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Politics : A US National Health Care System? -- Ignore unavailable to you. Want to Upgrade?


To: Lane3 who wrote (7532)7/14/2009 12:08:14 PM
From: John Carragher  Read Replies (1) | Respond to of 42652
 
the only way i knew about these instances was from medicare with form to report fraud. these are not clerical errors we are talking nine months of coverage and reports of her going on medicare where done the weekly she turned 65. i am showing you the problems these offices are having dealing with the gov program.. i have read some doctors closed up practice because of delays in payments.. they just cannot afford the float.

if nine months after providing daily service is a clerical error it further points to the qualifications of the people reviewing claims at medicare. I am talking about hospice not getting one payment yet in nine months from medicare.



To: Lane3 who wrote (7532)7/14/2009 12:59:21 PM
From: skinowski  Read Replies (1) | Respond to of 42652
 
whether Medicare acts arbitrarily on claim approval.

They change their coverage and fee policies so often - and so arbitrarily - depending on whatever new smart idea they get, and what new vote they take - that for practical purposes the effect is almost indistinguishable from approving or denying claims at will. You purchase, say, a fiberoptic sigmoidoscope based on need - and on current fees -- and soon afterwards they'd cut fees to a level below what it costs per procedure. They do whatever the heck they want, and neither doctors nor patients have any say.

Unless, I suppose, they have enough pull with their Senator.

If mistakes in filing are made, then claims will be denied

You can bet they'll find mistakes. I didn't have many Medicaid patients, but the ones I did have I was seeing for free. They would football the claims back and forth forever. The game was not worth the candles.

All that said, ALL healthcare systems on this planet - somehow - "work". My main objection to GovCare is that Big Government is inescapably a corrupt government. It will destroy the country. Things have already been allowed to go way too far.