Talk of The Villages Florida - View Single Post - Potential Fallout - Beyond Healthcare - of TVHC's Massive Medicare Overbilling
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Old 08-19-2025, 12:52 PM
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Originally Posted by Rainger99 View Post
I contacted UHC to get my RAF score and they told me to contact TVH. I contacted TVH and they told me that they don’t calculate RAF scores. I have not contacted Medicare but google says that they don’t tell you your score!

I am in excellent health. Yearly physical and I see a dermatologist about twice a year (although my wife thinks I have an unhealthy obsession with the internet).

I think I should be a 1 RAF (or lower) but if they don’t tell me the score, how can I know if I am being upcoded?

Does anyone know how to get an RAF score?
No. But let me pose this question: Is anyone paying more, OUT OF POCKET, based upon a higher RAF??? Because under such a system, I want way more than a safe driver discount since I have never been in an accident in 50 years of driving. I want cheaper beer since I don't abuse it. I want zero school tax since I don't have kids in schools. Etc, etc.

Bottom line, this is a very complex (and unnecessary) system that basically functions as an employment vehicle for thousands of petty functionaries in the Federal Government. So no one should counter that they are paying more because of so-called "fraud" (which isn't the case with TVH) when they are supporting the salaries of thousands of useless workers who nitpick medical records that they couldn't possibly understand to justify their own existence. They will ALWAYS find something. Sort of like they phrase "I'm here from OSHA and I'm here to help". Get your checkbook ready if you ever hear that.