Missouri SMP Escape Room

If you’ve come to the hospital for illness or injury, there are a few different scams and fraudulent situations to look out for. Many times, these are not done with ill-intent but may be due to human error or miscommunication.

The Hospital

The Hospital Audio
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Pop Quiz

Hospital
1. You should take an ambulance instead of having your family member take you because Medicare will cover it.

Correct! Medicare will only pay for an ambulance if it is medically necessary. Additionally, if you do require an ambulance, you will be taken to the nearest facility, not necessarily the hospital you prefer.

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2. While your medical team is telling you your treatment plan, it’s ok to tune out because they’ll make sure you get the treatment you need.

Correct! While your medical team has your best interests in mind, mistakes may still happen. Be sure to pay attention to your diagnosis and treatment plan, so you’re prepared to ask questions if you’re not receiving the treatment you were told you would or if it appears odd on your bill.

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3. Even though you trust your medical team, you should read over the billing statement.

Correct! It’s best practice to read over any bills and forms you’re provided before signing them. Hospitals are paid according to what you were treated for, so make sure what’s on your bill matches your diagnosis. Also, make sure any adverse reactions to medications or treatments have been reported and are reflected in your bill.

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