Skip to comments.New York Medicaid Fraud May Reach Into Billions
Posted on 07/17/2005 10:43:41 PM PDT by cyborg
New York Medicaid Fraud May Reach Into Billions * E-Mail This * Printer-Friendly * Single-Page * Reprints By CLIFFORD J. LEVY and MICHAEL LUO Published: July 18, 2005 It was created 40 years ago to provide health care for the poorest New Yorkers, offering a lifeline to those who could not afford to have a baby or a heart attack. But in the decades since, New York State's Medicaid program has also become a $44.5 billion target for the unscrupulous and the opportunistic. Skip to next paragraph Andrea Mohin/The New York Times A barker lured customers to Dr. Dolly Rosens Brooklyn office, which had extraordinarily high Medicaid billings. This is the first of a series of articles that will examine the security, the effectiveness and the cost of New York's Medicaid program, the largest of its kind in the nation and the state's biggest expense.
(Excerpt) Read more at nytimes.com ...
This is an absolute outrage. When will this crap end!
That's up to the Republicans. Democrats LOVE programs like Medicaid.
That's up to the Republicans.
*Wow then NY is SOL, given the current party leadership.
Paging Hillary, Hillary to the front desk. Health problem in New York which doesn't NEED ANY MORE MONEY.
The federal Medicare system is much worse.
I am not familiar with that situation enough to comment. I'll take your word for it.
FReepmail me if you want on or off my New York ping list.
I'm sure that most people in NY are very upset about this.
I'm also sure that they will continue to elect liberals into office.
Please excuse any redundant pings.
Wherever there is are large concentrations of elderly patients cooked MD's & their billing department cohorts milk both Medicare & Medicaid, through double & even triple billing, coupled with multiplicity of other fraudulent charges. It's all in the codes.
Florida may take the cake, even over New York, since it's basically a gigantic nursing home with medical profession swindlers coming in from everywhere.
Medicaid and Medicare are likely the most corrupted gubmint programs out there.
They should be grandfathered out with SS.
Outstanding post. BTTT! $ocialized Criminals.
Sigh. And one of the problems is, most of the individual fraud is in such small increments, it costs more to investigate and close a single case, than the amount the fraud was worth in the first place.
I just heard on the news that a Buffalo administrator enrolled 4,400 student in speech therapy in one day..
A dentist billed for 991 procedures in one day..
Yup, just what we need in this frikin state, more fraud, corruption and abuse.
Just one more reason I am running and created http://www.primarychallenge.org with Lenny Roberto.
We have to find candidates this year to focus on Albany next year.
The only way to beat these corrupt incumbents is in the primary.
Best case would have someone to primary every senator and assemblyman in every district.
Anyone want to help do this? we have coordinators in 22 counties. We need more and need to start now.
"I am shocked, shocked there is gambling going on in this establishment." - Casablanca
We design these programs to help people but we don't seem to have the brains to understand that too many people will 'help themselves' if we allow it.
These programs might refuse to pay a bill because you left out your middle initial. Is that what we call a fine "Watchdog Program"?
I'm 45 years old, grew up in Jersey, had relatives in NYC (none on public assistance). Mom is from the Bronx. We all knew IN THE 70's that this was going on. I'm astounded that anyone else is astounded.
Now that's convenient----if this lowlife scam artist gets tried---and that's a big IF----one of those corrupt Brooklyn judges will get a nice fat envelope stuffed with cash to fix her case-----that's taxpayer's cash, of course.
You are right on Liz!
Uh-huh. Yeah, right. "State" health officials have a vested interest in seeing that the fraud continues.
This will never end. The state encourages Lawyers to set up trusts for people who would otherwise not qualify for Medicad to shelter their money so the state taxpaayers pay for their healthcare expenses rather than their own bank accounts. Legalized Fraud.
The group that I used to work with helped NY State with Medicaid, Medicare and Social-Security fraud investigations. We quit when Clinton severed us from the program. Then he said that "We will start looking into fraud." We were finding much fraud at the time (1994-95?). Most of the fraud is from companies set up by the Mafia.
From my conversations with ex-Army people from the 1920s and 1930s (the people, not the conservations), it seems that the DOD is probably the worst offender. It's been around longer so there's has been more opportunity for corruption.
Follow the money.
It's a substantial chunk! The left would rather abandon Afghanistan & Iraq to the hordes of self detonating Islamokillers and some how everything 'will work itself out', while ignoring domestic contributions to the 'deficit'.
"Sigh. And one of the problems is, most of the individual fraud is in such small increments, it costs more to investigate and close a single case, than the amount the fraud was worth in the first place."
The problem is if the crooks believe they can commit insurance fraud without legal ramifications the fraud will only worsen. It's another bureaucratic black hole.
The 'Mob,' what Mob? [America's Mob is the NE's "Democrats"]
.....Dims are more ruthless, greedy and and dangerous than That Mob..........
New York is probably one of the biggest problems, because they have so many people. But the fraud is everywhere. My favorite :-) story was about a doctor who was billing Medicaid in Wash, DC for years for doing pap smears for residents of nursing homes. Someone finally noticed that two of the nursing homes were for men only. Whoops - Busted.
Medicaid and Medicare are two money-holes.
Oh, no doubt. No doubt at'all..
STATEMENT BY PEF PRESIDENT ROGER E. BENSON CALLING FOR THE RESIGNATION OF DENNIS P. WHALEN, EXECUTIVE DEPUTY COMMISSIONER, NEW YORK STATE DEPARTMENT OF HEALTH
This is in response to a finding by the State Ethics Commission that Whalen had violated the State Ethics Law by repeatedly accepting gifts and meals from two individuals involved in health related ventures and who represented nursing homes with business pending before the Department.
We're appalled that one of the key state officials responsible for regulating the nursing home industry had his hand in the nursing home industry cookie jar.
In southern California, MediCal fraud is the preferred occupation for a significant number of recently arrived former residents of several eastern european countries. Because we don't properly police the program, it's become a cottage industry for many. Phony store-front medical supply stores and 'community clinics' are commonplace.
The argument is made that each case is so small that investigation costs exceed the loss, but the reality is that each individual busted for a $200 fraudulent bill is an individual who won't pass off a thousand of them is he's not caught.
The level of investigative effort is truly pathetic. A friend who became aware the clinic at which he worked was processing fraudulent claims on his MediCal number quit the clinic, asked MediCal to give him a new number, and advised them that any further charges on the old number would be fraudulent. MediCal proceeded to pay the bogus charges for the next THREE YEARS, then came after HIM for the money. Pretty amazing.
The Governor, the Attorney General, the Comptroller and every member of the New York State Legislature should be impeached for this robbery of the taxpayers. But they won't be. No one will "suffer" except for the "Barnumites*" who live here.
Oh, and by the way, Roger Benson would like for you to forget about this problem......
<< ..... Dims are more ruthless, greedy and and dangerous than That Mob .......... >>
Precisely my contention!
Those jokers are, by comparison, pussies.
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