Seniors Report Medicare Misbilling and Fraud by Houston Company

Unrecognized Medicare Charges

• 💡 Mike Burgerer describes his experience with unrecognized charges on his Medicare statements, comparing the situation to a frustrating game of whack-a-mole.
• 🎯 He actively reviews his notes to ensure charges don't align with his medical history before reporting them to Medicare.
• 🔍 Burgerer has identified at least two companies, including one in Houston, billing for services he never received, such as new patient visits and remote biometric tracking.

Impact of Misbilling

• 💰 Charges, though less than $500 each time, have already been paid by Medicare and supplement insurance, leaving seniors feeling like the money is lost.
• ⚠️ Rich Cutler, another Montgomery County resident, is facing similar charges from the Houston company for services he did not receive.

Investigation and CMS Response

• 📌 A previous investigation highlighted Sunshine Senior Solutions from South Florida for billing for unneeded medical supplies.
• ⏳ Requests for complaint data on both Sunshine Senior Solutions and the Houston-based company have faced delays and denials from the Centers for Medicare and Medicaid Services (CMS).
• ⚖️ CMS states that fraud investigations are complex, requiring extensive fact-finding and legal review, leading to varying investigation lengths.

Company Status and Senior Vigilance

• 🚫 While Sunshine Senior Solutions was eventually removed from the Medicare program, CMS was unable to comment on the specific enrollment details or investigative activity for the Houston company.
• 🏢 Attempts to locate the Houston company at its listed address revealed an empty office suite, and associated phone numbers were disconnected.
• 💪 Seniors like Burgerer feel the burden of vigilance falls on them, hoping their efforts to report suspicious charges can make a significant difference.
• 🤝 Burger encourages others to help track and report emerging issues to protect themselves and the Medicare system.