Grrrr.... It still cut off my last few paragraphs.. Here they are:
As an advocate for people with disabilities who works for an agency that bills Medicaid in NY, I'm very sensitive to the issue of public officials mislabeling honest mistakes as "fraud" and using these events to get publicity for their "crusades".
But as a taxpayer, I don't think a system that lets money get out the door when it shouldn't is "working". I think it's broken. In this particular case, the provider was honest. In other cases they are not. In those cases it's been pretty hard to recover funds spent on yachts and so forth.
I would not be surprised if the behavior of the system in this case--to pay on questionable claims--was, in part or in whole, the result of a political decision, since NY's DOH bureaucrats are largely in the pockets of medical providers (and some of them have passed through the typical goverment/industry revolving door and actually WERE medical providers). But it's still bad design.
Ken Dibble www.stic-cil.org _______________________________________________ Post Messages to: [email protected] Subscription Maintenance: http://mail.leafe.com/mailman/listinfo/profox OT-free version of this list: http://mail.leafe.com/mailman/listinfo/profoxtech Searchable Archive: http://leafe.com/archives/search/profox This message: http://leafe.com/archives/byMID/profox/[email protected] ** All postings, unless explicitly stated otherwise, are the opinions of the author, and do not constitute legal or medical advice. This statement is added to the messages for those lawyers who are too stupid to see the obvious.
