Industry Note: OIG Warns About Genetic Testing Fraud

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Note:  The following article synopsis was NOT provided by AAPC. It was created by Find-A-Code/innoviHealth.

Article Overview

This brief industry note summarizes an HHS Office of Inspector General warning about a Medicare-related fraud scheme involving unsolicited genetic testing solicitations. It explains the general nature of the scam, how beneficiaries may be approached, and the types of patient-facing precautions and reporting guidance practices may want to share.

Why This Topic Matters

Medical practices may receive patient questions about unexpected genetic testing kits or solicitations. Understanding the warning helps staff recognize a potential fraud issue, protect beneficiary information, and direct patients to appropriate reporting resources.

What You Will Learn

  • How a Medicare-related genetic testing fraud scheme is being presented to beneficiaries
  • Common ways scammers may contact people about genetic testing
  • General precautions practices can share with patients to help protect Medicare information
  • Where to report suspected genetic testing fraud

Who Should Read This

  • Medical coders
  • Billing staff
  • Practice managers
  • Physician office staff
  • Compliance teams

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