Talk of The Villages Florida - View Single Post - UHC under federal investigation for Medicare Fraud
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Old 07-25-2025, 05:10 AM
CoachKandSportsguy CoachKandSportsguy is offline
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Quote:
Originally Posted by golfing eagles View Post
Not yet, time will tell. What if most of the $361M was coded by UHC and not TVH???
ohhh, that is an interesting scenario!
One I hadn't thought about . . . .
and how TVH can fall into the pattern of its the accepted insurance reimbursement practice!
so who then gets the plausible deniability?

financial collusion for a shared financial outcome. .
like the recent posting example of the dentist coding the crown wrong, so that the patient would pay more so that everyone is more profitable. . unless you fight it.

I think that is covered in the Freakonomics book discussing behavioral economics, in the chapter about professional sumo wrestlers throwing matches for the shared financial benefit of all wrestlers. .

Last edited by CoachKandSportsguy; 07-25-2025 at 05:16 AM.