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Medical fraud is perfectly legal


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2019 Dec 8, 9:42am   714 views  4 comments

by tovarichpeter   ➕follow (6)   💰tip   ignore  

https://www.nytimes.com/2019/12/07/opinion/sunday/medical-billing-fraud.html


Much of what we accept as legal in medical billing would be regarded as fraud in any other sector.
I have been circling around this conclusion for this past five years, as I’ve listened to patients’ stories while covering health care as a journalist and author. Now, after a summer of firsthand experience — my husband was in a bike crash in July — it’s time to call out this fact head-on. Many of the Democratic candidates are talking about practical fixes for our high-priced health care system, and some legislated or regulated solutions to the maddening world of medical billing would be welcome.
My husband, Andrej, flew over his bicycle’s handlebars when he hit a pothole at high speed on a Sunday ride in Washington. He was unconscious and lying on the pavement when I caught up with him minutes later. The result: six broken ribs, a collapsed lung, a broken finger, a broken collarbone and a broken shoulder blade.
The treatment he got via paramedics and in the emergency room and intensive care unit were great. The troubles began, as I knew they would, when the bills started arriving.
I will not even complain here about some of the crazy high charges: $182 for a basic blood test, $9,289 for two days in a room in intensive care, $20 for a pill that costs pennies at a pharmacy. We have great insurance, which negotiates these rates down. And at least Andrej got and benefited from those services.

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1   FortwayeAsFuckJoeBiden   2019 Dec 8, 10:16am  

Maga is forcing price disclosures, a step in the right direction.

Billing practices are bullshit in hospitals, it’s a scam. Biller always overbills, and has a great story ready to justify it.

HEYYOU says
This is not happening under MAGA Trumpcare.
2   Tenpoundbass   2019 Dec 8, 11:02am  

Yes Obamacare baked it into the act.
That's why my insurance rep on the phone told me if I start my fucking shit, accusing those angel doctors and philanthropic hospitals of gouging and billing fraud, no doctor will ever see me again. And I would be persona non grata at most Hospitals. Then you said you insolent little PRICK! and hung up the phone. I just couldn't get Obama and Nancy's voice out of my head. Mocking me, calling me a clinger on and calling me a dumb ass for NOT reading it first.
I then felt so used, I curled up in a fetal position, praying to Jesus, that he would send America a Hero. I said. Jesus... America could really use a Hero right now. Then Trump came down the escalator, and I said. Jesus! Are you kidding me? "You're Fired" Donald Trump, is the Hero you send us. Jesus said, sometimes to the Hero you get is the Hero you need, not the Hero people want.
3   just_passing_through   2019 Dec 8, 11:19am  

I used to get three allergy shots per visit to the doc. Same day. I caught the billing company changing the dates to 3 consecutive days so they could charge me triple. Asshoes.
4   mell   2019 Dec 8, 11:50am  

Duh thanks Obummer!

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