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re: DOGE just got into Medicare and Medicare payments -

Posted on 2/5/25 at 5:31 pm to
Posted by the808bass
The Lou
Member since Oct 2012
125556 posts
Posted on 2/5/25 at 5:31 pm to
quote:

When Ochsner does an audit they don’t just open all their files and documents to their accountants.


Right. And you have a wet dream where DOGE is accessing PHI and reading people’s therapy notes. Your concern is noted.
Posted by NC_Tigah
Make Orwell Fiction Again
Member since Sep 2003
135706 posts
Posted on 2/5/25 at 5:33 pm to
quote:

When Ochsner does an audit they don’t just open all their files and documents to their accountants.
Presuming you meant billing, not accountants, you don't know what you're talking about.
Posted by Vincenzo Pantangelli
Member since Nov 2024
1410 posts
Posted on 2/5/25 at 5:36 pm to
Maybe AI is helping IDK but whatever it is keep it comin
Posted by Vincenzo Pantangelli
Member since Nov 2024
1410 posts
Posted on 2/5/25 at 5:37 pm to
Lot of nursing homes fixing to be boarded up closed for renovations wink wink
Posted by the808bass
The Lou
Member since Oct 2012
125556 posts
Posted on 2/5/25 at 5:37 pm to
Nursing homes are a cesspool.

You can’t keep them open. You can’t close them.
Posted by Vincenzo Pantangelli
Member since Nov 2024
1410 posts
Posted on 2/5/25 at 5:38 pm to
Posted by oldskule
Down South
Member since Mar 2016
23301 posts
Posted on 2/5/25 at 5:40 pm to
I would not be surprised to see the fraud/waste numbers be 50%....

This is the greatest thing to happen to the USA, EVER!!!!!

TRUMP + DOGE = SUCCESS
Posted by SammyTiger
Baton Rouge, LA
Member since Feb 2009
78301 posts
Posted on 2/5/25 at 5:40 pm to
quote:

Presuming you meant billing, not accountants, you don't know what you're talking about.


he asked if any healthcare organization ever has an audit.
Posted by jeffsdad
Member since Mar 2007
24133 posts
Posted on 2/5/25 at 5:42 pm to
IF they had the ability to detect when medical necessity was performed retrospectively and not performed beforehand, like federal law dictates, they would discover billions in waste
Posted by the808bass
The Lou
Member since Oct 2012
125556 posts
Posted on 2/5/25 at 5:44 pm to
quote:

he asked if any healthcare organization ever has an audit.


Healthcare audits involve more than finances. They involve systems that have PHI.
Posted by SammyTiger
Baton Rouge, LA
Member since Feb 2009
78301 posts
Posted on 2/5/25 at 5:50 pm to
quote:

Healthcare audits involve more than finances. They involve systems that have PHI.


If Medicare audits them they already have aithorization

id they wanted KPMG to audit their finances they wouldn’t be able to give them access to medical records.
Posted by AURulz1
Member since May 2022
515 posts
Posted on 2/5/25 at 6:09 pm to
I have read this entire thread and I have just one question. What time tonight are you and Draconian meeting up to butt frick each other?
Posted by wallowinit
Louisiana
Member since Dec 2006
17163 posts
Posted on 2/5/25 at 6:22 pm to
quote:

get fricking ready!


My body is ready.
Posted by NC_Tigah
Make Orwell Fiction Again
Member since Sep 2003
135706 posts
Posted on 2/5/25 at 6:24 pm to
quote:

he asked if any healthcare organization ever has an audit.
.. and are you saying you did not understand the question?
Posted by SammyTiger
Baton Rouge, LA
Member since Feb 2009
78301 posts
Posted on 2/5/25 at 6:31 pm to
quote:

and are you saying you did not understand the question?


I guess i don’t. Who do you think is auditing them and gets to look at our medical records?
Posted by Jbird
In Bidenville with EthanL
Member since Oct 2012
84938 posts
Posted on 2/5/25 at 6:38 pm to
Nobody is looking at your bogus medical records clown.
Posted by SammyTiger
Baton Rouge, LA
Member since Feb 2009
78301 posts
Posted on 2/5/25 at 6:49 pm to
quote:

Nobody is looking at your bogus medical records clown.


Yup Tech Companies are so trustworthy with personal information.

Posted by Jbird
In Bidenville with EthanL
Member since Oct 2012
84938 posts
Posted on 2/5/25 at 6:51 pm to
You fricking idiot.

Wtf happened at .gov the last few years?

Get the frick out of here.
Posted by rintintin
Life is Life
Member since Nov 2008
16976 posts
Posted on 2/5/25 at 6:52 pm to
Blinded Medicare claims data is publicly avaialble to anyone if you really want it.

You don't need patient identifiers to uncover potential red flags of abuse.

It's not patients they're going after (most likely). It's health systems and providers and it doesn't take an autistic whiz kid to find outliers in data that could point you to potential abusers.
This post was edited on 2/5/25 at 6:57 pm
Posted by SammyTiger
Baton Rouge, LA
Member since Feb 2009
78301 posts
Posted on 2/5/25 at 6:53 pm to
You want to compare data breaches to just giving your data to outside parties with no oversight.

You can do that.

I think they’re very similar.
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