moonshade
Old Hand
Reged: 12/01/02
Posts: 469
Loc: searching for my lost shaker o...
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But was it an INFORMED choice? Did the patients know they were dealing with someone with problems like this? Maybe some did, I don't know. But I bet many, many did not.
Thank u Buey. That's what I was trying to say.
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patient2all
Enthusiast
Reged: 05/16/02
Posts: 298
Loc: usa
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Quote:
Criminal, hummm Insurance fraud (IMHO) has to do with the economy
Fraud is about greed and lack of consideration of whose pockets you are picking. It is criminal and should be treated as such.
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being a sexual predator is a bit more personal.
Pure evil or mental illness, depending on the circumstances. In either case the perpetrator must be locked up away from society forever.
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Remember the pharmicist that diluted cancer drugs? That was a pathetic choice of crime dont you think?
Absolute pure evil there (and he gave a lot of his "profits" to his church!). A random mass murderer as evil as the 9/11 terrorists.
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more...
Politicians -- generally corrupt and egotists who often think they are working for the public on a commission basis, regardless of party.
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Corner Cutting NR OPs - Sort of like a cross between organized crime and Robin Hoods; giving the people what they want, but lack personal responsibility. They also get greedy eventually which becomes their undoing.
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patient2all
It's a sad world, getting sadder by the day....
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Ember
Member
Reged: 03/20/03
Posts: 131
Loc: USA
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patient2all,
I know just when ya think you have seen everything.
But, I believe in GOOD FOLKS like you or I or many others
on this board that just get sick and tired of suffering.
I hope you have a great weekend,
ember
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Ember
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dharma6666
Journeyman
Reged: 12/18/03
Posts: 56
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Quote:
But was it an INFORMED choice? Did the patients know they were dealing with someone with problems like this? Maybe some did, I don't know. But I bet many, many did not.
Thank u Buey. That's what I was trying to say.
I agree, I think that it is hard to envision that a pharmacy is doing anything wrong when they follow the law as to refills (not a second before the legal refill number of days, for example, and send you your HIPPA rights). It all seemed like a tight ship and by the book.
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Billyl
Board Addict
Reged: 06/14/02
Posts: 389
Loc: NorthEast
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Quote: I agree, I think that it is hard to envision that a pharmacy is doing anything wrong when they follow the law as to refills (not a second before the legal refill number of days, for example, and send you your HIPPA rights). It all seemed like a tight ship and by the book.
The pharmacy was closed because they were caught in an internet sting operation that involved one of the doctors writing prescriptions that they in turn filled. The doctor on numerous occasions was duped by criminal investigators and the pharmacy filled and delivered the prescriptions. The pharmacy has the same legal obligation to make sure the patient is for real as the doctor. The same operation is used to shut down non internet doctors and pharmacies, just lately there has been a large push to exploit the inherent weaknesses of prescribing over the internet.
Take care. Billylll
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patient2all
Enthusiast
Reged: 05/16/02
Posts: 298
Loc: usa
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Quote:
The doctor on numerous occasions was duped by criminal investigators
BillyIII,
I still cannot get a mental picture of how the doctor is duped by fraudulent records and ids and how the doctor was supposed to detect these.
An id is sent from a male, then a woman is the patient during the consult?
Records that state a male is 4 monthss pregnant?
Records that describe a diagnosis totally inconsistent with the patients symptoms?
Same id/records presented for multiple patients?
Clever forgeries of records/ids done in Adobe Shop?
Anyone know? Sounds very vague where the doctor erred in all this.
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patient2all
It's a sad world, getting sadder by the day....
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sanclemente
Banned: also posting as Bruja
Reged: 01/18/04
Posts: 120
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Just curious as to why all the pharmacys and OPs insist it's "just a civil case?" Is this true or not? I read & re-read the post on the VIP side under laws, but would really like to know the truth. Your take please? Thanks!
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buey
Old Hand
Reged: 01/15/03
Posts: 453
Loc: USA
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Read the docket and all the cases. They are all civil cases. It's not a criminal court.
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Billyl
Board Addict
Reged: 06/14/02
Posts: 389
Loc: NorthEast
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The South Carolina case is a civil case the Medicade/ Medicare case was criminal. Take care. Billylll
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toe
Pooh-Bah
Reged: 10/09/02
Posts: 1494
Loc: MidWest USA
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Quote:
Macready,
Criminal, hummm Insurance fraud (IMHO) has to do with the economy, being a sexual predator is a bit more personal.
Remember the pharmicist that diluted cancer drugs? That was a pathetic choice of crime dont you think?
I agree with J~ all of it is a shot in the dark.
peace,
ember
I wasn't going to even perk up until I read this ignorant comment. Insurance fraud? Insurance fraud?
You must have no idea what Medicaid is.
There are, what is it they are telling us in the presidential campaign ads these days? 40 million Americans who have health insurance coverage. And I suppose those of us who are "lucky" enough to qualify for Medicaid are not counted under that rubric. After all, in every large city there's a dingy family clinic that accepts Medicaid patients. And, while technically all hospitals are required to treat patients in deathly trauma, Medicaid will reimburse the hospital for some of the expense. Up to 25 times per year, in fact, a Medicaid patient can go to the emergency room or see a doctor. And our medications--as long as the prescriptions are written by a doctor in the same state are covered in full.
Actually, the prescription coverage is just about the only thing Medicaid has to offer. Medicare has no such prescription coverage, I can't imagine anything like "Medicare prescription fraud," the idea is as ludicrous as "BCBS prescription fraud." But Medicaid prescription fraud could be most enticing, and do you know why?
Not only because the medicines are covered at 100%, but because you have to be sick, disabled to qualify for Medicaid. You also have to be broke, which makes it even more disgusting to be played as a pawn in a game amongst some pharmacists and doctors to see who can stuff their closets with the most expensive shoes and line their kitchen windows with Longaberger baskets, but most importantly, you need to have medical bills that are completely out of control and you must have a thousand dollar a month (at least) medicine cabinet.
Without Medicaid, you would die. You might just die anyway, despite the best medicines there are to offer, because Medicaid really only has enough money in it to pay for prescriptions, but nothing more than most rudimentary of actual medical care. Still, you know you are lucky to have it You are thankful. I am thankful.
I am thankful to all of you who contribute to the funds that allow me to fill the prescriptions that keep me alive. I think there lies evidence of great good in the world.
I have no respect for those that would steal the money that you worked hard for, and probably cursed when you saw it come out of your paycheck, but maybe felt a little better when you realized how much good just a few cents of it does for so many of us, I have no respect for the people who would steal that money and rob us of the connection we might have made. Those people will leave Medicaid patients, or those who should be medicaid patients, dying in the street or in shelters, and they will push taxes ever higher just to try to keep the rest of going on same plodding flatline.
Honestly, folks. This is Medicine we are talking about. There is no such thing as innocent until proven guilty. All medical practitioners are supposed to be our caretakers. If they mess up, we can lose an eye, an arm,a foot, a child, a mother. "First, do no harm." I believe there would be no medicaid fraud charges without evidence. I believe I've already illustrated how very, very harmful these actions are.
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"It's the end of the World as We Know it. . ."
-REM "and I'm seeking asylum in Canada"-toe
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buey
Old Hand
Reged: 01/15/03
Posts: 453
Loc: USA
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EXCELLENT POST TOE! And yes, I WAS yelling!
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MacReady
Newbie

Reged: 07/15/03
Posts: 48
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Quote:
Quote:
Macready,
Criminal, hummm Insurance fraud (IMHO) has to do with the economy, being a sexual predator is a bit more personal.
Remember the pharmicist that diluted cancer drugs? That was a pathetic choice of crime dont you think?
I agree with J~ all of it is a shot in the dark.
peace,
ember
I wasn't going to even perk up until I read this ignorant comment. Insurance fraud? Insurance fraud?
You must have no idea what Medicaid is.
There are, what is it they are telling us in the presidential campaign ads these days? 40 million Americans who have health insurance coverage. And I suppose those of us who are "lucky" enough to qualify for Medicaid are not counted under that rubric. After all, in every large city there's a dingy family clinic that accepts Medicaid patients. And, while technically all hospitals are required to treat patients in deathly trauma, Medicaid will reimburse the hospital for some of the expense. Up to 25 times per year, in fact, a Medicaid patient can go to the emergency room or see a doctor. And our medications--as long as the prescriptions are written by a doctor in the same state are covered in full.
Actually, the prescription coverage is just about the only thing Medicaid has to offer. Medicare has no such prescription coverage, I can't imagine anything like "Medicare prescription fraud," the idea is as ludicrous as "BCBS prescription fraud." But Medicaid prescription fraud could be most enticing, and do you know why?
Not only because the medicines are covered at 100%, but because you have to be sick, disabled to qualify for Medicaid. You also have to be broke, which makes it even more disgusting to be played as a pawn in a game amongst some pharmacists and doctors to see who can stuff their closets with the most expensive shoes and line their kitchen windows with Longaberger baskets, but most importantly, you need to have medical bills that are completely out of control and you must have a thousand dollar a month (at least) medicine cabinet.
Without Medicaid, you would die. You might just die anyway, despite the best medicines there are to offer, because Medicaid really only has enough money in it to pay for prescriptions, but nothing more than most rudimentary of actual medical care. Still, you know you are lucky to have it You are thankful. I am thankful.
I am thankful to all of you who contribute to the funds that allow me to fill the prescriptions that keep me alive. I think there lies evidence of great good in the world.
I have no respect for those that would steal the money that you worked hard for, and probably cursed when you saw it come out of your paycheck, but maybe felt a little better when you realized how much good just a few cents of it does for so many of us, I have no respect for the people who would steal that money and rob us of the connection we might have made. Those people will leave Medicaid patients, or those who should be medicaid patients, dying in the street or in shelters, and they will push taxes ever higher just to try to keep the rest of going on same plodding flatline.
Honestly, folks. This is Medicine we are talking about. There is no such thing as innocent until proven guilty. All medical practitioners are supposed to be our caretakers. If they mess up, we can lose an eye, an arm,a foot, a child, a mother. "First, do no harm." I believe there would be no medicaid fraud charges without evidence. I believe I've already illustrated how very, very harmful these actions are.
A little long-winded. You didn't tell me anything I don't know. However that does not change the fact that trying to get money from an insurance company by dishonest means is insurance fraud. Call whatever you want ignorant, doesn't change a thing. If She did indeed turn in false claims then its just that. There is no way to paint it any other color.
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"I know what you mean Blair. Trust is a tough thing to come by these days.
Tell you what, why dont you just trust in the Lord?"
-RJ MacReady
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Ember
Member
Reged: 03/20/03
Posts: 131
Loc: USA
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toe,
if you think my comment is ignorant, maybe you should read just a little closer to you pc screen= I said IMHO,which means IN MY HUMBLE OPINION. uninformed on the crooks and crannies of medicaid? yes. ignorant? NO. we are all in the same boat, so I might know alittle more about one thing or another than you. I would not call your comments ignorant.
Please I pay taxes even your medicaid taxes. I live on a strict budget, the middle class is shrinking..And if it wasnt for all the "Intitlements" that everyone in this country thinks they are entitled too, there would notsuch a drain on it. watched my dad manuver the system. It is a drag. uninformed does not equal= ignorant. toe, I always valued what you had to say,tobad ucant say the same.
Do you even know what the last census count was? or how manyillegals enter this country and are "entitled" to FREE health care? while you an american citizen has to pay?
PEACE,
EMBER IMHO TOE
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Ember
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mailkitty
Newbie
Reged: 05/18/02
Posts: 45
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Thank GOD for some of you. Take a look. 3 years, no charges. I know I've seen it somewhere. Innocent until proven guilty??????????? HA!!
Lisa
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Jonesen
Stranger
Reged: 05/14/04
Posts: 9
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I was in the bank yesterday, and while making a deposit while concurrently cashing a check. The teller gave me $550 in cash, too much after crediting the deposit. I could not walk out of the bank, in fear that I would be T-boned or the car would break down, or whatever. Specifically, I could not imagine how much stress/fear/disappointment the teller would have explaining to her manager the discrepancy. What comes around goes around. Your willingness to discuss your very personal situation, while your doors are closed, well I take my hat off to this. Our judicial system can work, and usually does. I hope you prove them (all levels of skeptics) wrong, and appreciate your example while dealing with some extremely dynamic challenges. No one knows the specific facts and internal functioning of Lisa. Only you have an understanding in the facts vs. the sludge with the intricacies and detail of your current personal situation.
Everything that’s on your plate, and you reach out to help a single customer understand the situation. I know of others who leave you on hold for hours upon hours, take the money and run, and close down in the darkness of night. Actions are what show who we are, whether poised upon a Sear's tower sized horse, or kneeling at our children's bedside. Personally, I am impressed with your willingness to face the scrutiny and criticism. What comes around goes around. IMHO, in my little place in this world, your actions to me show that others could/may possibly be incorrect and will be rooting for you.
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