I have on my mind got stolen this week.
Last Saturday night, while I spend some time as the opening musical act for a handful of stand-up comedians, someone took a football-size rock and threw it through my passenger side front window. Apart from the costs of repairing the damage I was relieved from my satellite radio player and a pair of $ 3 sunglasses.
This episode has taught me a little bit about the crime, and it's not, that are known for their criminalCapabilities of the selection. The satellite radio player is virtually worthless because it is good only as long as you have an antenna, power adapter and a subscription. Maybe they thought it was really a GPS device, but a cursory check would have shown my seat, they all know she had, as a rather large road atlas was in view. My thesis is now transformed into the idea that it takes a special combination of arrogance and stupidity of a criminal at any level.
Which brings mein the world of Medicare Compliance. I read a variety of specialist publications from week to week, the catalog number of violations settlement - and the subsequent fines paid - by providers across the country. To illustrate some of the last weeks:
Atlanta, a radiologist was found after federal indictment for falsely claiming he had personally thousands of X-ray and radiological examinations over a period of eight months reviewed, if it was in fact done the work byNon-physician Radiology Techs;
A New York podiatrist was charged with multiple toenails counts of fraud for billing complicated surgery on her feet when in reality he was the implementing of the less complicated the act of clipping his patients;
A man pleaded guilty to a Boston 54-count indictment that accused him of recruiting the people to car accidents in the greater area of stage, then turn and billing insurance companies for treatmentServices in its clinics, which consists of "injuries" sustained injuries in the wrong.
Those are just three among dozens of the more glaring examples other cases nationwide, and remember that these are all within the last month.
When I describe a compliance plan for the first time, I define "health fraud" as "theft". In a world where "stewardesses" were changed to "flight attendants", and "Shell Shock" is now "post-traumatic stress disorder", it is enticing, use fewerpointed language to describe objects and events all too often. But whether it's Medicare, Medicaid or commercial insurance, the thieves like the ones highlighted above, a heavy toll not only on the resources of the insurer, but to the entire health care infrastructure with the increased cost of premiums and enforcement.
be Raised in a family with five physicians of different specialties, one of the more fortunate elements equal to my work as a compliance officer workingfound with Health Care Providers simple solutions whether for the reception process or the documents to prevent them from accidentally slipping off on the wrong end of regulatory process. It is usually a "eureka moment" in each of these talks if a satisfactory result is achieved and where the peace of mind attained.
While health care fraud has more subtlety than throwing an mentally prehistoric rock through a window, it is no less an act of theft.Also in the future, with a large national health care overhaul on the horizon, it is possible to particularly those of us in the medical field to the best management refunds that we service providers to give to them in the prevention of sinkholes along the highway regulatory support .
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