Dr James Schaller
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MEDICARE IS DEAD

MEDICARE OFFICIALS AND
POLITICIANS STOLE YOUR MEDICARE

The real reason doctors are dropping out of Medicare is not really low reimbursements, but because of the potential devastating penalties that they can charge to docs, and this has happened to many physicians without reasonable due process.

MEDICARE IS LIKE STATE BOARDS WHO ARE OUT OF CONTROL

Medicare is similar to state medical board investigations in which 7 minute medical appointments are expected to meet 1950's pre-HMO detailed standards, and the research shows many of those on the Boards are slow to keep up with innovative medicine and these Boards are excessively controlled by lawyers who actually think most illnesses have one standard of care—as if each patient were a clone of all the others with their complex of illnesses. Why do lawyers run state medical boards? They have a 9th grade science education, and the best medicine is not usually in print yet.

MEDICARE IS A DRUNK DRAGON

MEDICARE IS IMPOSSIBLE TO HANDLE SO SOON
YOUR MEDICARE CARD WILL BE WORTHLESS

Visits are charged in five levels of service, from simple to complex with strict rules that determine which level should be charged by the doc to Medicare. Trouble is, if a simple clerical omission is made, and Medicare picks this up on an audit, they can call for an audit of EVERY chart in the office, and they can go back forever, without any statute of limitations. They can then fine $10,000.00 per violation.

An audit requires that the doc make an "official" photocopy of EVERY chart--a daunting and expensive and time consuming task. In addition, the doc will spend often tens to hundreds of thousands of dollars in legal defense costs.

I'll give you an example. I have a friend whose business it was to manage medical practices. His company at one time had clients in many states, and his company, among other things, did the billing. The business plan was that his company owned the various practices, and then in turn employed the physicians.

Medicare made an audit because they couldn't understand why many bills for many doctors were being sent out from one address (the address of the company's billing office). They assumed these bills were bogus, and initiated an audit. They could not comprehend the concept of a central billing office. I suppose the notion of the IRS was a class they missed in school. Medicare called for a copy of EVERY chart in the entire organization-- then the investigation went on for 1 1/2 years. The huge effort and expense bankrupted the entire company, and every single doctor in this system lost his/her job. After all this was over, Medicare said- you were right- there is no problem. Sorry.

W

ell, "sorry" did not repay the massive expenses, intimidation and economic devastation felt by everyone.

I also know of several individual docs who underwent similar investigations and even though no fraud was committed, they went bankrupt, lost their homes, their practices, etc. As if this was not enough, if Medicare is convinced that insurance fraud occurred, they notify state authorities and the doc is charged with insurance fraud-- a criminal offense.

Remember, even if totally innocent, the process of defense becomes so damaging, the doc is literally screwed.

I refer you to the organization AAPS which is a doctor watchdog service. They outline the above and more, and openly encourage all physicians to opt out of Medicare forever.

I fear that any type of government-run insurance will follow the same practices.

Until the insurance-government complex is designed and administered by physicians and [minimally involved] honest attorneys, then the system will remain broken and dangerous to practitioners.

******

Intellectual content above is derived from Dr. J. Burrascano and the AAPS. Dr. Schaller altered some lines.



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