re: Is this medical fraud? Should i report it?

1-800-MEDICARE
This is the number to report issues of possible fraud and complaints.

Ok honestly I stopped reading.... but will say that an order has to be made before a blood test can be made. You stated no provider (NP or Dr) was at the clinic. So it makes sense that blood couldn’t be drawn.

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You stated no provider (NP or Dr) was at the clinic.

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If there was no provider, why was he given an appointment?

This tale sounds off.

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If there was no provider, why was he given an appointment?

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That's my thought here. I've never been to a doctor's office where there was no doctor present, even if the appt is to be seen by their PA/ARNP (but maybe that's a thing?).

Like others have said, it will be very interesting to see the EOB for these visits.

Is your Mom on Medicare? I hate to sound rude, but no one that takes Medicare actually cares. They do what's called separation of care, which means that different people all do something different for/to the patient so that they have plausible deniability if something happens and they get sued. It's hard to track down who's responsible when multiple people have seen the patient. And even harder when the patient is shipped between various different locations for treatment. They all do something wrong, but can point to the problem as coming from the place they were at before they got there.

I'm in the Health Care industry and know about this, but witnessed it first hand a few months ago when my mother fell and had to go to the hospital. She actually got worse, not better, because each facility under medicare only has so many days with a patient before they stop getting reimbursed from the government. So they find somewhere else for the patient to go and fudge the patient file a little so when a lawyer in a couple of years tries to go back through and find a lapse in care, nobody knows nothing.

For those of you that think Medicare for All is a good thing, you better be careful what you wish for. The people that work in the government can "never" be fired, so why should they care if they give you good customer service when you call in to complain? It's not their money or family member, so why should they care? The answer is they don't and it will only continue to get worse if everyone is forced into it. They can give everyone a free bus pass, but if there's not enough buses, what good is that free pass going to do you? End of rant...

I don't think this is medical fraud, but bad medical care and practices.

I would only consider it to be fraud if they charged you for seeing a specialist copay each time but she only saw a nurse practitioner.

That happened to me at an orthopedist this year, I should have complained, but didn't. But I never went back too.

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and she needed to see them to get the referrals to specialist.

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Are you sure?
You might phone a urologist to see. Their office could probably sort out insurance reqs for you.

It wasnt the baton rouge clinic but is part of the olol syatem.

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That is terrible medical care and Scruffy would support the filing of a complaint against that clinic. 
Where they can be hurt is what they billed for those visits. They probably overbilled.

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Thanks scrufy that is exactlyvwhat i think they did, the billing fraud. I am going to find out what they charged the insurance company.it is also taking advantage of the elderly.

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Smart drug seekers ask for nsaids first and then complain they aren't working So...good job ? 
I'm not saying OPs mom planned to do that. I'm saying they unknowingly raised every red flag possible. Pain visit with kid. Pain visit again with irritable kid. Not directly asking for narcotics and even stating they didn't want them.

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and

Who is the irritable kid in this? Mom and i are adults and i never spoke to the np.I was sitting in the parking lot in my truck

But how is refusing narcotics a red flag? She stated she did not want them, they make her sick and would not
accept a script for one. Plus we were under the impeesion that an np cant write narcotics anyway as far as we know. ( looked it up now and apparently they can)They

Ps i could not reply earlier as myy internet went out right after i posted.

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Only if she had a DEA license. Otherwise, no access. Now, her collaborative MD will, but it doesn’t sound like he works there very often.

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There are NO drs with this clinic. Even when she picked them as a primary care they told her to choose the name of a np who doesnt even work there anymore.

Mom also chose them because she thought they didnt prescribe narcotics since she avoids them.