The US Department of Health and Human Services Office of Inspector General is alerting the public about a fraud scheme involving genetic testing.

Genetic testing fraud occurs when Medicare is billed for a test or screening that was not medically necessary and/or was not ordered by a Medicare beneficiary's treating physician.

Scammers are offering Medicare beneficiaries "free" screenings or cheek swabs for genetic testing to obtain their Medicare information for identity theft or fraudulent billing purposes. Fraudsters are targeting beneficiaries through telemarketing calls, booths at public events, health fairs, and door-to-door visits.

Beneficiaries who agree to genetic testing or verify personal or Medicare information may receive a cheek swab, an in-person screening or a testing kit in the mail, even if it is not ordered by a physician or medically necessary.

If Medicare denies the claim, the beneficiary could be responsible for the entire cost of the test, which could be thousands of dollars.

Protect Yourself

• If a genetic testing kit is mailed to you, don't accept it unless it was ordered by your physician. Refuse the delivery or return it to the sender. Keep a record of the sender's name and the date you returned the items.
• Be suspicious of anyone who offers you "free" genetic testing and then requests your Medicare number. If your personal information is compromised, it may be used in other fraud schemes.
• A physician that you know and trust should assess your condition and approve any requests for genetic testing.
• Medicare beneficiaries should be cautious of unsolicited requests for their Medicare numbers. If anyone other than your physician's office requests your Medicare information, do not provide it.
• If you suspect Medicare fraud, contact the HHS OIG Hotline.

Related Material: Senior Medicare Patrol's Information on Genetic Testing Fraud

Last updated: August 13, 2019

More Articles

• GAO-23-106556: Emergency Relief Funds: Significant Improvements Are Needed to Address Fraud and Improper Payments
• Medicare’s Open Enrollment Is Open Season for Scammers; Here’s How You Know
• US Department of Justice: Leading Cancer Treatment Center Admits to Antitrust Crime and Agrees to Pay $100 Million Criminal Penalty
• Department of Justice Halted a Purported “ozone therapy” Center in Dallas From Offering Unproven Treatments for Coronavirus Disease
• Who Are Organizational Payees? Some Social Security Beneficiaries Rely on Organizations Like Non-profits or Nursing Homes to Help Them Manage Their Benefits.
• US Department of Justice, Combatting CoronaVirus Fraud: Phishing Emails Posing as the World Health Organization or the Centers for Disease Control and Prevention
• “That’s Not the Government Calling: Protecting Seniors from the Social Security Impersonation Scam”; Isolating Their Victims by Instructing Them Not to Tell Anybody What is Going On
• An Example of Whistleblower Rights and Protections from the US Department of Justice
• The Largest Single Criminal Health Care Fraud Case Ever Brought Against Individuals: $1 Billion Scheme Involving Miami-based Health Care Providers
• CultureWatch: Joan L. Cannon Reviews The North Water, "a brilliant book ... but ..."