Wednesday, September 26, 2012

Gaming the system

'Gaming' is probably not the right word, but it's more polite than cheating or fraud.  And , when it comes to doctors, one tends to be polite.  Howsomever, when you read the series "Cracking the Codes" by the Center for Public Integrity, you'll probably use the less polite words to define what hospitals and doctors are doing vis-a-vis collecting their fees from Medicare.

Wendell Potter attributes the problem to the reality that "lawmakers and regulators put lobbying and professional groups representing health care providers in charge of writing the rules that determine reimbursement".  Further, he asserts that the Center for Medicaid Services has ignored the findings of their auditors that chicanery is widespread.

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