told me the bill was for urinary catheter devices. I do not use or need this type of device nor have I ever contacted Royce for any other type of device. Also, I learned that their phone number is not in service. I checked my Medicare claims and saw that they actually did pay scammer Royce Medical nearly $9000 of the bill and then forwarded it to my supplement company to pay the other 20%. I contacted Medicare and was connected to the DME fraud department. They thanked me and told me to keep watching my statements. From what I understand, Medicare has no way of preventing future payments to this company for me or others because they have no way of blocking payments to these fraudulent/criminal "companies". There needs to be some type of fraud detection, prevention, and pursuit of these criminals but it seems there is nothing, similar to the millions of scammers making calls, especially to vulnerable seniors. I did not lose any money personally, but Medicare lost money in my name. Medicare will not be able to recover the payments because this company and phone number doesn't exist. I posted this on Facebook and Nextdoor and learned that others have had their insurance providers/Medicare billed/defrauded for the same unneeded devices and other medical devices by this company and other similar companies. I am also concerned about how this company gained access to my personal Medicare information and why these claims were paid for these devices without a doctor's prescription or verification. I fear that ScamPulse.com is not actually an effective resource because I doubt insurance providers and Medicare check your site for reports before paying claims. Is there any legal or Justice Department arm affiliated to investigate and stop these criminals?

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- Adams, MA, USA
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Royce Medical Supply charged Medicare for supplies that were never ordered or received by me.

Dr. Albert D Agomaa was listed as the person that ordered them.

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- Roslyn, NY, USA
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Billed Medicare for non existent services.

Urinary Catheterization

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- Jacksonville, FL, USA
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EOB under my ChampVA number was billed 7/19/23 Urinary catheters $1,900 and 8/18/23 $1,900 Urinary catheters and 9/19/23 Urinary catheter total $5,700 OHI paid $4,374.72. Medicare I have never had a urinary issue never requested nor received catheters nor have I seen

a doctor from June to Dec2023

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- Plano, TX, USA
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Medicare Claim form with 3 false claims for Catheter and insertion supplies ordered by a Doctor in Arizona. Have contact Social Security to report this.

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- Marianna, FL, USA
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ROYCE MEDICAL SUPPLY LL submitted a fradulent claim to Medicare on 11/20/23 in the amount of $11,400.00 for the services on 05/01-10/02/2023 which I never seeked or received. Medicare paid $8,749.44. The claim states that I may be billed $2,232.00, which of course I am not going to pay. Bottom line: it is a Medicare scam, which should be prosecuted.

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- Granbury, TX, USA
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Scammer ordered $11,400.00 in medical supplies & billed Medicare & Champ-VA for them. Has been reported to Medicare.

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Billed for 400 urinary catheters, have never used catheters.

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- Omaha, NE, USA
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My medicare was billed for 3 consecutive months for $1,900.00 for intermittent urinary catheters which I do not use & that were never delivered to my address. Medicare paid 5,592 to Royce medical & remainder of balance sent to my supplement which I stopped as the claim was under review. The ordering physician was Ishvatial M Patel who I have never seen. I reported this scam to Medicare & my supplement. So frustrating!!

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- Bellmore, NY, USA
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On December 2, 2023, my mother received a letter from her secondary health insurance plan stating that they had received a claim that had "missing, invalid or unreadable information" and were requesting more information. The claim on the letter was for the date of 07/31/2023 and the provider listed was "Royce Medical Supply, LLC." Never having heard of them and noting that the date in the letter did not correspond to any of my mother's (real) doctor appointments, I checked the company name online and found it here under ScamPulse.com Scam Tracker (https://www.bbb.org/scamtracker/lookupscam/753216) as well as on scampulse.com (https://www.scampulse.com/received-notice-that-unordered-medical-equipment-was-...⇄ and https://www.scampulse.com/medicare-charged-for-unordered-medical-supplies-review...⇄ and EarlyRetirement.org (https://www.early-retirement.org/forums/f38/medicare-fraud-do-you-check-your-eo...⇄ and numerous, numerous complaints on https://npidb.org/organizations/suppliers/durable-medical-equipment-medical-supp...⇄ and on https://npino.com/medical-supplies/1942934195-royce-medical-supply-llc/ -- I see the dates of those complaints are all recent, July to November 2023. (The alleged company incorporated 07/05/2022.) I, too, then tried the phone number listed by the reporters/complainants as well as on a website for Royce Medical Supply (https://roycemedsupply.com/) which I found online -- the phone number is not in service. I then checked my mothher's claims at Medicare online account. On her Medicare account it shows "This claim: Procedure code: A4353 - Intermittent Urinary Catheter, With Insertion Supplies; 07/31/2023 to 09/29/2023; Claim Type: DME; Provider: ROYCE MEDICAL SUPPLY LLC; Claim Number: xxxxxxx; Medicare-approved amount: $5,580.00; Medicare paid: $4,374.72" for claim of 200 units on 07/31/2023, 08/30/2023, and 09/29/2023 (claim submitted 11/01/2023). Two of the questions asked on this form are "Did the scammer attempt to take money?" to which I would have liked to respond "not attempted, but did!" and "Did the targeted person lose money?" to which the answer is no, not the individual, however Medicare did, and, boo koo bucks!!

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- Pleasant Grove, AL, USA
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Claimed to have sent me 200 catheters monthly for june nd july.

They got paid by medicare $3,728 and billed me an additional $745.

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- Saint Marys, KS, USA
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I recieved notification of medicare and supplemental insurance billing for two months worth of urinary catheters, 1900.00 per month. July 3-August 2, 2023. Medicare paid 1461.38 per month. I may be liable for 372.80 per month. I reported this fraud to Medicare Phone number no longer in service.

devices ordered by Larry R Anderson

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- Nashville, TN, USA
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Scam is Medicare charges submitted to my my Medigap insurer. There were 2 charges for the same item: May25,2023 and June26,2023 for '200 intermittent urinary catheter, with insertion supplies (A4353-KX)' Ordered by John D Lewis. Total charges to Medicare $3800.00. I do not live in Florida, do not know who John D Lewis is, and have never had any medical condition which would require this medical device.

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- Pleasant Grove, AL, USA
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Medicare claim for two catheters during cataract surgeries. Services not received by patient. Medicare paid claim of $2922.76. I reported fraud to Medicare on 11-22-23. Claim rejected by secondary insurance carrier.

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- Helena, AL, USA
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I received my Medicare EOB today and found that Medicare was charged $3,800 for 2 shipments for 200 intermittent urinary catheters on May 3, 2023, and the other on June 2, 2023. Medicare paid a total of $2,922.76. Medicare in turned forwarded a claim for a total of $745.60 to my Medicare supplement insurer. I reported fraud to Medicare and to my Medicare supplement insurer. I have never delt with this company or the physician who allegedly requested the shipment. I have no idea who these people are and have never requested or received their services.

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- Ormond Beach, FL, USA
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i received a Medicare notice that Medicare paid $4474.72 to thos company for intermittent urinary catheters as prescribed by Farzana Ajmal. This is totally bogus. Medicare fraud was called and this was reported. Calling the number given is a number not in service.

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- East Petersburg, PA, USA
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Scammer filed false claim with Medicare alleging that they supplied 400 Intermittent Urinary Catheters to us. We have never heard of the Company nor the prescribing doctor, Haroon Akhtar. We immediately reported fraud attempt to Medicare.

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- West Dennis, MA, USA
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Scammer submitted to Medicare for something I have no idea what it is. Did not recognize the name so googled it. Said it was a scam. M Medicare already paid the 3800 dollars.

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