Quote:
Originally Posted by BrianL99
"The Villages Health System LLC, which operates clinics for retirees living in the Villages in Central Florida, said in a July 3 court filing that it logged patient diagnoses that “were not clinically supported or otherwise did not meet Medicare coding and payment guidance.”"
( Villages Health System Sees $350 Million in Medicare Overcharges)
Call me crazy, but that sounds dangerously close to an admission of guilt. |
Quote:
Originally Posted by golfing eagles
It sounds like an admission that a mistake was made, nothing more. Actually, it may indicate nothing more than a difference of opinion on exactly what the diagnostic and billing codes actually require to meet the criteria set forth.
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I know nothing about being a doctor, but surely have some experience with government requirements and "forms".
I get what you're saying and it makes sense, other than the shear magnitude of the error. It seems unlikely that such a disagreement over interpretation or standards, could amass a discrepancy of $360,000,000. To quote Everett Dirksen, "a million here, a million there ... next thing you know, we're talking about real money".