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Scum bags who commit fraud against our country

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You are reading page 2 of Scum bags who commit fraud against our country. If you want to start from the beginning Go to First Page.

Personally, I have not witnessed much fraud in my very long professional career.

I have reported a health provider when I had information that was indicative of fraud. I am a tax payer, they are defrauding me too!

I agree that there are more providers who work hard to provide care within the rules.

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Long winded and irritating story short, I had a cardiac halter monitor get ordered for me for 30 days but the thing was so annoying and inconvenient (and unnecessary) that I sent it back after only 1 day. The company billed insurance for the whole 30 days. When I called the insurance company to let them know that it was actually only 1 day that I had it, the insurance company said it didn't matter-- they were contracted to pay all claims, period. I know it's a little different than Medicaid/Medicare fraud, but there are issues at all levels it seems.

We used Medicaid briefly after a situation exactly as I said in my earlier post. I was let go when I was 5 weeks pregnant, and no one will hire a pregnant woman. No one!!!! Anyway, I was very surprised that they don't send any kind of explanation of benefits ever. My doctors could have billed for the moon, and who's to say they did or didn't provide it? There is a massive ability for the system to be taken advantage of when there is no one there ensuring what is billed actually happened.

I learned this semester you can bill insurance for telling someone to quit smoking. Funny enough, even non-smoking inpatients have "smoking cessation education" in their orders at the hospital. Who tells the insurance companies that never happened or never was needed? No one. I just hoped that it doesn't come back on the patients somehow that they were flagged as smokers at some point in their medical histories. Is that possible?

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A couple years ago I reported to Medicare that my DH had not had surgery in the office. It was a billing code error. He had blood drawn and rather than phlebotomy cod they entered a surgery code.

Many years ago I reported unsafe care at a hospital I went to as a registry nurse. It was REALLY bad. Nursing staff was uncaring. Isolation was disregarded. They falsified documentation. The charge nurse actually gave a patient complaining of pain a nargotic tablet that was ordered for another patient and charted it as given to the one with the order. When I reported these to the supervisor she gave a dismissive hand gesture.

i reported this to the State. My husband didn't believe a hospital could be as bad as I said.

The they were on "Sixty Minutes" exposed for insurance and Medicare fraud. They were charging for back surgery when only a skin incision was made.

I didn't know about the fraud, but reported the illegal substandard care.

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How do you remove and borrow from an IOU? There is no money in any lock box or in any special accounts for social security and there never has been. your post makes little sense as congress controls the purse strings not the President.

Under the former president this money was removed and borrowed by the government. It has not been returned.

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How do you remove and borrow from an IOU? There is no money in any lock box or in any special accounts for social security and there never has been. your post makes little sense as congress controls the purse strings not the President.

So, is your point that $$ were never taken from SS?

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People apply the term "entitlement" to too many programs. An entitlement is something you paid for and are therefor entitled to it, Social Security, Medicare, etc. Food stamps, a gov't supplied cell phone, Section 8 housing, etc are not entitlements.

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essentially, anytime a government benefit is guaranteed it is an entitlement. Some of them are paid for by the recipients, like Medicare and SS, some of them are not...like corporate government benefit (entitlement).

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All the money just goes into the general fund and all of our money is just paid out to current retirees. My point is to blame Bush ranks about as high as the truther movement.

So, is your point that $$ were never taken from SS?

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Not all accused fraud is real. Without giving too many details, I was asked to be a defense expert in a case brought by the state against a SNF owner after indictment by a grand jury. Long story made short, the grand jury had not read any of the pertinent medical records completely supporting the billing they did for a very complex and challenging population, and the state was dead wrong and was going to lose big. The state's atty was increasingly pleasant and apologetic (and, I think, embarrassed) as the months went by and we did our work.

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... By law, income to the trust funds must be invested, on a daily basis, in securities guaranteed as to both principal and interest by the Federal government. ...

... Money to cover expenditures (mainly benefit payments) from the trust funds comes from the redemption or sale of securities held by the trust funds. ...

...The amount bought in 2011 was $1,015 billion, while the amount sold was $946 billion. ...

http://www.ssa.gov/oact/progdata/fundFAQ.html

Why do some people describe the "special issue" securities held by the trust funds as worthless IOUs? What is SSA's reaction to this criticism?

 

... Money flowing into the trust funds is invested in U. S. Government securities. Because the government spends this borrowed cash, some people see the trust fund assets as an accumulation of securities that the government will be unable to make good on in the future. Without legislation to restore long-range solvency of the trust funds, redemption of long-term securities prior to maturity would be necessary.

Far from being "worthless IOUs," the investments held by the trust funds are backed by the full faith and credit of the U. S. Government. The government has always repaid Social Security, with interest. The special-issue securities are, therefore, just as safe as U.S. Savings Bonds or other financial instruments of the Federal government.

Many options are being considered to restore long-range trust fund solvency. These options are being considered now, over 20 years in advance of the year the funds are likely to be exhausted. It is thus likely that legislation will be enacted to restore long-term solvency, making it unlikely that the trust funds' securities will need to be redeemed on a large scale prior to maturity. ...

http://www.ssa.gov/oact/progdata/fundFAQ.html#n7

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when you borrow 40 cents of every dollar spent you are holding IOUs and the full faith and credit (already downgraded under this current President) is essentially meaningless. All you are quoting is employees of the SSA. What are they going to say about their own agency other than how great it is?

Why do some people describe the "special issue" securities held by the trust funds as worthless IOUs? What is SSA's reaction to this criticism?

 

... Money flowing into the trust funds is invested in U. S. Government securities. Because the government spends this borrowed cash, some people see the trust fund assets as an accumulation of securities that the government will be unable to make good on in the future. Without legislation to restore long-range solvency of the trust funds, redemption of long-term securities prior to maturity would be necessary.

Far from being "worthless IOUs," the investments held by the trust funds are backed by the full faith and credit of the U. S. Government. The government has always repaid Social Security, with interest. The special-issue securities are, therefore, just as safe as U.S. Savings Bonds or other financial instruments of the Federal government.

Many options are being considered to restore long-range trust fund solvency. These options are being considered now, over 20 years in advance of the year the funds are likely to be exhausted. It is thus likely that legislation will be enacted to restore long-term solvency, making it unlikely that the trust funds' securities will need to be redeemed on a large scale prior to maturity. ...

Trust Fund FAQs

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We can thank the Congress for achieving a lowered credit rating for this country...NOT THE POTUS.

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