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Igel

(35,501 posts)

18. I'd add another point.

Reply to SmittynMo (Reply #8)

Wed Apr 9, 2014, 07:50 PM

Apr 2014

My insurance was routinely billed for one partner at the place where I had my PCP. Didn't matter who I actually saw--that one partner was the name submitted to the insurance company.

It was the same for all the other patients. All patients were billed officially by one doctor because it made all the paperwork easier. The insurance company was fine with it. Even if there were 6 or 7 doctors, eaching putting in 35-40 hours or more per week, making it look like the one guy was billing for 28 hours/day.

Revenue versus income.

Reasonable billing fictions versus actual misbilling.

So much bad data to unravel and sort through to find good data.

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Highlight:

Medicare database reveals top-paid doctors [View all] Omaha Steve Apr 2014 OP

Something is very fishy about that. fasttense Apr 2014 #1

It's my understanding that CMS is auditing hospital charges pipoman Apr 2014 #3

Before we start shooting at the doctors cosmicone Apr 2014 #6

I didn't suggest shooting them fasttense Apr 2014 #7

Right to audit is standard cosmicone Apr 2014 #9

He is a single practitioner. ForgoTheConsequence Apr 2014 #21

Using your numbers passiveporcupine Apr 2014 #19

He is not doing cataracts he is a retinal specialist GusBob Apr 2014 #23

I don't care if he is delivering baby elephants passiveporcupine Apr 2014 #28

Do we know what the senator was doing in DR? pipoman Apr 2014 #2

Yes, there was a bogus claim that he slept with prostitutes CREW and others investigated the claims okaawhatever Apr 2014 #17

I worked in healthcare in Florida siligut Apr 2014 #4

My job is to find medicare fraud and abuse.... cbdo2007 Apr 2014 #12

Thank you for the work you do siligut Apr 2014 #15

Is this Medicare Datebase report available anywhere? pangaia Apr 2014 #5

Here PADemD Apr 2014 #10

How does one make that much money in a year? SmittynMo Apr 2014 #8

The highest paid MLB players make MORE than that.. pangaia Apr 2014 #11

The payment Sgent Apr 2014 #16

I'd add another point. Igel Apr 2014 #18

Top earners are ophthalmologists mainer Apr 2014 #13

As the article indicates, I think its retina more than cataract GusBob Apr 2014 #14

here is another article on the retinal drugs used passiveporcupine Apr 2014 #31

I was thinking that very same thing RebelOne Apr 2014 #27

As someone else pointed out, the $'s from Macular Degeneration mainer Apr 2014 #30

Dr. Salomon Melgen appears to be quite the operator (or crook). ForgoTheConsequence Apr 2014 #20

This doesn't look good.... ForgoTheConsequence Apr 2014 #22

OK, this is misleading. Those billings include the price of the drug. mainer Apr 2014 #24

$21 million? No wonder that dude is smiling (nt) Nye Bevan Apr 2014 #25

He looks like he went to the Mustang Ranch warrant46 Apr 2014 #26

Message auto-removed Name removed Apr 2014 #29