$43.4 Billion Was Improperly Paid by Medicare Last Year


Do I even need to say anything about this?  If you received a car bill that was waaaaaaay too high then you would dispute it right away.  But in this broken government run healthcare system it is missed or not picked up for months or years.

$43.4 Billion.

Enough said.

Douglas Farrago MD

Douglas Farrago MD is a full-time practicing family doc in Forest, Va. He started Forest Direct Primary Care where he takes no insurance and bills patients a monthly fee. He is board certified in the specialty of Family Practice. He is the inventor of a product called the Knee Saver which is currently in the Baseball Hall of Fame. The Knee Saver and its knock-offs are worn by many major league baseball catchers. He is also the inventor of the CryoHelmet used by athletes for head injuries as well as migraine sufferers. Dr. Farrago is the author of four books, two of which are the top two most popular DPC books. From 2001 – 2011, Dr. Farrago was the editor and creator of the Placebo Journal which ran for 10 full years. Described as the Mad Magazine for doctors, he and the Placebo Journal were featured in the Washington Post, US News and World Report, the AP, and the NY Times. Dr. Farrago is also the editor of the blog Authentic Medicine which was born out of concern about where the direction of healthcare is heading and the belief that the wrong people are in charge. This blog has been going daily for more than 15 years Article about Dr. Farrago in Doximity Email Dr. Farrago – [email protected] 

  6 comments for “$43.4 Billion Was Improperly Paid by Medicare Last Year

  1. Pat
    May 11, 2016 at 7:02 pm

    Calling Medicare fraudulent is redundant.

  2. Randy
    May 11, 2016 at 1:45 pm

    Well I have a different take on this. These numbers are coming from a group “that represents recovery-audit contractors who work to identify and recover Medicare overpayments to health-care providers and refer potential fraud to the federal government.” Obviously it’s in their best interest to maximize this number in order to justify the audits.

    Most of this 43 billion isn’t coming from intentional over-billing. The article says 2/3 of it is from inadequate documentation. In other words most of it is because some poor schlub used the wrong code or forgot to hit all the bullet points Medicare wants or didn’t make his ROS detailed enough. This article is just the auditors saying how bad the doctors are (with no mention of under-coding by the way).

  3. Ben
    May 11, 2016 at 8:39 am

    That’s $60000 for every physician in the US. Would take care of the reimbursement issue for physicians if the government would do its job instead of telling us how to do ours

    Quality metris for government employees… And don’t pay them if they don’t achieve

  4. Melanie
    May 11, 2016 at 7:50 am

    They miss that, but put legitimate physicians to the RAC for actual services rendered in good faith. Nuff said.

  5. Sir Lance-a-lot
    May 11, 2016 at 7:17 am

    … Which adds up to over $55,000 for each physician in the US involved in patient care.

    So why didn’t I get any?

  6. Perry
    May 11, 2016 at 7:00 am

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