Showing posts with label medical billing fraud. Show all posts
Showing posts with label medical billing fraud. Show all posts

Saturday, September 26, 2015

Medical Fraud and How It Can Make You Rich

Think your doctor clinic or hospital is not committing medical fraud? Think again. At least 1/3 of what American pay for health care is waste and fraud according to Blue Cross Blue Shield. The actual number is probably much higher. Even at 1/3 that represents close to $800 BILLION dollars each year of theft. That is more than the US spends on national defense and 46% of the entire world's defense spending is by the warmongering US. 20% of the US GDP is the medical industrial complex. When it comes to sheer greed and revenue the US medical industrial complex puts every other industry to shame.

If you work for a doctor or a hospital you got hired because you are probably female, not too smart, easily bullied, a bitch and immoral and unprincipled  Moral and principled people don't last long in the American sick care industry. If you are like most barracudas who work in a doctor's office you are probably a back stabber and that will serve you well in getting filthy fucking rich. CHA CHING!

$$$ Instead of giving your boss a blow job, blow the whistle on him and get a huge reward! $$$

Theft Fraud and Kickbacks: The Rule NOT the Exception in American Healthcare

Medical theft and fraud is MASSIVE and so are the whistleblower reward. 


1. When you suspect fraud keep your ears open and keep your mouth shut. Remember, you are working in an industry full of very unethical and dangerous sharks

2. Contact a law firm that specializes whistleblower and qui tam law.

3. Don't go to local law enforcement because they may try to implicate you. Rich people are often mobbed up with the locals. HIRE an ATTORNEY who is a specialist in this area of law.

4. Compile and document anything that you find suspicious. 

5. Keep a secret diary and date it. 



RELATED: MEDICAL BILLING FRAUD ARTICLES:





Saturday, May 9, 2015

How Doctors Almost Killed Proud FA's Niece and My Goddaughter

For my new readers, Proud FA is a bosom buddy and the former dean of feederism. Proud's sister (We will call her Sarah.) had all sorts of problems with uterine  fibrosis and endometriosis. Her doctor sent her for a hysterectomy. Her doctor had told her that she could not get pregnant due to the fibrosis. Like most American doctors her doctor was wrong. Proud's sister could indeed get pregnant and an ultrasound just before the surgery showed that she was pregnant. Proud's sister nor was ever informed of this fact.

There was a heated argument between a nurse, the ultrasound tech and the doctor who was scheduled to perform the hysterectomy. The doctor wanted to go ahead with the hysterectomy but the nurse would have none of it. She quickly informed Proud FA and his brother in law that Sarah was indeed pregnant and that the doctor and his crew of butchers were going to perform the hysterectomy in spite of the fact that Sarah was pregnant. Needless to say that when Proud FA found out he was livid. Proud FA loves kids and the thought of some scumbag doctor aborting his sister's baby was to much for him. Proud FA has a strong protective instinct especially when it comes to children.

I got a call from Proud FA's wife Thinnette begging me to meet her at the hospital to help her talk Proud down. She was sure he would get himself arrested for a attacking the scum bag doctor. I called Proud's cell phone and made him promise not to do anything until I got there. He agreed and I grabbed Thinnette and we took off for the hospital post haste. She stayed with Proud in the phone while I drove.



I had to physically restrain Proud while Thinnette rounded up all involved. We wanted to make sure that the nurse was correct about Sarah being pregnant. The nurse claimed that there was a fetal heartbeat seen on the ultra-sound. I located the technologist and when he began to try to bullshit me I explained that if I pointed him out to Proud FA that Proud FA would tear his head off. For those of you who don't know Proud FA, Proud FA's other nickname is ET or Extra Testicle. Proud is one o these guys with an extra Y chromosome. I have seen the 5'9" 160 pound Proud beat the crap out of men twice his size. Any guy who can eat the pussy of fat girl and fuck 10 of them a night is nobody to trifle with.  Not only did the tech admit that the Sarah was pregnant he provided up with the images that showed a female fetus.

A healthy Millicent is now three years old and her Uncle Proud FA beams with pride for his first niece and I, Fat Bastardo am equally thrilled that she is my goddaughter.

As usual the doctor and the hospital continue their criminal activity. They fired the nurse for informing Proud and Sarah's husband and the technologist also threw the nurse under the bus so that he could keep his job.

The nurse who has filed suit against the hospital does not see herself as a hero although all of us involved see her as one. Proud and Thinnette send her a gift card every Christmas. Sarah speaks with her frequently and she is now been adopted as an aunt to Millicent.

The scumbag doctor who would have killed Millicent did not even receive a reprimand from the hospital board of the state medical board. And just when I thought it could not get any sleazier both the hospital and doctors sent Sarah a bill.

Monday, December 8, 2014

Criminal Florida Doctor Spits Blood in Cops Face



Just the words criminal, Florida and doctor say a lot. Florida is the epicenter for the trillions of dollars of yearly medical fraud so it is not all that unusual to hear about some scumbag Florida MD breaking the law. Zachary Charles Bird MD was driving drunk and he side swiped a police car. The police gave chase and caught him.



This happened in May 2012 and this piece of shit MD is still practicing medicine in  the shit hole state of Florida. The word is he is working at a pain clinic aka pill mill.


Troopers found a vial of ketamine, used in anesthesia, on Bird, according to WFTV.com.
They previously disclosed that they found $40,000 in Bird's pockets. Results of what, if anything, was in Bird's system, have not been disclosed.
Ketamine is a hallucinogen that can cause delirium, amnesia, impaired motor function and respiratory failure, according to theantidrug.com.
To read the article, go to wftv.com.
This shit head spit blood on three Florida State Troopers. That is serious shit. I wish he had done it to a member of the NYPD. They'd have beaten him into a coma but because he was a doctor he did not spend one day in jail. 

Saturday, March 29, 2014

Medical Error Statistics

Unless you have been living under a rock for the last 30 years you probably already know that American doctors are poorly trained, ignorant, arrogant, callous and greedy cowardly money whores who work mostly for health care facilities run by disease exploiting criminal corporate gangsters. Just like health care acquired infections and adverse drug reactions medical errors rake in huge amounts of revenue for the medical corporations. This is why medical errors remain on the rise.

Shocking Trend: Medical Errors Have Increased Dramatically in the U.S.

A new editorial in The Lancet medical journal cites staggering statistics that medical errors now occur in as many one-third of all U.S. hospitalizations.

The editors present other attention-getting statistics from several scientific studies establishing that medical errors remain a serious problem in the U.S. and appear to have increased over the last 10 years, despite national attention called to this problem. 

The Lancet editors ask, “Why?” And, they make some suggestions that should well be considered by medical professionals, patients and caregivers, and policy makers in the U.S.

The Alarming Statistics:
The editorial, entitled, “Medical errors in the USA: human or systemic?“, appears in the April 16, 2011 Issue of The Lancet. It cites and describes the findings of several published studies on medical errors in the U.S. by recognized U.S. scientific and professional sources. Among them are the following:
  • The US Institute of Medicine’s 1999 report, To Err is Human: Building a Safer Health System, estimated that avoidable medical errors contributed annually to 44,000—98,000 deaths in US hospitals. Hospital errors were reported to constitute the eighth leading cause of death nationally, accounting for more U.S. deaths than breast cancer, AIDS, and motor-vehicle accidents. This drew national attention to the problem.
  • Yet, more than 10 years later, the problem of medical errors remains and seems to have increased. A new study reported in the April, 2011 issue of Health Affairs, found that by one measure, medical errors occur in as many as one-third of hospital admissions in the U.S., and may be ten times greater than previously measured. “The most common are medication errors, followed by surgical errors, procedure errors, and nosocomial infections,” according to The Lancet’s review of the study. 
    The study, conducted by scientists and professionals at three leading U.S. medical schools as well as at the Institute for Healthcare Improvement, compared three different methods commonly used for measuring “adverse events” in hospitals: (i) voluntary reporting, (ii) the Agency for Healthcare Research and Quality’s Patient Safety Indicators (which rely on automated review of discharge codes to detect adverse events), and (iii) the Global Trigger Tool pioneered by the Institute for Healthcare Improvement (based upon independent review of medical charts, with follow up investigation where indicated). 

    The study found that this third method measured at least ten times more confirmed serious medical errors than did the other two methods. As observed by The Lancet’s editorial, “This finding suggests that the two currently used methods for detecting medical errors in the USA are unreliable, underestimate the real burden, and also risk misdirection of present efforts to improve patient safety.”
  •  
  • A study reported in the November 25, 2010 issue of the New England Journal of Medicine, also confirmed that medical errors in U.S. hospitals are a serious problem. The study, conducted by lead author Christopher Landrigan, M.D., M.P.H. of the Department of Medicine, Brigham and Women’s Hospital, Boston, Massachusetts, and a group of doctors from Harvard Medical School, Standford University School of Medicine, and the Institute for Healthcare Improvement, reported that even in places where local governments have made efforts to improve safety of inpatient care, such as in hospitals in North Carolina, the high rate of detected medical errors did not change over a 5-year period between 2002 and 2007.
  • A November, 2010, document from the Office of the Inspector General of the Department of Health and Human Services reported that one in seven Medicare beneficiaries have complications from medical errors when hospitalized, and that these medical errors contribute to about 180,000 deaths of patients per year.
  • A study by Jill Van Den Bos and other professionals of Milliman’s Denver Health practice reported in the April, 2011 Issue of Health Affairs found that the measurable cost of US medical errors amounted to US $17.1 Billion in 2008 (0.72% of the $2.39 trillion spent on health care that year). Ten types of error accounted for more than two-thirds of the total cost of medical errors. The top two most costly medical errors are postoperative infections and pressure ulcers. The three most common medical errors were pressure ulcers, post-operative infections, and postlaminectomy syndrome.
  • Another study, conducted by John Goodman and associates of the National Center for Policy Analysis in Dallas, TX and also reported in the April, 2011 Issue of Health Affairs, reported that medical errors cause as many as 187,000 deaths in hospitals each year, and 6.1 million injuries, both in and out of hospitals in the U.S. This study estimated that the social costs, in lives lost and disabilities caused, from these medical errors amounted to between $393 Billion to $958 Billion in 2006, equivalent to 18% to 45% of total US health-care spending in that year. These authors recommended as a possible solution that patients should be “offered voluntary, no-fault insurance prior to treatment or surgery [so that they] would be compensated if they suffered an adverse event—regardless of the cause of their misfortune—and providers would have economic incentives to reduce the number of such events.”






http://www.helpingyoucare.com/12784/alarming-trend-medical-errors-have-increased-in-the-u-s

Doctors vs Guns

Here are a few statistics on Doctors vs Gun Owners:
 
With MDs it's money first!
Doctors
*safety statistics courtesy of U.S. Dept of Health and Human Services.
  • The number of physicians in the U.S. is 700,000.
  • Accidental deaths caused by Physicians per year are 120,000.
  • Accidental deaths per physician is 0.171

  • Now think about this:



    With gun owners it's safety first.



    Gun Owners
    *safety statistics courtesy of FBI.
  • The number of gun owners in the U.S. is 80,000,000. (Yes, that’s 80 million)
  • The number of accidental gun deaths per year, all age groups, is 1,500.
  • The number of accidental deaths per gun owner is .0000188

  • Statistically, doctors are approximately 9,000 times more dangerous than gun owners.

    FACT: NOT EVERYONE HAS A GUN, BUT Almost everyone has at least one doctor. This means you are over 9,000 times more likely to be killed by a doctor as by a gun owner!!! Please alert your friends to this alarming threat. We must ban doctors before this gets completely out of hand!!!!!

    Out of concern for the public at large, We withheld the statistics on lawyers for fear the shock would cause people to panic and seek medical attention!

    Tuesday, February 25, 2014

    Medical Billing Fraud

    Medical Billing Fraud is Rampant

    Blue Cross Blue Shield estimates that 1/3 of every dollar Americans spend on health care services goes to cover waste and fraud. That's more than we spend on national defense and we spent nearly 600 billion on our defense.  Much of this fraud is billing fraud and chances are your own doctor is one of the thieves.

    Understanding Healthcare Fraud

    Patients and their medical insurance information can be exploited in various ways that result in increased costs and decreased confidence in the healthcare system. As part of our efforts to improve and protect the healthcare system, the Blue Cross and Blue Shield National Anti-Fraud Department is undertaking a nationwide campaign to share how physicians, healthcare providers and customers can help with healthcare fraud detection and prevention.

    Protect Yourself  

    We encourage you to follow these general guidelines to safeguard yourself from preventable medical errors and improve the quality of care you receive.
    1. After care, review your statement to verify accuracy. Learn how to read your Explanation of Benefits.
    2. Ask your doctor to explain the reason for services
    3. Report any discrepancies to your health insurance plan or payer
    4. Beware of "free" medical services, as illicit entities use this lure to obtain information
    5. Safeguard your insurance card the same as you would your credit card
    6. Report instances where co-payments or deductibles are waived
    7. Don’t give your insurance number to marketers or solicitors
    8. Never sign a blank insurance form

     

    The Costs of Health Care Fraud

    Healthcare expenditures topped $2 trillion in 2008 and are expected to exceed $3 trillion by 2014. The most conservative estimate of the amount of healthcare expenditures lost to fraud is three percent, which equates to over $70 billion annually.

    That amount costs the average family of four over $200 a year above what they would pay for the honest delivery of healthcare goods and services. Losses attributed to wasteful spending, including fraud and abuse, may be as high as 30%.

     

    Report Fraud

    If you suspect that healthcare dollars are being paid improperly or as a result of false or misleading information provided to a Blue Cross and Blue Shield company, notify your local Blue Cross and Blue Shield company.Our Partners
    Federal Bureau of Investigation
    Office of Inspector General
    Department of Health and Human Services

    Office of Inspector General
    Office of Personnel Management

    Office of Inspector General
    U.S. Postal Service

    Federal Trade Commission
    U.S. Postal Inspection Service
    Food and Drug Administration
    Department of Health and Human Services

    Office of Inspector General
    Department of Labor

    National Health Care Anti-Fraud Association
    Coalition Against Insurance Fraud
    Association of Certified Fraud Examiners
    State Attorneys General
    State Departments of Insurance
    State and Local Police Departments White Collar Crime Units
    State Medical Licensing and Disciplinary Boards