Medicare Fraud and Abuse
Reporting, outreach, and education to prevent Medicare fraud and abuse
Overview
The U.S. Administration for Community Living (ACL) funds the SMP project to help Medicare users, families, and caregivers prevent, spot, and report health care fraud, errors, and abuse through education.
Medicare Summary Notice
The Medicare Summary Notice (MSN) is a clear statement of your health insurance claims. It lists services, costs, and amounts you may owe. MSNs are sent quarterly or when Medicare owes you a payment.
The MSN lists all the services or supplies that were billed to Medicare for a 90-day period of time. It is important to check this notice to be sure you got all the services, medical supplies, or equipment that providers billed to Medicare.
If you have any questions or if you need an MSN for a particular claim before the quarterly mailing, call the phone number listed in the Customer Service Information box on the front of the MSN. If you disagree with a claims decision, you have the right to file an appeal.
Follow the instructions on the MSN to file an appeal.
Download a sample:
- Part A Medicare Summary Notice [PDF, 2MB]
- Part B Medicare Summary Notice [PDF, 2MB]
- DME Medicare Summary Notice [PDF, 2MB]
- Get Medicare Summary Notices in other languages]
Medicare offers a free, secure online tool to access your benefits. Sign in to view claims, provider information, manage prescriptions, print an “On the Go” report, and check your preventive services calendar.