Scam Type
Healthcare/Medicaid/Medicare Scam
Business Name Used
Medicare billed for unordered medical supplies
Date Reported
December 30, 2023
Postal Code
67502
Total Dollars Lost
$ 0
Scam Description
Royce Medical Supply LLC sent a Medicare Claim for $11,400.00 saying that I received A4353 – Intermittent Urinary Catheters, with Insertion Supplies for 6 months at 200 catheters per month. The claim started on 05/23/2023 until 10/23/2023. The one claim for the 6 months of catheters was received by Medicare on 11/20/23. Each of the 6 months was billed at $1,900.00 for the total of $11,400.00. Medicare approved the claim & paid them $8,768.28. Because they billed the 6 months at once the claim didn’t come up on my monthly check but was way back in May so I did not see it earlier. The only way I was alerted was my secondary plan 65 is thru Blue Cross Blue Shield. They notified me that had processed a claim. I then went into their website & ran a check on past claims they paid to make sure I did not owe anything. There is where I saw the Royce Medical Supply bill. Luckily BCBS did not pay their part of the bill without more medical information from them, which apparently they have not provided. I called BCBS to see what this bill was & they gave me all the information. I reported it to them as a fraud, as I have never heard of this company or ever needed or received the catheters they billed for. What is really odd it the bill listed a Dr. Susan Giovanni as the ordering physician from a medical facility in a town about 50 miles from me. I located the phone number for their office to see how they could have gotten my information since I have never seen this doctor or even been there for medical treatment. Their office did a search for my name & I am not in their data base. Also they do not do business with Royce Medical Supply. They are doing their own follow up to see how one of their doctors name is being used in this Scam Fraud. I then called Medicare & reported it as a Fraud. They are doing their own investigation & when finished will update my record. Because of the way they are billing, it was easy not to notice the charge as Medicare dropped it down 6 months in my claims lists. Most would not notice something like this even if they did look at their claims as they came in. I was just lucky I found it on my BCBS claims to get this all started. I am still really concerned how this company came up with my name & information in order to send this claim to Medicare. Where are they getting my information?
