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re: How to brazenly steal $100 billion from Medicare - CNBC

Posted on 3/10/23 at 7:54 am to
Posted by Tomatocantender
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Member since Jun 2021
4851 posts
Posted on 3/10/23 at 7:54 am to
Many years ago I worked for someone who managed LTC facilities and also owned a wholesale pharmacy. He found a loophole in Medicare's case mix index reimbursement for geriatric water and other nebulizer type treatments. Essentially he used filtered tap water "compounded" with simple sodium within his wholesale pharmacy and was able to claim that as reimbursement. Essentially he turned a penny into $10 a pop times hundreds of residents a day. And this was a "legal loophole," can't even imagine what a non loophole scam would look like.
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