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Started By
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Anyone have experience investigating Medicaid/Medicare fraud?
Posted on 11/8/20 at 5:59 pm
Posted on 11/8/20 at 5:59 pm
Are the payments service providers receive from the government public information? Or how can I drop a dime on them, research shows you can file a claim if you're an aggrieved party which I am not.
This post was edited on 11/8/20 at 6:46 pm
Posted on 11/8/20 at 6:05 pm to Strannix
quote:
There are several ways you can alert the Louisiana Department of Health for investigation and swift punishment:
1. Call toll-free 1.800.488.2917 for Provider Fraud complaints.
Call toll-free 1.888.342.6207 for Recipient Fraud complaints.
Posted on 11/8/20 at 6:07 pm to Strannix
Any Doctor’s office that accepts Medicaid/Medicare could be investigated.
You know they are ordering any and every kind of test Medicaid/Medicare will cover.
You know they are ordering any and every kind of test Medicaid/Medicare will cover.
Posted on 11/8/20 at 6:15 pm to Nicky Parrish
Attorney generals office has a Medicaid/Medicare fraud division.
Posted on 11/8/20 at 6:16 pm to Strannix
They have some whistle-blower incentives.
Posted on 11/8/20 at 6:19 pm to Nicky Parrish
quote:
Any Doctor’s office that accepts Medicaid/Medicare could be investigated. You know they are ordering any and every kind of test Medicaid/Medicare will cover
This. I’m a dentist and I see it all the time
Posted on 11/8/20 at 6:23 pm to Strannix
I don't have experience, but I feel comfortable saying if everyone committing medicaid/medicare fraud was exposed at once, people would probably be shocked by how common it is.
The only reason I say this is because having to deal with bullshite when it comes to getting a wheelchair, there is a bunch of bullshite and they are not that excited when someone has regular insurance. And I couldn't just go in tomorrow and say "okay, this is what I need, i'd like to order it and have it shipped to my house".
If I ever need new batteries, I go to interstate batteries. Buy the same exact battery for about $175 (per battery, it requires 2) less than they sell them. And when I tell them where I go (I do that just to see their response), they give me some bullshite like "from now on, don't go there. Its best if you get the batteries from us and let us put them in so you know there will be no problems".
The only reason I say this is because having to deal with bullshite when it comes to getting a wheelchair, there is a bunch of bullshite and they are not that excited when someone has regular insurance. And I couldn't just go in tomorrow and say "okay, this is what I need, i'd like to order it and have it shipped to my house".
If I ever need new batteries, I go to interstate batteries. Buy the same exact battery for about $175 (per battery, it requires 2) less than they sell them. And when I tell them where I go (I do that just to see their response), they give me some bullshite like "from now on, don't go there. Its best if you get the batteries from us and let us put them in so you know there will be no problems".
Posted on 11/8/20 at 6:26 pm to FunkyFreshFranklin
quote:A peek into your world-
I’m a dentist and I see it all the time
“To be a dentist!”
Posted on 11/8/20 at 6:34 pm to Strannix
Not sure but my old college roomie got busted for it big time.
Didn't go to jail but cost em almost everything he had.Had to flip on his partner to avoid jail time.
As the old saying goes: His ambition exceeded his intelligence...always a recipe for disaster.
Didn't go to jail but cost em almost everything he had.Had to flip on his partner to avoid jail time.
As the old saying goes: His ambition exceeded his intelligence...always a recipe for disaster.
Posted on 11/8/20 at 6:39 pm to Strannix
quote:
Anyone else have experience investigating Medicaid/Medicare fraud?
Contact the state attorney general office
Posted on 11/8/20 at 6:42 pm to Strannix
All you need is Benford's Law.
Posted on 11/8/20 at 7:14 pm to OweO
Friends did the same, also depended on the brand power chair. Some were more sensitive to different parts than others.
Posted on 11/8/20 at 8:01 pm to Strannix
I'm sure there's a hotline for that, but...
On a net basis I think Medicaid and particularly Medicare are ripping off providers, not vice-versa. Yeah, there are scammers out there, but their transgressions are dwarfed by the money the public insurance systems owe but will never pay.
I don't just mean the price controls they impose, which are actually pretty reasonable. I mean the bureaucratic foot-dragging they impose on doctors and hospitals who basically have no choice but to serve their patients.
You can seriously save a Medicare / Medicaid's patient's life and Palmetto GBA probably won't pay you. I'm honestly not sure I ever got those assholes to pay a claim.
On a net basis I think Medicaid and particularly Medicare are ripping off providers, not vice-versa. Yeah, there are scammers out there, but their transgressions are dwarfed by the money the public insurance systems owe but will never pay.
I don't just mean the price controls they impose, which are actually pretty reasonable. I mean the bureaucratic foot-dragging they impose on doctors and hospitals who basically have no choice but to serve their patients.
You can seriously save a Medicare / Medicaid's patient's life and Palmetto GBA probably won't pay you. I'm honestly not sure I ever got those assholes to pay a claim.
Posted on 11/8/20 at 8:08 pm to Strannix
no fraud here
falls within statistical possibility
move on
falls within statistical possibility
move on
Posted on 11/8/20 at 8:38 pm to Strannix
They are audited and many end up having to pay money back.
Posted on 11/8/20 at 9:31 pm to Strannix
Yeah, sadly. Here's a true statement: the top 5 doctors in medicare reimbursements in any state usually end up in the crosshairs of the federales. Especially in the south.
Posted on 11/8/20 at 11:41 pm to OweO
quote:You’re in a wheelchair? Oh my goodness, I’m sorry, I didn’t know.
when it comes to getting a wheelchair
Posted on 11/8/20 at 11:52 pm to tigergirl10
quote:
to OweO
quote:
You’re in a wheelchair? Oh my goodness, I’m sorry, I didn’t know.
Posted on 11/9/20 at 12:20 am to Strannix
Nope fraud doesn't happen.
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