National Report Medicare Fraud Day

United States

About

National Report Medicare Fraud Day, observed on September 12, encourages everyone to help protect Medicare from fraud, errors, and abuse. The observance highlights how dishonest billing, identity theft, and misleading healthcare offers can harm beneficiaries and waste resources intended for patient care.

September 12 is an opportunity for Medicare beneficiaries, families, caregivers, and healthcare professionals to stay alert and speak up when something seems wrong. Reviewing Medicare statements, safeguarding personal information, and reporting suspicious charges or communications can help protect individuals and strengthen the program for communities nationwide.

History

National Report Medicare Fraud Day is observed annually on **September 12**. The observance is intended to draw attention to the problem of fraud, waste, and abuse affecting Medicare, the federal health-insurance program created in 1965 for older Americans and, later, certain people with disabilities and end-stage renal disease. Unlike longstanding federal holidays, the day is a public-awareness observance rather than a federal public holiday, and publicly available accounts do not identify a single congressional act or universally recognized founder responsible for establishing it.

Its background is connected to the broader development of Medicare oversight. As the program expanded, government agencies, health-care providers, law-enforcement officials, and beneficiaries encountered schemes involving false billing, services that were never provided, medically unnecessary treatment, identity misuse, and improper use of beneficiary information. Enforcement and prevention efforts became more coordinated over time through agencies including the Centers for Medicare & Medicaid Services, the Department of Health and Human Services Office of Inspector General, the Department of Justice, and state and local authorities. Whistleblower protections and the False Claims Act have also played important roles in uncovering and pursuing fraudulent claims.

Over time, the observance has evolved from a general warning about financial misconduct into a broader reminder that Medicare fraud can directly affect beneficiaries. Seniors and other recipients may be targeted through deceptive calls, emails, medical-equipment offers, or requests for Medicare numbers. Public education therefore emphasizes reviewing Medicare Summary Notices and Explanation of Benefits documents, protecting personal information, questioning unexpected charges, and reporting suspected wrongdoing through appropriate government channels. These actions help distinguish legitimate billing errors from deliberate fraud while giving investigators information that may reveal larger patterns.

The cultural significance of National Report Medicare Fraud Day lies in its emphasis on shared civic responsibility. Medicare is funded through public resources, so fraudulent claims can raise costs, weaken trust in health-care institutions, and divert assistance from people who need it. By placing this message on **September 12** each year, the observance encourages beneficiaries, caregivers, medical professionals, and the wider public to treat reporting as a form of consumer protection and stewardship of a major social program. It also reinforces the principle that preventing Medicare fraud requires both strong enforcement and informed participation by the people the program serves.

Timeline

1965
President Lyndon B. Johnson signed the Social Security Amendments of 1965, creating Medicare and Medicaid. The new federal health-insurance programs later became major targets of health-care fraud enforcement.
1986
Congress enacted the False Claims Amendments Act of 1986, substantially strengthening the federal False Claims Act. The law became a central civil-enforcement tool for pursuing fraudulent Medicare billing and other false claims for federal funds.
1996
The Health Insurance Portability and Accountability Act (HIPAA) was enacted, creating the Health Care Fraud and Abuse Control Program. It expanded coordinated federal efforts to prevent, detect, and prosecute Medicare and other health-care fraud.
2010
The Patient Protection and Affordable Care Act was signed into law. Its anti-fraud provisions strengthened provider screening, enrollment controls, and federal authority to combat fraud in Medicare and other public health programs.
2015
The Medicare Access and CHIP Reauthorization Act (MACRA) was enacted. It required the removal of Social Security numbers from Medicare cards, a measure intended to reduce identity theft and related Medicare fraud.

Upcoming dates

Sources

Same day

Related