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.
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Calling Medicare fraudulent is redundant.
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).
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
They miss that, but put legitimate physicians to the RAC for actual services rendered in good faith. Nuff said.
… Which adds up to over $55,000 for each physician in the US involved in patient care.
So why didn’t I get any?
Yes and they’re trying to get it back now:
http://www.aafp.org/news/government-medicine/20160504overpayrule.html