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Wednesday, April 20, 2011

Mass "For Profit" Medicine Creates Economic Incentives for Medicare Fraud and Medicaid Fraud

Medicare Fraud Lawsuit, Systematic Medicare Fraud Lawsuit, Medicare Recipient Whistleblower Lawsuit, Medicare Fraud Whistleblower Lawsuit, Systematic Medicaid Fraud Lawsuit, and Medicare Compliance Fraud Lawsuit Information
by Texas Medicare Fraud Lawyer Jason S. Coomer

Medicare fraud and Medicaid fraud are becoming one of the fastest growing and most lucrative crimes in the United States.  It is estimated that Medicare fraud and Medicaid fraud costs tax payers between $70 Billion and $230 Billion each year.  One of the reasons for the rapid growth of Medicare Fraud and Medicaid Fraud is that many large "for profit" medical services including hospitals and medical systems have moved to assembly line mass production of medical services that value maximizing profits over the individual needs of the patients. This maximization of profits can easily turn into systematic Medicare fraud or systematic Medicaid fraud. 


Many Large "For Profit" Health Care Providers Become Medical Assembly Lines for Patients, Provide Mass One Size Fits All Medical Services for Patients Regardless of Individual Medical Need, and Commit Systematic Medicare Fraud and/or Medicaid Fraud
by Texas Medicare Fraud Lawyer Jason S. Coomer

In the modern age of medicine, large "for profit" health care providers have turned traditional medical practices where doctors knew their patients and were able to spend significant time with their patients into large "for profit" billing machines where many patients are run through an assembly line and the patient is lucky to spend 10 or 15 minutes with a doctor.  These "for profit" patient mills often tend to provide one size fits all services despite the individual needs of the patient.  In many of these large "for profit" medical systems, patients are nothing more than a number or a Medicare number that can be billed.  

The large "for profit" hospitals and health care systems, often view patients through their billing departments as ways to make a profit by billing for expensive and unnecessary services as long as the services can be billed to the person's Medicare number.  Regardless of the patient's actual needs, the ability to bill Medicare for services becomes a driving force as to how the person is treated in the medical system.  By maximizing the amount that can be billed to Medicare or other third party payers, the large health care provider is able to maximize their revenue and profits regardless of what the patient actually needs.  The patient's needs often become secondary to the need to maximize profits. 

The need to overcome economic incentives that could turn medical providers away from the best interests of patients was understood and the basis in passing the Stark Laws and Anti-kickback Laws.  Hopefully, new whistleblower protections and expanded False Claims Act laws may also help curb negative economic incentives and profit driven health care providers that are placing profits over the needs of patients.  

In situations where the health care provider is driven by profit instead of a patient's needs, the traditional doctor patient relationship is violated.  The patient's trust in the health care provider can then often be misplaced.  Where the traditional expert advice of a medical doctor was once in the patient's best interest, the "for profit" health care provider can now be working against a patient's best interest and to only be maximizing profits.

Further, many "for profit" health care providers have separate billing departments, accountants, and administrators whose jobs are to maximize the hospital or health care system's profits.  These billing departments, accountants, and administrators, can sometimes determine that by making systematic changes including upcoding, phantom billing, or other Medicare fraud, that the hospital's or health care system's monthly, quarterly, or annual profits can be increased.  By slowly and continually making these systematic Medicare fraud changes, the hospital can continue to increase profits and the incremental changes can be extremely hard to detect. 

Hospital Medicare Fraud Whistleblower Lawyer, Nursing Home Medicare Fraud Whistleblower Lawyer, Physician Medicare Fraud Whistleblower Lawyer, Hospice Fraud Whistleblower Lawyer, and Home Health Care Medicare Fraud Whistleblower Lawyer
(Medicare Fraud Whistleblower Law Suits)

If you are a hospital administrator, nursing home administrator, physician, nurse, respiratory therapist, coder, accountant, dentist, health care coordinator, coding specialist, or other health care professional that is aware of Medicare fraud, it is important that you report the Medicare fraud.  As a Medicare fraud whistleblower you not only can recover a portion of the recovery if the fraud is properly reported, but it can help avoid potential criminal liability.  Medicare fraud lawyer, Jason S. Coomer helps whistleblowers that are aware of systematic Medicare fraud including health care providers that are committing upcoding, illegal kickbacks, charging for unnecessary services and procedures, charging for services not provided, double billing, or bill padding.

Through Health Care System Medicare Fraud Whistleblower Lawsuits, Hospital Medicare Fraud Whistleblower Lawsuits, and other Health Care Fraud Lawsuits, billions of dollars have been recovered from individuals and organizations that have committed health care fraud and stolen large amounts of money from the government. It is extremely important that Hospital Administrator Whistleblowers, Health Care System Whistleblowers, and other Medicare Fraud Whistleblowers continue to expose fraud schemes including off-label marketing schemes, illegal kickbacks, fraudulent billing practices, hospice fraud, nursing home fraud, dentist Medicaid fraud, and other Medicare Fraud that cost hundreds of billions of dollars.   

Feel free to clicking on the following link for more information on Hospital Systematic Medicare Fraud Lawsuits and Health Care System Medicare Fraud Lawsuits: Hospital Systematic Medicare Fraud Lawsuit and Health Care System Medicare Fraud Lawsuit Information.

Medicare Fraud Lawsuit, Systematic Medicare Fraud Lawsuit, Medicare Recipient Whistleblower Lawsuit, Medicare Fraud Whistleblower Lawsuit, Systematic Medicaid Fraud Lawsuit, and Medicare Compliance Fraud Lawsuit Information
by Texas Medicare Fraud Lawyer Jason S. Coomer

Medicare fraud and Medicaid fraud scams are costing the United States hundreds of billions of dollars and are threatening the Medicare benefits and Medicaid benefits of millions of Americans.  The cost of systematic Medicare fraud and systematic Medicaid fraud includes nursing home Medicare fraud, home health care service Medicare fraud, hospital Medicare fraud, therapist Medicare fraud, dentist Medicare fraud , and other health care provider Medicare fraud that systematically and knowingly commits upcoding Medicare fraud schemes, double billing Medicare fraud schemes, unnecessary service Medicare Fraud schemes, and other fraudulent Medicare billing schemes.  By billing for services not provided or needed, many fraudulent health care providers have found it extremely profitable to exploit the current Medicare and Medicaid system.  

As such, the United States Department of Justice and Texas Medicare Fraud Lawyer, Jason S. Coomer, are encouraging Medicare Fraud Whistleblowers with evidence of systematic Medicare fraud or systematic Medicaid fraud to step up and blow the whistle on Medicare fraud and Medicaid.  For more information on a being a Medicare Fraud Whistleblower or Medicaid Fraud Whistleblower that could be entitled to a large recovery for exposing systematic Medicare Fraud or Medicaid Fraud, feel free to click on the above links or the following link: Medicare Fraud Lawsuit, Systematic Medicare Fraud Lawsuit, Medicare Recipient Whistleblower Lawsuit, Medicare Fraud Whistleblower Lawsuit, Systematic Medicaid Fraud Lawsuit, and Medicare Compliance Fraud Lawsuit Informatio.

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