
05-22-2025, 11:31 AM
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Sage
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Join Date: Dec 2012
Location: Somewhere over the rainbow
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Quote:
Originally Posted by CoachKandSportsguy
We shall see, the DOJ has dropped many cases recently which seem like a slam dunk against grifting behaviors, due to changes in administration beliefs and goals. . . so what had been dropped in the past may be reopened under different administration viewpoints. .
doesn't mean that the behaviors didn't happen. Just means that for some reason unknown at this time, that the DOJ declined to pursue prosecution.
CMS rates hospitals for readmissions for a prior procedure, rates nursing homes, skilled care facilities, for management of their population, ie sending residents out to hospitals unnecessarily, and rates insurance companies supervising their patients with case management. Insurance case managers keeping nursing / skilled care facility from sending back their patients would help with insurance reviews and therefore insurance reimbursement rates.
"follow the money" applies in this case. . . not statements defending allegations with facts subject to conditional outcomes. . .
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IMO We know how large billion dollar corporations get out of investigations don’t we. Any insurance/supplements are shell game. How else do you think management makes millions year.
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