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re: Zachary lab owner faces Medicare, Medicaid fraud charges

Posted on 12/5/23 at 5:56 pm to
Posted by selfgen
youngsville
Member since Aug 2006
1052 posts
Posted on 12/5/23 at 5:56 pm to
quote:

Original Medicare is an absolute joke. A complete waste of money unless you're one of the thousands of physicians, facilities or systems that abuse, fraud or overuse it to the tune of $100+ billion each year.


Exactly. That’s why Medicare pays these private insurance companies to enroll beneficiaries into their plans and thereby “privatizing”their Medicare. So in this case, the lab would be billing Humana or Blue Cross for example, instead of Medicare.
Posted by LSUfan4444
Member since Mar 2004
54202 posts
Posted on 12/6/23 at 8:46 am to
I don't think so. Lab claims for enrollees for patients in those plans would be paid for buy those plans. These claims were billed to Medicare and Medicaid.
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