by Patrick ➕follow (60) 💰tip ignore
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Medicare and Medicaid fraud assumed monstrous proportions with the passage of the CARES Act of March 25, 2020. ...
Uncle Sam paid hospitals a fee for performing a Covid test, then another fee for admitting a Covid positive patient, and then the full daily Medicare (with a 20% add-on) hospitalization rate, regardless of the patient’s insurance status.
The MD and Minnesota State Senator, Dr. Scott Jensen, drew attention to this in an April 8 interview with Fox News’s Laura Ingraham:
Right now, Medicare has determined that if you have a COVID-19 admission in hospital, you’ll get paid $13,000 dollars. If that COVID-19 patient goes on a ventilator, you get $39,000 dollars, three times as much.
Dr. Jensen was addressing the concern that hospitals were thereby incentivized to code patients as COVID-19 admissions even if they were suffering from other illnesses or injuries. Of additional concern was the CDC’s guidance:
In cases where a definite diagnosis of COVID-19 cannot be made, but it is suspected or likely (e.g., the circumstances are compelling within a reasonable degree of certainty) it is acceptable to report COVID-19 on a death certificate as “probable” or “presumed.”
This created the possibility that the death of any patient—including extremely frail people with multiple co-morbidities—who also happened to present flu-like or pneumonia symptoms, could be attributed to COVID-19, even without a positive test. ...
On November 2, 2020, the Centers for Medicare and Medicaid Services (CMS) announced it would pay an additional 20% add-on payment to hospitals that used new FDA-approved drugs for treating COVID-19. The first therapies that were eligible for this bonus were remdesivir and convalescent plasma (extracted from donated blood). The cost of these drugs was covered by the Medicare add-on payment. In other words, Medicare (a U.S. government funded institution) paid hospitals a 20% gratuity on the patient’s entire hospital bill (already “enhanced” 20%) for using these new drugs. ...
Sure looks like Antifa to me.
BREAKING 🚨
The suspect in the murder of UnitedHealthcare CEO Brian Thompson has been identified as 26-year-old Luigi Mangione.
He is known as an anti-capitalist, a climate activist, and likely a pro-Palestinian advocate.
https://twitter.com/Osint613/status/1866193110482768175
denials are in the best interests of everyone
On Monday, Dec. 9, sources with NBC News confirmed the man -- who they identified as 26-year-old Luigi Mangione -- was being questioned in Altoona, Pennsylvania. The sources said customers at a McDonald’s in the area called police after spotting Mangione, who they deemed suspicious. Responding officers noticed he had a fake ID and took him in for questioning.
Once at the police station, officers discovered Mangione had a gun similar to the one used in Thompson's killing, as well as a silencer and a fake New Jersey ID with the name "Marc Rosario" on it, law enforcement officials told NBC News.
Sources had said the gunman in the shooting used a fake New Jersey ID with the same name "Marc Rosario" when he checked into a Manhattan hostel last month.
Mangione was arrested on unrelated firearm charges, New York City Police Commissioner Jessica Tisch announced during a Monday afternoon press conference. He has not been arrested or charged in connection to Thompson's death.
Mangione reportedly graduated in 2016 as valedictorian from Gilman School, an all-boys high school in Baltimore, Maryland.
The 26-year-old was born and raised in Maryland, apparently has ties to San Francisco, and a last known address in Honolulu, Hawaii.
All non-emergency medical bills should be presented in advance of treatment, to let people shop around. Anything not on the bill agreed to in advance should be free. That one change would fix an awful lot of problems. But doctors and hospitals like to keep all the charges hidden until it's too late to shop. That is the core of their business model, and it must stop.
“I never thought I would sit across from you and say, wow, fantastic, God bless insurance companies, but it helps,” he said.
That is, until he went to TD Bank to try to cash the check, only to learn that the bank, which holds the mortgage on the property, wouldn’t endorse it.
“They informed me that they won't endorse the check because they have requirements,” he said.
Those requirements include notarized documentation detailing the need for the money and how it will be spent.
But despite providing documentation proving his damage, Razavi said the bank isn’t budging. Instead, he’s being asked to provide more paperwork, including a claim adjuster’s report which is backlogged by at least a month.
Razavi isn’t alone.
His neighbor also got an advance check from his insurance company worth $2500.
But TD Bank won’t endorse that check either.
Trying to navigate between the various doctors, hospitals, and insurers is itself a kind of torture of Byzantine complexity, something I think does not happen nearly as much anywhere else.
Two local police officers nabbed Mangione while he was munching fries in an Altoona, Pennsylvania McDonalds. (He’s probably not MAHA.) According to unconfirmed reports, even though Mangione was wearing his blue surgical face mask, an anonymous tipster recognized his distinctive eyebrows.
Consider that for a second. Here is a link to some affordable eyebrow trimmers. Had he used them, who knows how things might have turned out. Just saying.
Officers reported that on arrest, six days after the shooting, Mangione was still carrying the murder weapon. I guess he really liked that gun. They also said that, even though he had a laptop, Mangione —who earned an honors engineering degree— had a three-page handwritten “manifesto” folded into his pocket.
Apparently, Mangione’s manifesto was an anticapitalist screed against big insurance companies, which he called “parasites.” NYPD Chief Detective Joe Kenny said, “It does seem he has some ill will toward corporate America.”
Yes, it does seem that way.
According to police descriptions of his manifesto, murderous Mangione targeted UHC only because it was one of the biggest and most profitable companies, and targeted Brian Thompson specifically only because he was UHC’s CEO.
Mangione doesn’t fit the New York Times’ preferred assassin’s profile. Maybe they were hoping for someone more diverse...
But boy did the Blues try to hide the Trans-shooter's manifesto
Sources had said the gunman in the shooting used a fake New Jersey ID with the same name "Marc Rosario" when he checked into a Manhattan hostel last month.
As I get to be an old fart, it strikes me that shit was far more simple in the days of typewriters and triplicate forms.
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