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The Wire- Medical Specialists

  • Nov 2, 2020
  • 2 min read

Updated: Mar 6, 2023

Hello Ladies and Gents


Medical fraud, money laundering to the insurance claims submitted, forget about the six figure salary, I want six figures in your money too. Imagine!


For the past decades, federal prison system has had some catchy names to add to their roaster, we are talking surgeons and physicians united in a money ring. Some reentries, for committing medical insurance fraud in hefty amounts on multiple occasions, let's just say close to millions and billions. This also leads the introduction of international medical institutions who promise States practice. The amounts of monies associated to registrants can easily make parochial schools tuition free to all within the States, Canada and Europe.


Submitting a insurance claim for a medical procedure by the doctor's orders, be advised how many times, the type of tests, hours added to additional doctor fees goes along with the claim, and this excludes adding on the doctor's salary, that comes later. Now my fellow humans, a surgeon has over fifty thousand patients, across the United States, and or within one particular state of residence, covering neighboring counties; can ya'll imagine the insurance claims being processed? Allow me to give you all some rough figures....


Surgeon sentenced to 20 some odd years for insurance fraud totaling $895,000, not once but twice, and be advised not including his salary, nor tax breaks, nor tax returns. Must be nice huh? Folks, medical insurance rates, spikes, breaks and benefits along, all structured by population size, mortality variations and expectancy, further distributed into financial brackets fit for government funding.


Merchant processing, bill claims and strategic dissection of medical coding criteria associated with test types and what the doctor actually ordered, or shall I say recommended. Further in depth, billing aspects when submitting medical claims, complexes the specialty, higher the pricing, this is a rule of thumb across medicinal processing, yet small claims, normal procedures are widely used, and easily encoded, or shall I say placed into a specific program to be included at all times a claim is submitted, despite its nature of not being. Wow, so population shall very well be covered, but by the time re-certification comes around, you shall find higher pricing, and or additional tax liabilities along. I was mind boggled by the figures and groups of high profile specialty associated with fraud and money laundering.


Puts the spotlight directly on personal data security and integrity along medical insurance benefits processing.


Your thoughts on massive amounts being processed by those we entrust with our health and body, and yes money....


Thank You

Rinku Jasmine Chadha

 
 
 

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