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Qtec
05-27-2011, 11:08 AM
<div class="ubbcode-block"><div class="ubbcode-header">Quote:</div><div class="ubbcode-body">Two local nurses convicted of fraud

BY JAY WEAVER
jweaver@MiamiHerald.com

Two Miami-Dade nurses were found guilty of various healthcare fraud charges in separate federal trials this week, as prosecutors proved <u>they billed Medicare hundreds of thousands of dollars for diabetic services that they either did not provide to homebound patients or were unnecessary.</u>

Isachi Gil, 36, of Doral, was convicted Wednesday of defrauding the taxpayer-funded program by claiming she injected patients with insulin twice daily between 2007 and 2009, when she didnít. She worked for 13 different Miami-Dade homecare agencies, including Ideal.

At trial, evidence showed that at least two of Gilís patients were not diabetic. It also showed that in more than 160 instances, Gil was in Panama, Mexico or the Dominican Republic when she claimed to be treating homebound patients, according to prosecutors Dan Bernstein and Robert Luck.

Moreover, Gil signed dozens of documents claiming that she was providing the diabetic services when, in fact, she was attending classes at Florida International University, evidence showed. She also claimed to be treating two and three patients at the same time, double- and triple-billing Medicare.

Gil faces between three and six yearsí imprisonment at her sentencing in July.

In the second trial, Armando Santos, of Miami, was convicted Thursday of similar charges, including that at least two of his patients were neither homebound nor needed insulin. Evidence also showed that he treated two other patients at the same time in Miami ahd Hialeah, overbilling Medicare for unnecessary services, according to prosecutors H. Ron Davidson and Michael OíLeary.

Santos, who also worked for the Ideal agency, also faces between three and six years at his sentencing in August.

Read more: http://www.miamiherald.com/2011/05/26/2237213/two-local-nurses-convicted-of.html#ixzz1NZcZHsah
</div></div>


Q

Gayle in MD
05-27-2011, 11:40 AM
<div class="ubbcode-block"><div class="ubbcode-header">Originally Posted By: Qtec</div><div class="ubbcode-body"> <div class="ubbcode-block"><div class="ubbcode-header">Quote:</div><div class="ubbcode-body">Two local nurses convicted of fraud

BY JAY WEAVER
jweaver@MiamiHerald.com

Two Miami-Dade nurses were found guilty of various healthcare fraud charges in separate federal trials this week, as prosecutors proved <u>they billed Medicare hundreds of thousands of dollars for diabetic services that they either did not provide to homebound patients or were unnecessary.</u>

Isachi Gil, 36, of Doral, was convicted Wednesday of defrauding the taxpayer-funded program by claiming she injected patients with insulin twice daily between 2007 and 2009, when she didnít. She worked for 13 different Miami-Dade homecare agencies, including Ideal.

At trial, evidence showed that at least two of Gilís patients were not diabetic. It also showed that in more than 160 instances, Gil was in Panama, Mexico or the Dominican Republic when she claimed to be treating homebound patients, according to prosecutors Dan Bernstein and Robert Luck.

Moreover, Gil signed dozens of documents claiming that she was providing the diabetic services when, in fact, she was attending classes at Florida International University, evidence showed. She also claimed to be treating two and three patients at the same time, double- and triple-billing Medicare.

Gil faces between three and six yearsí imprisonment at her sentencing in July.

In the second trial, Armando Santos, of Miami, was convicted Thursday of similar charges, including that at least two of his patients were neither homebound nor needed insulin. Evidence also showed that he treated two other patients at the same time in Miami ahd Hialeah, overbilling Medicare for unnecessary services, according to prosecutors H. Ron Davidson and Michael OíLeary.

Santos, who also worked for the Ideal agency, also faces between three and six years at his sentencing in August.

Read more: http://www.miamiherald.com/2011/05/26/2237213/two-local-nurses-convicted-of.html#ixzz1NZcZHsah
</div></div>


Q </div></div>

These are exactly the sort of abuses that the Affordable Care Act, was designed to prevent.

Remember that one, the one that Repiglicans REFUSED to even consider! The one they lied about, over and over again, with all of that BS aboug throwing grandmother under the bus?

The one that the CBO said was going to save hundreds of billions in costs?

Repiglicans are a joke!




G.

pooltchr
05-27-2011, 01:06 PM
If they are guilty, they should be punished accordingly.

And they should be made to pay back what they stole.

And yes, that does drive up HC costs. But we already have laws against fraud...and it would appear that those laws are working, since the fraud was discovered.

Obamacare wouldn't make any difference either way.
Enforcing the laws we have against this kind of thing would be sufficient.

Steve

llotter
05-27-2011, 01:50 PM
Fraud is always high when the government is involved because there is much less accountability. For much the same reason, cost escalates wherever government is involved. Not only are costs out of control in healthcare but also education, post office, the military and so forth. A prudent society should be looking for ways to take responsibility away from government instead of adding more.

LWW
05-27-2011, 03:56 PM
Medicare is so rampant with fraud because the gubmint does not have a profit motive, a private insurance company would have nailed this long ago.

So, in hyper-nit fashion, Q suggests that the solution to the problem is to amplify the problem.

eg8r
05-28-2011, 10:22 AM
<div class="ubbcode-block"><div class="ubbcode-header">Quote:</div><div class="ubbcode-body">Two local nurses convicted of fraud
</div></div>The same can be said about car insurance. Maybe we should have the President create a new auto insurance bill that will cover all Americans, but not really, that won't be a new tax on anybody, except it really is because they are now forced to buy it, and then lie and say this new auto insurance bill will keep costs down all the while knowing they will never go down. Man that sounds like the sack of poop our HC bill is turning out to be.

eg8r

Gayle in MD
05-28-2011, 11:19 AM
<div class="ubbcode-block"><div class="ubbcode-header">Originally Posted By: llotter</div><div class="ubbcode-body">Fraud is always high when the government is involved because there is much less accountability. For much the same reason, cost escalates wherever government is involved. Not only are costs out of control in healthcare but also education, post office, the military and so forth. A prudent society should be looking for ways to take responsibility away from government instead of adding more. </div></div>

LOL... and a huge cause of rising costs, can be directly linked, to gouging by private industry, and future's trading, which represented at least 30% of the rising gas costs, we just saw, over the last months.

Oil, Big Pharma, Banks, the health care Industry, the Medical Industry, all contribute the MOST, to the declining quality of life, for average families.

Energy costs, for oil, are unsustainable.

Rising Health Care costs, and health Care Insurance, costs, again, unsustainable, and running many families into bankruptsey, as we learned, 62% of the foreclosures in the preceeding several years, and just after, the crash, were due to people with catestrophic illnesses, being dropped from their HC Insurance.

Our elderly population, face unsustainable pharmaceutical costs.

All of these so called, "Private Industries" are showing unprecedented profits, as they run up charges, for all of us, and as the wealthy top billionaires and multi millionaires, are showing the largest profits in decades, oil companies, breaking records, breaking WORLD records, in profits....and all the while, the Middle Class, is losing income, losing benefits from employers, losing their rights to form Unions, and negotiate for a safe, work environment, and being dumped near their retirement, for younger, cheaper labor.

Meantime, repiglicans continue to subdize the very corporate thieves, who are stealing from the public til, with their huge profits in their pockets, and everyone else, struggling to get by.

That isn't what I call a FREE MARKET.

A free market, does not include banks, and the financial industry, committing FRAUD, in the market place.

G.

Job Security, is at an all time low, and has been decling since RR was president.

Qtec
05-29-2011, 02:17 AM
<div class="ubbcode-block"><div class="ubbcode-header">Quote:</div><div class="ubbcode-body">Two local nurses convicted of fraud
The same can be said about car insurance. </div></div>

Apples and oranges.

<div class="ubbcode-block"><div class="ubbcode-header">Quote:</div><div class="ubbcode-body"> Maybe we should have the President create a new auto insurance bill that will cover all Americans, but not really, that won't be a new tax on anybody, except it really is because they are now forced to buy it,</div></div>

If everyone in the USA belonged to a Govt run HC system they could DICTATE terms to the HC insurance companies. Right now its the other way round.

http://i.huffpost.com/gen/278244/thumbs/r-HEALTHCARE-COSTS-large570.jpg

<div class="ubbcode-block"><div class="ubbcode-header">Quote:</div><div class="ubbcode-body">U.S. healthcare is so expensive that records are broken even when cost increases slow.

According to a new report by Milliman, a global consulting and actuarial firm, the total cost of healthcare for the average family of four, if covered by a preferred provider organization, is now a record $19,393.

That might be only 7.3 percent higher than last year's average cost of $18.074, which is the smallest year-over-year increase in almost a decade. But it's also the highest year-over-year increase in total dollars spent per family at $1,319.

Trends over the last decade more completely illustrate the toll taken on the average American by rising healthcare costs.

"<u>In 2002, American families had healthcare costs of $9,235, and those costs have now doubled in fewer than nine years," said Lorraine Mayne, Milliman principal and consulting actuary, in a press release. "As costs continue to grow -- and even as the cost trend decelerates -- the total cost of care for American families constitutes a larger and larger portion of the household budget."</u> </div></div>

How can you save when you are on food stamps?

Q

Sev
05-29-2011, 06:28 AM
How can you save when in a state such as NY at the end of the day your being taxed at the equivalent of a combined rate of 60%.

The people are over taxed and the government is far to large and intrusive.

LWW
05-29-2011, 06:44 AM
<div class="ubbcode-block"><div class="ubbcode-header">Originally Posted By: eg8r</div><div class="ubbcode-body"><div class="ubbcode-block"><div class="ubbcode-header">Quote:</div><div class="ubbcode-body">Two local nurses convicted of fraud
</div></div>The same can be said about car insurance. Maybe we should have the President create a new auto insurance bill that will cover all Americans, but not really, that won't be a new tax on anybody, except it really is because they are now forced to buy it, and then lie and say this new auto insurance bill will keep costs down all the while knowing they will never go down. Man that sounds like the sack of poop our HC bill is turning out to be.

eg8r </div></div>

Let's not forget taking funds from those who paid into the insurance for years so that those who have never bought insurance can be insured.

pooltchr
05-29-2011, 07:03 AM
<div class="ubbcode-block"><div class="ubbcode-header">Originally Posted By: Qtec</div><div class="ubbcode-body">
If everyone in the USA belonged to a Govt run HC system they could DICTATE terms to the HC insurance companies. Right now its the other way round.

Q

</div></div>

What makes you think Americans even WANT our government dictating how businesses work?

Here is what you lefties havent' figured out yet. There are certain costs associated with doing business. It doesn't matter if you are a doctor, insurance company, drug manufacturer, or whatever.

But let's just take one...the doctor. The doctor needs a college degree, which costs more and more as universities raise their tuitions, an office (rent and utilities) which have continually trended upwards, staff (payroll...and you certainly wouldn't want them to pay their staff "Wal-mart wages"...in fact, you would probably prefer the staff join the health care workers union, and drive the costs even higher)...and I could go on, but if I need to, you aren't going to understand anyway.

The point is, the costs aren't just going up because of the industry...the costs are going up, as they are for every business...and no amount of government control is going to keep costs down, unless they also restrict utility companies, landlords, and everyone else's profits as well.

If the government puts limits on what the healthcare industry can charge for services, all they will do is force the industry to either cut corners, or stop doing business. Neither option is particularly appealing to me.

Steve

Sev
05-29-2011, 07:16 AM
Its the good intentions that count. The unintended consequences they can blame on somebody else.

Qtec
05-29-2011, 12:28 PM
<div class="ubbcode-block"><div class="ubbcode-header">Originally Posted By: Sev</div><div class="ubbcode-body">How can you save when in a state such as NY at the end of the day your being taxed at the equivalent of a combined rate of 60%.

<u>The people are over taxed</u> and the government is far to large and intrusive.

</div></div>

The people<u> are over taxed </u><span style='font-size: 14pt'>and the rich are not.</span> That's why the GOP want to give high earners another tax cut!??????????

Q

pooltchr
05-29-2011, 01:58 PM
<div class="ubbcode-block"><div class="ubbcode-header">Originally Posted By: Qtec</div><div class="ubbcode-body">

The people<u> are over taxed </u><span style='font-size: 14pt'>and the rich are not.</span> That's why the GOP want to give high earners another tax cut!??????????

Q </div></div>

Please explain how, when the bottom 47% do not pay any income tax at all, and the top 10% of earners pay 80% of income tax, that you came to your conclusion.

Or were you just mindlessly repeating the same tired old lie to make you feel good?

Steve

Sev
05-29-2011, 03:07 PM
<div class="ubbcode-block"><div class="ubbcode-header">Originally Posted By: Qtec</div><div class="ubbcode-body"><div class="ubbcode-block"><div class="ubbcode-header">Originally Posted By: Sev</div><div class="ubbcode-body">How can you save when in a state such as NY at the end of the day your being taxed at the equivalent of a combined rate of 60%.

<u>The people are over taxed</u> and the government is far to large and intrusive.

</div></div>

The people<u> are over taxed </u><span style='font-size: 14pt'>and the rich are not.</span> That's why the GOP want to give high earners another tax cut!??????????

Q </div></div>

You really need to separate individual income and joint filed income from business income.

People that become wealthy through their income pay the same taxes as the middle class.

As far as those that you consider wealthy that 1% foots 40% of the tax bill.

It is important to keep separate business taxation and individual income taxation. They are not the same.

eg8r
05-29-2011, 08:50 PM
<div class="ubbcode-block"><div class="ubbcode-header">Quote:</div><div class="ubbcode-body">Apples and oranges.
</div></div>Insurance is insurance, you are just too dumb to figure it out.


eg8r

eg8r
05-29-2011, 08:51 PM
<div class="ubbcode-block"><div class="ubbcode-header">Quote:</div><div class="ubbcode-body">The people are over taxed and the rich are not. </div></div>What loopholes have been fixed by the Dems in their 4 year run of control?

eg8r