Wisdom. Applied.

Health care fraud is far from harmless. Fraudulent activities drain billions from health care programs like Medicare and Medicaid, leading to higher taxes and less money for other important services.

Making The Bet Without Knowing The Odds by Mark F. Weiss

You’re signed in to the hospital’s electronic medical record system. What’s the harm in just typing in the name of a friend to see what pops up?

According to 2023 reports, by 2021, nearly 70% of physicians were employed by hospitals or investor-owned corporations.

No, I don’t have a crystal ball and I can’t predict the future. But that doesn’t mean that I’m blind and can’t see a cliff dropping off on the near horizon.

Telehealth can be used to vastly improve patients’ access to medical care. At the same time, it can be used to vastly improve criminals’ access to Medicare dollars. It shouldn’t be that difficult for physicians to assess the bona fides of their proposed participation in a telehealth “business model” when the ones doing the proposing are telemarketers.

If what the government alleged were true, it would be an emergency physician’s dream job: billing for services without ever treating or even speaking with the patient.

The financial impact was immediate and momentous: Neither new nor existing claims, nor payment for them, could be processed.

The financial impact was immediate and momentous: Neither new nor existing claims, nor payment for them, could be processed.

Many predicted that the financial behemoths run by the smartest guys in the room would swallow up every physician on the planet.