Talk of The Villages Florida - Rentals, Entertainment & More
Talk of The Villages Florida - Rentals, Entertainment & More
#16
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Can't only blame people from foreign countries for fleecing Medicare. A few years back Columbia/HCA paid a 1.7 billion dollar fine for Medicare fraud and plead guilty to 14 corporate felonies. While the fraud was being committed it was run by a US born citizen and Navy veteran.
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#17
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At the time this was the largest case of Medicare fraud in the history of Medicare. |
#18
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I know for a fact the names of three doctors who have been found guilty of Medicare fraud who are now practicing in TV. They have all movde here from other communities where their misdeeds started .
Always Google any new provider. Try yours now , some of you will be quite shocked.
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"All that is necessary for the triumph of evil is that good men do nothing" Edmund Burke 1729-1797 |
#19
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Why is this not public knowledge? You cannot find some of the arrest records of some local MD's either. Can you arrange to have them removed from public media and internet? THAT is JUST not right.
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It is better to laugh than to cry. |
#20
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I have always said that healthcare is a business and doctors/clinics are in business to make money. And just as with any other business, some will be honest and some not.
If doctors are squeezed by Medicare & Medicaid into accepting less money for their services, that may be the tipping point that starts them down the wrong path. Of course that doesn't justify their actions, I'm just saying it might be a contributing factor in some cases as some doctors may feel cheated by the system. |
#21
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By these recent examples, it seems that The Villages attracts the rotten apples probably because of the elderly population who will accept any test ordered. |
#22
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The recently enacted ACA (Obamacare) has a provision increasing the budget for detecting and prosecuting Medicare fraud. I hope (opinion) it is very successful. If you have a doctor who is waiving your Medicare copay, that may be fraud. If you are getting billed for a test you didn't need or even worse never had done, that may be fraud. Sometimes someone just clicks in the wrong place on a superbill so not all errors are fraud, but all need to be reported to clean up the problem. Reporting fraud | Medicare.gov
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Men plug the dikes of their most needed beliefs with whatever mud they can find. - Clifford Geertz |
#23
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Did Bernie Madoff come from a different country? |
#24
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#25
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Poppycock!
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All the great things are simple, and many can be expressed in a single word: freedom, justice, honor, duty, mercy, hope. Winston Churchill |
#26
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And I would add, these are not struggling new doctors who are getting caught with their hands in the cookie jar. These are seasoned professionals who have learned the tricks of the trade. |
#27
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As long as someone else is "picking up the tab" this fraud will continue. Until the users of health care services have real skin in game, this type of crime will continue. I would offer we should empty our jails of all none violent drug offenders and fill up with our "white collars" type criminals as the are doing much more damage to our country than the drug user.
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#28
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they joined together but it didn't work out wonder why ?/...greed::: pure unadulterated greed look up your dr type the name and see how many lawsuits ...there are several for unqualified staff to the point of causing physical harm wrong meds dosage way to much tax invasion for husband etc etc ethic is right they have NONE ..pay attention fyi for you benefit
Department of Justice U.S. Attorney’s Office Middle District of Florida FOR IMMEDIATE RELEASE Friday, December 12, 2014 United States Settles False Claims Act Allegations Against Florida-Based Sleep Clinic And Physician For $250,000 Jacksonville, FL B The United States has settled a lawsuit against a central Florida-based sleep clinic for submitting false claims to the government. The qui tam or “whistleblower” complaint, filed by a former employee of the clinic, alleges that VMG Pulmonary and Sleep Institute and its physician/owner, Dr. Marivic Villa, violated the False Claims Act (FCA) by intentionally billing the government for hundreds of thousands of dollars of services that were not medically necessary, and that were performed by unlicensed, uncredentialed, and unsupervised employees. The government announced today that it had reached a settlement with VMG and Dr. Villa. In reaching this settlement, the parties resolved allegations that, from January 1, 2009, until November 2012, Dr. Villa owned and operated sleep clinics in The Villages that were staffed by unlicensed and unsupervised employees. In many instances, these employees lacked the basic knowledge regarding the tests that they were performing. Despite Medicare payment rules that require that polysomnographic (PSG) tests be conducted by appropriately credentialed employees, the government contends that Dr. Villa only employed non‐credentialed employees. The government also contends that Dr. Villa continued to seek payment for claims to Medicare and TRICARE when she knew, or should have known, that she was violating the payment requirement by not having any appropriately credentialed employees administering PSG tests to beneficiaries. VMG and Dr. Villa agreed to pay $250,000 to resolve the claims. "The United States Attorney's Office is committed to taking the steps necessary to protect Medicare, TRICARE, and other federal health care programs from fraud," said United States Attorney A. Lee Bentley, III. "By bringing FCA cases such as this, we hope to recover funds obtained through the fraud and deter others from attempting similar schemes." This lawsuit was originally filed under the qui tam or whistleblower provisions of the False Claims Act by Donald Nichols, a former employee at the clinic. Under those provisions, a private party, known as a relator, can file an action on behalf of the United States and receive a portion of the recovery. Nichols will receive more than $50,000 as part of today’s settlement. This settlement illustrates the government’s emphasis on combating health care fraud and marks another achievement for the Health Care Fraud Prevention and Enforcement Action Team (HEAT) initiative, which was announced in May 2009 by Attorney General Eric Holder and Secretary of Health and Human Services Kathleen Sebelius. The partnership between the two departments has focused efforts to reduce and prevent Medicare and Medicaid financial fraud through enhanced cooperation. One of the most powerful tools in this effort is the False Claims Act. Since January 2009, the Department of Justice has recovered a total of more than $19 billion through False Claims Act cases, with more than $13.4 billion of that amount recovered in cases involving fraud against federal health care programs. This case was investigated by the U.S. Department of Health and Human Services - Office of Inspector General (HHS/OIG), the Defense Health Agency (DHA), HHS Office of Counsel to Inspector General (HHS/OCIG), and handled by Assistant United States Attorney Jason Mehta. The claims resolved by this settlement are allegations only, and there has been no determination of liability. The lawsuit against the defendants was filed in the U.S. District Court for the Middle District of Florida and is captioned United States ex rel. Nichols v. VMG Pulmonary and Sleep Institute, Tri-County Pulmonary & Multi-Specialty Group, and Dr. Marivic Villa. |
#29
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for every lie there are ten more unseen
certain people know the truth |
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