A US National Health Care System? Message Board

STOCKTALK

We've detected that you're using an ad content blocking browser plug-in or feature. Ads provide a critical source of revenue to the continued operation of Silicon Investor. We ask that you disable ad blocking while on Silicon Investor in the best interests of our community. If you are not using an ad blocker but are still receiving this message, make sure your browser's tracking protection is set to the 'standard' level.

Politics : A US National Health Care System?

Public Reply Prvt Reply Mark as Last Read File

Previous 10 Next 10 Previous Next

Recommended by:

Brumar89

To: J_F_Shepard who wrote (34887)	3/5/2014 3:35:38 PM
From: i-node	1 Recommendation Read Replies (1) of 42652

> .simple greed and fraud.... If you're dealing with a reputable provider it is more likely a simple mistake. >> I posted here a few months ago about an orthopedist from my group who had billings of over 7 million dollars over two years.... He billed for fake surgeries, phantom surgeries......as many as 19 surgeries a day... He claimed office visits from about 50 patients a day..... He was caught but it wasn't by his own billing department.... You didn't say whether this was Medicare, Medicaid or private insurance fraud -- but I would wager it was Medicare. Because it is just so easy. If a procedure is coded correctly, no one questions it. If you have a surgeon report doing a total knee, no one looks to see whether the hospital billed, whether proper referrals were made, nothing. There is a good CPT and a good Diagnosis, the provider is enrolled, write the check. Only an idiot would attempt this against against a private insurance company when Medicare is a sitting duck. Even Medicaid is a riskier fraud target.

Report TOU Violation

Share This Post

Public Reply Prvt Reply Mark as Last Read File

Previous 10 Next 10 Previous Next