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March 20, 2010

Eliminating Medicare Medicaid Fraud

By Michael Levinson

A simple fix in the Medicare Medicaid statute can plug the hole on 50 billion dollars in yearly fraud. This piece explains how we uncover the fraud and do away with it within ten days.

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Medicare and Medicaid fraud is a 54 billion dollar issue. We can actually eliminate 50 billion dollars worth of fraud in ten working days. All 535 members of Congress have a staff of at least twenty people who can work the phones, uncovering all the fraudulent med-pay operations.

After uprooting the current fraudsters, the solution is a simple fine print change in the medicare medicaid statute. In today's world anyone can start a medical supply house and the next day register with Medicaid and Medicare. With a list of patients, including their social security numbers, those obtained by either corrupting someone who works in a Dr.'s office, and purchasing the patient list from them, or stealing the information via computer hack, the fraud begins.

For the thief, this is cake. Generate a fake prescription for a prosthetic arm or leg, as was shown in a 60 Minutes documentary, fill out the Medicare or Medicaid form for services rendered and the government computer spits out a direct deposit into your medical supply house bank account.

It does not require rocket science to recognize fake medical supply houses are the window for billions of dollars in fraudulent billings. Step one to eliminating the fraud is obtaining the list of names and addresses and zip codes of all registered medical supply houses doing business with Medicare and Medicaid. Add to that the list of medical professionals, their names, addresses and zip codes whose prescriptions end up in the hands of the medical supply houses. The final list are the patients whose scripts are being filled.

Having watched the CBS weekly drama, Numbers, clearly, any undergraduate computer science major with a knack for data base management could write a simple computer script that would flag all the apparent fishy prescriptions, that based on common sense geographical zip code data.

For example, a patient might travel five miles east to their physician's office, but an additional seven miles farther down the road to a medical supply house, to fill the prescription for the latest radar equipped oak plated cane? I doubt it.

With all the computer flagged transactions in hand, every House of Representative member's staff could put a friendly government call through to all of the med-supply houses in their districts.

These so-called med-supply houses are supposedly dealing with the public, so the failure to answer the phone, or return a call is reason enough to freeze their Medicare Medicaid account and immediately contact FBI to touch base with the fake medical supply house's depository bank to also put a temporary freeze on all withdrawals from that bank account, too.

There are legitimate medical supply houses that are one product operations. For example, a company fills prescriptions for a portable machine with electric nodes to massage back muscles. A doctor writes the prescription for the machine, and the company supplies their machine, and accessories to patients all over the country. They are a genuine company and always answer their telephone.

With a computer data base program an undergraduate computer science major could write, within two weeks every fraudulent medical supply house will be exposed, their bank accounts frozen, their doors closed, and the prevaricators running for cover. Legitimate companies, accidentally caught in this mill can easily prove they are on the up and up because they have actual genuine records of goods and services provided that can be verified.

The long term solution is common sense change in the statute, disallowing "new" medical supply houses from doing business directly with Medicare and Medicaid.

Excepting single product medical supply houses that distribute their single product across state lines, all prescriptions must be personally presented by the patient to a bricks and motor pharmacy in the same zip code, or at most, one zip code away from the patient's residence, or the doctor's office.

The place where you generally purchase your pharmaceuticals is the place where you fill the prescription for your new prosthetic pinky toe. Of course there are exceptions. Someone bed ridden might give their ID, with their Medicare or Medicaid card to their care giver to go to the pharmacy on their behalf.

Under current law, anyone can claim they are a medical supply house, register for services rendered reimbursement from medicare and medicaid, submit fake prescriptions and syphon the tax payer's dollars 24 / 7.

Every Congressional office in Washington can have their DC staffs phoning every supply house in their districts. Someone in the Congressperson's district office can hop in their car and drive over to see is there actually more than a P.O. box for the fake company whose address is an empty lot.

Within ten working days a yearly 50 billion dollar fraudulent drain on Medicare and Medicaid will be plugged. Bureaucracies are alien, the only creatures on good ship mother earth that feed on themselves and multiply.

The bureaucrats who wrote the Medicare / Medicaid regulations knew they were creating a window for unlimited fraud. The above is a simple fix.

http://michaelslevinson.com


Authors Bio:
Michael Stephen Levinson is the Lev. He is a candidate for president who brings a Vehicle For World Peace to the table with an innovative solution for every 'prob limb.'



Lev is the poet prophet who was on a ship, 40 days and 40 nights in 1969, when God, the LAN Lord Creator "uh pin" heaven, revealed his word unto the poet's mind. This was during a trip on an ocean going ship, in the wilderness of the open sea, at the southern tip of Africa.



There were giant configurations across the Heaven's reach. The Milky Way appeared to reconfigure! This anomaly was noted in the logs of many ships. The crew on the ship saw the heavens and saw the poet was enveloped.



J. Edgarina, the fascist cross dressing pervert of dirt, knew all about it within the days that followed. Hoover, the Jew hating pharaoh of fascists felt someone could come forward to lead the anti-war movement and CLASSIFIED memos show he had his people on the look out for just such a person.



FBI and CIA were listening when the poet revealed to his mother that he was given words for all man kind, this, via telegram and trans ocean call. Hoover's memos are active TOP SECRET to this day because the poet prophet is still with us, as are J. Edgarina's fascist minions.



His prophetic Television Scripture, "The Book ov Lev It A Kiss," His Vehicle for World Peace is hand lettered, in double columns, with every line a delicate sensible 'mull-tie-ling-well' rhyme, a law, a riddle or truth buried in, beginning with Adman and Even in the Gar Den ov Edum, all the generations of men, how the Cheyenne-easy people became yellow skinned, what ha penned when Moses went up to hear the big sigh on Mt. Sinai, and more.



The Television Scripture was written down to perform, like old blind Homer, from dusk until dawn, but this time around on 'whirled' wide television, for all the world's peoples to participate in together all at once, on all channels and radio waves.



World Peace begins with a peaceful night when all the world's peoples take one night off, for a change, and are at home, giving the poet prophet a chance to settle all the issues of turf on good ship mother urf. That is what the poet prophet presidential candidate Michael Stephen Levinson is about - changing the course of human history on the good ship mother urf. This is knot the apocalypse. It will be a pox on yer lips, with every jaw dropped in awe.



In the Television Scripture all the words are broken down into 'silly bulls' and spelled the way they sound. When you read you slip around / and slide back in / to the ancient tongues you spoke / in the lives you lived before. Good.



The Television scripture is prophetic. Nixon is described leaving the White House disgraced, Spiro Agnew a tragic hero over money. George Wallace gets shot in the back. The Persian Gulf War, when, where, why, who would do the fighting, how it would turn out carefully described in rhyme, as is the global warming and arctic ice caps melting.



Go to youtube.com/poetprophet. View the '88 speech on NHPTV where poet prophet describes the arctic ice caps melting from his Television Scripture. See Adman and Even on youtube or michaelslevinson.com.



The poet has a natch a rill sense of words, world orders and word hors d'oeuvres, a new word order, an interim book, "New World Hors D'oeuvres."



Is there anyone else on the planet who created a spoken poem for all man kind, to perform like old blind Homer, from dusk until dawn, for all the world's peoples at once, so at dawn we have a twelve 'our' video trans crypt. A font of the poet's letters is in the works to digitally renew The Book ov Lev for you. Pizza. Every buddy gets a slice.

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