airdvr 197 #1 Posted April 21, 2022 https://www.justice.gov/usao-ndoh/pr/north-canton-man-indicted-defrauding-medicare-and-medicaid-out-2-million-including Rox was called to testify in this case yesterday. This fine gentleman was billing medicaid for work done on 2 deceased patients at her facility. In talking about her testimony I was surprised to find that Medicaid doesn't send an EOB to the facility, person, or guardian. If they had she would have been alerted to this activity. Medicare does this as a matter of course. Seems like a simple change like this could put a dent in the fraud. Quote Share this post Link to post Share on other sites
Phil1111 911 #2 April 21, 2022 How the IRS Was Gutted "Philip Esformes acquired a $1.6 million Ferrari and a $360,000 Swiss watch and traveled around the United States on a private jet, a spending spree fueled by the spoils from what federal prosecutors called one of the largest Medicare fraud cases in history.... two-decade scheme that involved an estimated $1.3 billion worth of fraudulent claims.That prison term ended suddenly this week, when President Trump commuted what remained of Mr. Esformes’s sentence. Rick Scott (R) Senator"oversaw the largest Medicare fraud in the nation’s history." Politifact fine was $1.7 billion, ..On Scott’s 2010 campaign website, he admitted to the $1.7 billion fine,....we rate the claim Mostly True.. Amount of the fraud now surpassed by others Others who received pardons or commutations included Sholam Weiss, who was said to have been issued the longest sentence ever for a white-collar crime—835 years. ... John Davis, the former CEO of Comprehensive Pain Specialists, the Tennessee-based chain of pain management clinics, had spent four months in prison. Federal prosecutors charged Davis with accepting more than $750,000 in illegal bribes and kickbacks in a scheme that billed Medicare $4.6 million for durable medical equipment. Trump’s pardon statement cited support from country singer Luke Bryan, said to be a friend of Davis’." Quote Share this post Link to post Share on other sites
airdvr 197 #3 April 21, 2022 Wow Phil...did I mention anything political? Good to know Trump's living rent free in your head. Quote Share this post Link to post Share on other sites
jakee 1,255 #4 April 22, 2022 (edited) 11 hours ago, airdvr said: Wow Phil...did I mention anything political? Good to know Trump's living rent free in your head. If you don’t care about top level political support for Medicare fraudsters then do you really care about Medicare fraud? Edited April 22, 2022 by jakee Quote Share this post Link to post Share on other sites
airdvr 197 #5 April 22, 2022 get ba 4 hours ago, jakee said: If you don’t care about top level political support for Medicare fraudsters then do you really care about Medicare fraud? When did I say I don't care. I offered up a change that might reduce the fraud. Quote Share this post Link to post Share on other sites
wmw999 2,122 #6 April 22, 2022 20 hours ago, airdvr said: EOB to the facility, person, or guardian. If they had she would have been alerted to this activity. Medicare does this as a matter of course. Seems like a simple change like this could put a dent in the fraud. I agree this is a potential solution. The problem is that too many people would just toss it; I realize this is an issue with “free stuff,” but it’s also partly a problem with our hybrid system. With charges more easily hidden under private pay schemes, this seems to happen more here. It’s possible in national health countries, just less profitable, and so less common. Saying that the fact that people who toss their EOB’s shouldn’t get free health care is also short-sighted. Is the cost of maintenance less than the cost of replacement/major repair? Generally. And health care done right is, in fact, maintenance. But right now sometimes it’s like we tell people “yeah, keep your cars in good repair — but the garage is 50 miles away.” Hard to keep your job when it’s a day off work at each end, and you need the car for work, too. Same with your body. Wendy P. 1 Quote Share this post Link to post Share on other sites
Phil1111 911 #7 April 22, 2022 4 hours ago, jakee said: If you don’t care about top level political support for Medicare fraudsters then do you really care about Medicare fraud? Tough judges, tough prosecutors,lots of prison cells and tough laws. When your side looks bad and gets caught, the issue isn't important. When the issue stares you in the face, solutions become important. Quote Share this post Link to post Share on other sites
