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

Posted on 8/2/19 at 8:05 pm to
Posted by NC_Tigah
Ray Bans for Max Polarization
Member since Sep 2003
140762 posts
Posted on 8/2/19 at 8:05 pm to
quote:

part of the olol syatem
Recommendations were posted above. If she's still having symptoms, tell your mom to call a urologist.

FWIW, reticence to prescribe NSAIDs might be d/t the hematuria.
Posted by WaWaWeeWa
Member since Oct 2015
15714 posts
Posted on 8/2/19 at 8:12 pm to
Stop going to CVS for your medical care
Posted by WaWaWeeWa
Member since Oct 2015
15714 posts
Posted on 8/2/19 at 8:18 pm to
quote:

Quit trying to catch people looking for drugs and treat every case individually.


Can't believe this has a bunch of upvotes. Isn't the OT always blaming doctors for the opioid crisis?

Can't have it both ways
Posted by OutDamSpot
Member since May 2019
336 posts
Posted on 8/2/19 at 8:22 pm to
quote:

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.


Thats why i am trying find out what level of visit she was charged for or if they claim an np saw her.


To the other posters...
We did bring her to the ER. She did have a kidney stone, easily diagnosed with an xray. Also had an bad kidney infection as well.

Also thanks to everyone for the input. Mom hates to make waves but i think we need to on this.
This post was edited on 8/2/19 at 8:28 pm
Posted by Cracker
in a box
Member since Nov 2009
19318 posts
Posted on 8/2/19 at 8:40 pm to
What’s your loss injury? Call the Medicare hot line you could tell them that your mom wasn’t even present during surgery when medicare was billed for a 10k for a procedure the response will be the same. Go ahead call get operator number 4 who is an affirmative action hire & Good luck with getting a federal prosecutor to listen to your piss ant claim. Now multiply this by 5000! See how that works out.
Posted by OutDamSpot
Member since May 2019
336 posts
Posted on 8/2/19 at 8:59 pm to
quote:


What’s your loss injury? Call the Medicare hot line you could tell them that your mom wasn’t even present during surgery when medicare was billed for a 10k for a procedure the response will be the same. Go ahead call get operator number 4 who is an affirmative action hire & Good luck with getting a federal prosecutor to listen to your piss ant claim. Now multiply this by 5000! See how that works out.


First off, it wasnt medicare.

As for loss injury, i dont even know what that has to do with this. But a kidney infection can cause HUGE problems for the elderly including a lovely case of deadly sepsis.

Federal prosecutor? What on earth are you talking about? My intent is to file a fraud report with the insurance because they need to know.

Are you thinking i was filing a lawsuit? What on earth would I sue for? Insurance paid the clinic, not me. Im just trying report possible fraud so that others will not be subjected to the same treatmemt.
Posted by OblongMidget
New Orleans
Member since Sep 2011
207 posts
Posted on 8/2/19 at 9:36 pm to
quote:

I was sitting in the parking lot in my truck


Drug seeking behavior
Posted by CorkSoaker
Member since Oct 2008
9823 posts
Posted on 8/2/19 at 10:00 pm to
Switch offices.
Posted by OutDamSpot
Member since May 2019
336 posts
Posted on 8/2/19 at 10:30 pm to
quote:

switch offices


That has already been done.

One of the funniest things is that if you go to their website, it appears to be a lingerie site that is all written in some asian language.

Posted by Modern
Fiddy Men
Member since May 2011
17025 posts
Posted on 8/3/19 at 1:21 am to
Switch offices ASAP and get your mom checked out. I would switch to an office that isn’t affiliated with OLOL.

If the insurance co gives you a hard time about switching, let them know the reason why.

OLOL in general has gone to shite since they’ve became the new state charity system.

Keep an eye on the insurance billing claims from the office. If they are charging you for services that are not rendered, then file a report.
Posted by Gris Gris
OTIS!NO RULES FOR SAUCES ON STEAK!!
Member since Feb 2008
49636 posts
Posted on 8/3/19 at 2:31 am to
I would have taken my Mom elsewhere after the first visit.
Posted by uscpuke
Member since Jan 2004
6371 posts
Posted on 8/3/19 at 3:57 am to
Even if they bill appropriately, you can still file a patient grievance. You will hear back within 7 days.
Posted by MSUDawg98
Bear the F Down
Member since Jan 2018
14160 posts
Posted on 8/3/19 at 5:36 am to
I have high BP so sometimes they ask ne to come in and get it rechecked (which I usually refuse to do... no need when it's reading was just caused by pain.) When I do they don't charge my insurance.

The clinic needs to be reported to both her insurance and your state health board. It sure sounds like at a minimum they are violating medical ethics.
Posted by LSUERDOC
Member since Jul 2013
2608 posts
Posted on 8/3/19 at 6:30 am to
quote:

Painless urination of blood (hematuria)


Cancer until proven otherwise in patient her age. She should bypass the idiot FMG PCP and go see a urologist.
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