Medi-scandal: Doctors Estimate $8 Billion A Year Lost To Medicare Fraud And Waste

Bad actors are in every industry and it is unacceptable in medical world, but: - I want to see where the $8 billion comes from. Is that extrapolated from an example of a “super clinic” (which let’s be honest, aimed at maximising profit as they get % of all billings) - i’d like to see common examples, not 1 or 2 random anecdotes that sounds far in between. 8 out of 28 is not 1 or 2 random cases

The Medicare item coding system is a maze, honest mistakes are no doubt occurring at all times, as well as laziness/unwillingness to learn. But honestly this leads to both over- and under- billing.

Business courses are exactly what they are - business courses.

Follow-ups are crucial for healthcare management in GP settings. How else are you going to know if your patient is recovering or taking a turn for the worse? Poor follow-up and monitoring is a major reason behind hospital overload and deteriorating patients.

In terms of who obviously tries to rort the system and make money out of it, it’s companies that setup telehealth only services for things like medical certificate etc, like Ms Faux’s client that was brought up. Yes there’s medical officers involved in it, but that business model is obviously just a business model masking itself as a medical service. Unsurprisingly, usually led by business- minded non-medical people.

/r/australia Thread Link - abc.net.au