So help me out here. Obama says he will cut

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  • Hallelujah
    Junior Member
    • Dec 2008
    • 2741

    #1

    So help me out here. Obama says he will cut

    anywhere from $350B to $500B from Medicare. How? From cutting abuse and fraud? If so, prove it first. $60B in fraud has been detected this past year. How has that been recouped so far?

    And I love this summary:

    Let me get this straight......
    we're trying to
    pass a health care plan written by a
    committee whose chairman says he doesn't
    understand it, passed
    by a
    Congress that hasn't read it but exempts
    themselves from it, to be
    signed by a
    president that also hasn't read it and
    smokes, with funding
    administered by a treasury chief who didn't
    pay his taxes, all to be overseen
    by a surgeon general who is
    obese, and financed by
    a country that's broke.

    What could possibly go
    wrong????

    I guess that's the kind of reasoning only the likes of SU, RF, Woot, Tim and Wuap understand.
  • DU Ute
    RIP CUF
    • Dec 2008
    • 7393

    #2
    [ame="http://www.youtube.com/watch?v=IM7gKAMuYYE"]YouTube- Shrek-Hallelujah-Cut Verison.[/ame]
    "In conclusion, let me give a shout-out to dirty sex. What a great thing it is" - Northwestcoug
    "And you people wonder why you've had extermination orders issued against you." - landpoke
    "Can't . . . let . . . foolish statements . . . by . . . BYU fans . . . go . . . unanswered . . . ." - LA Ute

    Comment

    • Hallelujah
      Junior Member
      • Dec 2008
      • 2741

      #3
      Sorry, I forgot to include you in the cast of characters. I seriously am doubting that you are in a legitimate law school. Way too much time on your hands and always simply posting youtube videos instead of expressing your thoughts. Let me know when you graduate and where you end up practicing law.

      Comment

      • Jarid in Cedar
        CS Institutional Memory
        • Jun 2009
        • 13234

        #4
        Originally posted by Hallelujah View Post
        anywhere from $350B to $500B from Medicare. How? From cutting abuse and fraud? If so, prove it first. $60B in fraud has been detected this past year. How has that been recouped so far?
        It is recouped by withholding future payments.
        "The first thing I learned upon becoming a head coach after fifteen years as an assistant was the enormous difference between making a suggestion and making a decision."

        "They talk about the economy this year. Hey, my hairline is in recession, my waistline is in inflation. Altogether, I'm in a depression."

        "I like to bike. I could beat Lance Armstrong, only because he couldn't pass me if he was behind me."

        -Rick Majerus

        Comment

        • Hallelujah
          Junior Member
          • Dec 2008
          • 2741

          #5
          Originally posted by Jarid in Cedar View Post
          It is recouped by withholding future payments.
          So how much have they recouped in future payments? I don't know the answer.

          If you didn't catch it the first time, how will they catch i when they recoup? Sorry, I don't see how the government does anything well.........especially when it deals with money and fraud. It's almost like they perpetuate it.

          Comment

          • Jarid in Cedar
            CS Institutional Memory
            • Jun 2009
            • 13234

            #6
            Originally posted by Hallelujah View Post
            So how much have they recouped in future payments? I don't know the answer.

            If you didn't catch it the first time, how will they catch i when they recoup? Sorry, I don't see how the government does anything well.........especially when it deals with money and fraud. It's almost like they perpetuate it.
            There are paid headhunters that come to hospitals and larger clinics that perform RAK audits. They audit the charts and if the documentation does not match the billing level, then the clinic is assessed a negative billing and it is withheld from future payment.
            "The first thing I learned upon becoming a head coach after fifteen years as an assistant was the enormous difference between making a suggestion and making a decision."

            "They talk about the economy this year. Hey, my hairline is in recession, my waistline is in inflation. Altogether, I'm in a depression."

            "I like to bike. I could beat Lance Armstrong, only because he couldn't pass me if he was behind me."

            -Rick Majerus

            Comment

            • Hallelujah
              Junior Member
              • Dec 2008
              • 2741

              #7
              Originally posted by Jarid in Cedar View Post
              There are paid headhunters that come to hospitals and larger clinics that perform RAK audits. They audit the charts and if the documentation does not match the billing level, then the clinic is assessed a negative billing and it is withheld from future payment.
              Oh, RACs. From what I heard, even if the charge was correct, it will cost a hospital in the neighborhood of $1,500 to go through the appeals process (if not more) so they will simply not put forth the effort. Sounds more like the IRS, where the presumption is guilt.

              Comment

              • Hallelujah
                Junior Member
                • Dec 2008
                • 2741

                #8
                Originally posted by Jarid in Cedar View Post
                There are paid headhunters that come to hospitals and larger clinics that perform RAK audits. They audit the charts and if the documentation does not match the billing level, then the clinic is assessed a negative billing and it is withheld from future payment.
                Oh, RACs. From what I heard, even if the charge was correct, it will cost a hospital in the neighborhood of $1,500 to go through the appeals process (if not more) so they will simply not put forth the effort. Sounds more like the IRS, where the presumption is guilt.

                Does this affect the defensive medicine procedures? If so, does that open it up for even more malpractice suits?

                Comment

                • wuapinmon
                  Soul Plumber
                  • Dec 2008
                  • 30711

                  #9
                  Originally posted by Hallelujah View Post
                  Sorry, I forgot to include you in the cast of characters. I seriously am doubting that you are in a legitimate law school. Way too much time on your hands and always simply posting youtube videos instead of expressing your thoughts. Let me know when you graduate and where you end up practicing law.
                  Either that or he is so astoundingly brilliant that he doesn't have to put in that much time studying like mortals do. Shouldn't you be studying your metabolic pathways, young man?
                  "Wuap's "problem" is that he is smart & principled & committed to a moral course of action. His actions are supposed to reflect his ethical code.
                  The rest of us rarely bother to think about our actions." --Solon

                  Comment

                  • Jarid in Cedar
                    CS Institutional Memory
                    • Jun 2009
                    • 13234

                    #10
                    Originally posted by Hallelujah View Post
                    Oh, RACs. From what I heard, even if the charge was correct, it will cost a hospital in the neighborhood of $1,500 to go through the appeals process (if not more) so they will simply not put forth the effort. Sounds more like the IRS, where the presumption is guilt.

                    Does this affect the defensive medicine procedures? If so, does that open it up for even more malpractice suits?
                    This is such an uneducated/moronic/predictable line that making a resonable response is just impossible. Your basic lack of understanding of this issue is inexcusible to the point of causing me pain.

                    In fact, I need someone to come and kick me in the nuts as hard as they can so I can move on.
                    "The first thing I learned upon becoming a head coach after fifteen years as an assistant was the enormous difference between making a suggestion and making a decision."

                    "They talk about the economy this year. Hey, my hairline is in recession, my waistline is in inflation. Altogether, I'm in a depression."

                    "I like to bike. I could beat Lance Armstrong, only because he couldn't pass me if he was behind me."

                    -Rick Majerus

                    Comment

                    • mUUser
                      Giggity
                      • Jul 2009
                      • 1142

                      #11
                      Originally posted by Jarid in Cedar View Post
                      In fact, I need someone to come and kick me in the nuts as hard as they can so I can move on.

                      Oooh, oooh, pick me! pick me!

                      Comment

                      • Hallelujah
                        Junior Member
                        • Dec 2008
                        • 2741

                        #12
                        Originally posted by wuapinmon View Post
                        Either that or he is so astoundingly brilliant that he doesn't have to put in that much time studying like mortals do. Shouldn't you be studying your metabolic pathways, young man?
                        That's it. He's brilliant.

                        Comment

                        • Hallelujah
                          Junior Member
                          • Dec 2008
                          • 2741

                          #13
                          Originally posted by Jarid in Cedar View Post
                          There are paid headhunters that come to hospitals and larger clinics that perform RAK audits. They audit the charts and if the documentation does not match the billing level, then the clinic is assessed a negative billing and it is withheld from future payment.
                          So they get a commission on stuff they find? Sounds like great environment for abuse. RAC audits. RAC (recovery audit contractor), not RAK..............fwiw.
                          Last edited by Hallelujah; 03-17-2010, 07:25 PM.

                          Comment

                          • Hallelujah
                            Junior Member
                            • Dec 2008
                            • 2741

                            #14
                            Originally posted by Jarid in Cedar View Post
                            This is such an uneducated/moronic/predictable line that making a resonable response is just impossible. Your basic lack of understanding of this issue is inexcusible to the point of causing me pain.

                            In fact, I need someone to come and kick me in the nuts as hard as they can so I can move on.
                            Kick yourself in the nuts, then. I can't believe your moronic response since YOU obviously have no understanding of economics.

                            I guess when you live in small town USA and spend half your waking hours on CUF, you wouldn't know the impact on hospitals. "While only a fraction of claims make it to the fifth and final appeal stage, each has specialized requirements and logistics to keep track of claims. According to the American Hospital Association, the cost to a provider to file an appeal can be as much as $7,000 per claim. The labor and cost of the appeals process will directly influence whether hospitals will want to dispute a finding for each claim."

                            How much do YOU think it will cost to appeal a RAC violation? If it becomes too expensive (because you are on the defensive), they will cease doing those marginally extra procedures because they may not get paid. You see, defensive medicine is practiced because of malpractice. Are you starting to see? Ugh.
                            Last edited by Hallelujah; 03-17-2010, 08:41 PM.

                            Comment

                            • old_gregg
                              scaly man fish
                              • Nov 2009
                              • 16915

                              #15
                              Originally posted by Hallelujah
                              Sorry, I don't see how the government does anything well.........
                              you mean you don't support our troops? MOVE TO CANADA, FREEDOM HATING BASTARD.
                              Te Occidere Possunt Sed Te Edere Non Possunt Nefas Est.

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