Talk of The Villages Florida - View Single Post - Potential Fallout - Beyond Healthcare - of TVHC's Massive Medicare Overbilling
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Old 08-20-2025, 03:24 PM
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Originally Posted by Joecooool View Post
Again, all conjecture. You don't know these things to be facts, you just assume that TVH operated by the book.

Medicare Advantage plans that operate by the book don't over bill hundreds of millions of dollars.

And there are hundreds of cases of medicare fraud where the money went into people's pockets. This operation just went down last month - Office of Public Affairs | National Health Care Fraud Takedown Results in 324 Defendants Charged in Connection with Over $14.6 Billion in Alleged Fraud | United States Department of Justice
All conjecture???? Give me a break. The "conjecture" is you telling me what I do and do not know. You don't think medical practices pay for equipment, utilities, rent, staff, etc. Conjecture my sweet bippie. I ran a practice for 35 years. I know what EMR they use and I know how it is used, so don't give me "conjecture".

Meanwhile, of course the point of Medicare fraud is to put $$$ into someone's pocket---it's not a charitable exercise. Most of those are fly by night clinics owned by some clown with a Caribbean medical degree that pay homeless people to come in to their clinic and bill more to CMS than they could possibly have done. Here's your problem---the only people that have accused TVH of "fraud" are posters on TOTV.

I can guarantee based on the vague diagnostic codes in ICDM-10 and the stringent documentation requirements in CPT, I could review Harvard Medical or the Mayo clinic system and find way more than $361 million in "fraud" over a 10 year period, just based on the sheer size of those practices. Do you think they are also in a grand conspiracy to defraud Medicare?