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Topic:
When people talk about medicare fraud, what do they mean?
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Taliesihne
Title: Wind on the Deep Waters
Posts: 1,117
Registered: 2004-2-19 04:47:59
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Date Posted:
1/1/00 12:00am
Subject:
When people talk about medicare fraud, what do they mean?
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I always get the sense that person claiming fraud doesn't know specifically, but is sure it involves african americans.
Somehow.
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Yukishiro1
Posts: 3,243
Registered: 2002-9-20 23:52:57
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Date Posted:
1/1/00 12:00am
Subject:
When people talk about medicare fraud, what do they mean?
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Tych2 posted:
Yukishiro1 posted:
Its the first step in disability fraud. 
But like I said, that doesn't really make much sense. SSDI cuts out when you become eligible for SS. Medicare is for 65+. There is only a 2ish year window where you are eligible for medicare but not SS.
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Tych2
Title: Obama Appointed Outpost Czar
Posts: 2,511
Registered: 2005-3-1 06:56:47
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Date Posted:
1/1/00 12:00am
Subject:
When people talk about medicare fraud, what do they mean?
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Taliesihne posted:
I always get the sense that person claiming fraud doesn't know specifically, but is sure it involves african americans.
Somehow.
[ Someone is always keeping the brown man down!
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Yukishiro1
Posts: 3,243
Registered: 2002-9-20 23:52:57
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Date Posted:
1/1/00 12:00am
Subject:
When people talk about medicare fraud, what do they mean?
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I didn't ask what Medicare thought Medicare fraud was. This was prompted by Bjovald's rant in the other thread about medicare fraud. I am curious what people think that means in practice, or whether they even think about such things at all.
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AzureTyger
Title: Awesome
Posts: 462
Registered: 2002-4-1 15:49:04
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Date Posted:
1/1/00 12:00am
Subject:
When people talk about medicare fraud, what do they mean?
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Most people confuse abuse with fraud. Medicare claims aren't as tightly monitored as private insurance.
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cherrim
Posts: 68
Registered: 2003-4-6 21:57:39
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Date Posted:
1/1/00 12:00am
Subject:
When people talk about medicare fraud, what do they mean?
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Yukishiro1 posted:
Are they talking about doctors billing for services not actually performed?
Yes.
If they are talking about anything else, they are confused.
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Bowlartz
Title: Offical VN Tin Foil Hat Supplier
Posts: 221
Registered: 2006-1-4 19:59:15
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Date Posted:
1/1/00 12:00am
Subject:
When people talk about medicare fraud, what do they mean?
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"That's sorta what I am thinking too. But that's not really fraud. And the same people who cry about medicare fraud also cry about death panels -"
Medicare fraud is exactly what is sounds like, theft of money.
It can be anything from doctors over billing intentionally, prescription fraud to the biggest problem medicare faces which is criminal organizations and people who simply get approved into the system and bill for NO service provided what so ever. They simply set up a billing "address" which is often a one room office somewhere in Florida or somewhere down south (this is the biggest region in the country for fraud) and simply either con or steal personal information from Medicare enrollees and then bill millions of dollars which the government blindly pays.
A popular piece of the fraud is for medical devices (oxygen, wheel chairs, prosthetic limbs etc). They make millions, close the office and then open a new one somewhere else.
The system needs a massive, massive overhaul including a modern computer system set up to detect suspect fraud.
Fraud to medicare is a huge problem nearing 70 billion per year. The system is so massive, people have found places to easily hide.
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IMHO
Title: Official Outpost Greeter
Posts: 2,287
Registered: 2001-11-1 03:55:02
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Date Posted:
1/1/00 12:00am
Subject:
When people talk about medicare fraud, what do they mean?
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Ptilk posted:
A lot of fraud in medicare is in the form of prescribing devices or services that are not actually required, then profiting from providing those devices or services.
Medical devices such as scooters, home oxygen services, physical therapy, even tests that are of no medical benefit, like checking PSA levels of a 97 year old man dying of a gunshot wound.
This
90% of the places you see while driving around that has 'medical supplies' on the store front is probably fraudulent. 60 minutes did a piece on it a while back. All you need is an old persons SSN and your off to the races sending in invoices and collecting the monies. It's painfully easy and so abused because the staff that investigates this type of fraud is terrible under staffed and funded. It an excellent way to make money.
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Yukishiro1
Posts: 3,243
Registered: 2002-9-20 23:52:57
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Date Posted:
1/1/00 12:00am
Subject:
When people talk about medicare fraud, what do they mean?
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Bowlartz posted:
Fraud to medicare is a huge problem nearing 70 billion per year.
Are you saying there is 70 billion dollars a year in claims for services never actually provided?
Because I don't think that's what that number is.
The 70 billion number is an estimate of the amount of unnessecary crap doctors do and then bill medicare for. The only way to attack that is death panels. You need the gubmint looking at bills and saying "nope, granny didn't really need those tests," which quickly becomes "nope, granny doesn't really need those tests" because doctors arn't stupid and arn't going to do tests and then bill for them later if they're not sure they'll be approved.
No doubt there is a substantial amount of straight up fraud. But that number is not for pure fraud.
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IMHO
Title: Official Outpost Greeter
Posts: 2,287
Registered: 2001-11-1 03:55:02
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Date Posted:
1/1/00 12:00am
Subject:
When people talk about medicare fraud, what do they mean?
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Here Yuki watch this. It's the 60 Minutes segment. It's about 7 minutes.
http://www.youtube.com/watch?v=GUY_01n1XWQ
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You're Right ~ Koneg
He's [Manegarm] like the Fred Phelps of atheism. ~Bubbledude
many of you are in the Republican boat, aka the ship of fools. ~Modeeb
We are here on Earth to fart around. Don't let anybody tell you any different. ~Kurt Vonnegut
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