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(NPR)   FBI raids The Scooter Store, slow but highly maneuverable chase in progress   (npr.org) divider line 133
    More: Interesting, FBI, car chase, TSA, Texas Attorney General, New Braunfels, Medicare fraud, Melissa Block, crack down  
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10009 clicks; posted to Main » on 22 Feb 2013 at 9:29 PM (1 year ago)   |  Favorite    |   share:  Share on Twitter share via Email Share on Facebook   more»



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2013-02-22 04:07:08 PM
I always figured that place was shady...
 
2013-02-22 04:09:34 PM
bloximages.newyork1.vip.townnews.com
 
2013-02-22 04:22:12 PM
The Scooter Store is owned by Sun Capital, the investment firm owned by Marc Leder, the guy who hosted the fundraiser where Mitt Romney made his "47%" comment.
 
2013-02-22 04:24:48 PM
Seriously, I didn't even give that Chapo Guzman killed in a firefight story a Newflash tag.
 
2013-02-22 04:27:15 PM

propasaurus: The Scooter Store is owned by Sun Capital, the investment firm owned by Marc Leder, the guy who hosted the fundraiser where Mitt Romney made his "47%" comment.


That'll teach them to oppose The Anointed One
 
2013-02-22 04:28:55 PM

dj_bigbird: propasaurus: The Scooter Store is owned by Sun Capital, the investment firm owned by Marc Leder, the guy who hosted the fundraiser where Mitt Romney made his "47%" comment.

That'll teach them to oppose The Anointed One


What's this got to do with Palin?
 
2013-02-22 04:39:38 PM

propasaurus: dj_bigbird: propasaurus: The Scooter Store is owned by Sun Capital, the investment firm owned by Marc Leder, the guy who hosted the fundraiser where Mitt Romney made his "47%" comment.

That'll teach them to oppose The Anointed One

What's this got to do with Palin?


Well, most of The Scooter Store's customers are tired of walking long distances, which is why they buy scooters. As for Palin...

...don't you think she looks tired?
 
vpb [TotalFark]
2013-02-22 04:45:51 PM

zulius: I always figured that place was shady...


Well, it's a company that makes it's money by billing Medicare that's owned by a right wing Republican?  What about that makes "shady" come to mind?
 
2013-02-22 07:15:16 PM

vpb: zulius: I always figured that place was shady...

Well, it's a company that makes it's money by billing Medicare that's owned by a right wing Republican?  What about that makes "shady" come to mind?


True. It's not like Florida's governor was involved. I'm sure the place is legit.
 
2013-02-22 08:11:33 PM
You mean the Tea Party's HQ was raided?
 
2013-02-22 08:15:07 PM
littleguurrl.files.wordpress.com

Hoveround guy sings about how Scooter Store can go fark itself.
 
2013-02-22 08:42:15 PM
They advertise the hell out of these and hoverounds on over-the-air tv and have for some time. The biggest selling point seems to be the fact the government will pay for it.
 
2013-02-22 08:45:30 PM
cache.gawker.com


Now my Hoveround business will completely dominate the scooter market for the obese and elderly, mwahahaha!
 
2013-02-22 08:52:35 PM
Hope this guy is next:

1.bp.blogspot.com
 
2013-02-22 09:14:58 PM

Nina_Hartley's_Ass: They advertise the hell out of these and hoverounds on over-the-air tv and have for some time. The biggest selling point seems to be the fact the government will pay for it.


I wonder how many people got them just to sell?
There are over 1000 of them for sale on Ebay at any given time.
 
2013-02-22 09:24:22 PM
Republicans, eh?

www.evrider.com
 
2013-02-22 09:33:32 PM
No explanation for why Wal*Mart stock plummets.
 
2013-02-22 09:33:44 PM
farm4.static.flickr.com
 
2013-02-22 09:34:50 PM

Nina_Hartley's_Ass: They advertise the hell out of these and hoverounds on over-the-air tv and have for some time. The biggest selling point seems to be the fact the government will pay for it.


It's like an Obama Phone but bigger. And you can ride it!

img.photobucket.com
 
2013-02-22 09:36:21 PM
And yet the government still won't pay for my manatee aqua scooter.
abcnews.go.com
Thanks Obama!
 
2013-02-22 09:36:45 PM
i.imgur.com
 
2013-02-22 09:36:54 PM

TommyymmoT: Nina_Hartley's_Ass: They advertise the hell out of these and hoverounds on over-the-air tv and have for some time. The biggest selling point seems to be the fact the government will pay for it.

I wonder how many people got them just to sell?
There are over 1000 of them for sale on Ebay at any given time.


I work for a company that provides power wheelchairs and have literally never seen that. Usually the person that received it will die and a relative will try to sell it. Medicare has a mandatory 13 month rental period now so if the patient becomes ineligible they can not keep the chair.
I am glad the scooter store is going down. They are well known fraudsters.
 
2013-02-22 09:39:31 PM

propasaurus: The Scooter Store is owned by Sun Capital, the investment firm owned by Marc Leder, the guy who hosted the fundraiser where Mitt Romney made his "47%" comment.


And, yet, predictably, despite this being broken up by Obama-era FBI and far from the first instance of Medicare fraud conducted by Republican movers-and-shakers, both my right-wing family members on Facebook are on a rampage about how this proves liberal corruption.
 
2013-02-22 09:40:14 PM
TFA stated people using these machines in airports to cut in line then running off after they get first dibs in line. i doubt they are bringing their own chairs. these sound like public use chairs in the airport for handicapped to use.

this is not a reason to examine the chair manufacturer/seller. this is a scumbag at the airport problem. scumbags who take chairs away from those in need to jump the line should be held by airport security. let them miss their flight, maybe they won't pull such tomfoolery again.

and if Uncle Sam has a problem with too many doctors writing paper for the chairs they should take it up with the doctors. the supplier just sells them.
 
2013-02-22 09:41:05 PM
Subby is going straight to hell at no more than 6 MPH
 
2013-02-22 09:42:54 PM
For no apparent reason, I've gotten lots of spam from them (or one of their "affiliates"). So I figured they were shady.
 
2013-02-22 09:43:42 PM

KrispyKritter: TFA stated people using these machines in airports to cut in line then running off after they get first dibs in line. i doubt they are bringing their own chairs. these sound like public use chairs in the airport for handicapped to use.

this is not a reason to examine the chair manufacturer/seller. this is a scumbag at the airport problem. scumbags who take chairs away from those in need to jump the line should be held by airport security. let them miss their flight, maybe they won't pull such tomfoolery again.

and if Uncle Sam has a problem with too many doctors writing paper for the chairs they should take it up with the doctors. the supplier just sells them.


Two separate stories, one article.
 
2013-02-22 09:45:28 PM

KrispyKritter: TFA stated people using these machines in airports to cut in line then running off after they get first dibs in line. i doubt they are bringing their own chairs. these sound like public use chairs in the airport for handicapped to use.

this is not a reason to examine the chair manufacturer/seller. this is a scumbag at the airport problem. scumbags who take chairs away from those in need to jump the line should be held by airport security. let them miss their flight, maybe they won't pull such tomfoolery again.

and if Uncle Sam has a problem with too many doctors writing paper for the chairs they should take it up with the doctors. the supplier just sells them.


Read it again.
 
2013-02-22 09:45:52 PM
hmmmmn,.... what to post....?
"no new fix old?"
"keep govment out of our medicare?"
that handy long-armed reachy-grabby thing so people in wheelchairs can grab the peanut butter off of the top shelf?
Wilford Brimley Diabeetus?
"Hooveraround taaaakes meee where I waaanaa go?"

Screw it, I'll just go with the obvious paraphrasing of Daniel Tosh "does anyone else ever daydream abour being on the price is right?"

I'm gonna pass on the redneck starter package.
 
2013-02-22 09:49:36 PM
FTFA: <I>[Former salesman Brian] Setzer told CBS This Morning that the company's strategy was to 'bulldoze' doctors into writing prescriptions, so people would get the chairs, whether they needed them or not. 'They were just pushing harder and harder to get chairs sold,' Setzer said." </i>

I guess he was just mad that the old folks couldn't Stray Cat Strut in their powerchairs.

\That was the best I got.  Weak, but hey.  +.25 for trying?
 
2013-02-22 09:50:36 PM
www.silverscreentest.com
 
2013-02-22 09:51:38 PM
PSA:  products that treat actual medical conditions and require a doctor's prescription don't need to advertise on TV - your doctor will prescribe it if you need it.
 
2013-02-22 09:54:54 PM
The tea baggers all ride scooters and hoverounds. And now Obama's coming for their scotters.

It all makes sense.
 
2013-02-22 09:55:49 PM

propasaurus: The Scooter Store is owned by Sun Capital, the investment firm owned by Marc Leder, the guy who hosted the fundraiser where Mitt Romney made his "47%" comment.


Ladies and gentlemen, you next governor of Florida.
 
2013-02-22 09:56:02 PM

trippdogg: PSA:  products that treat actual medical conditions and require a doctor's prescription don't need to advertise on TV - your doctor will prescribe it if you need it.


They are actually advertising a place to FILL prescriptions. (For power wheel chairs) just like Walgreens does on the radio here.
/Still crooks
//just sayin'
 
2013-02-22 09:56:03 PM

Nina_Hartley's_Ass: They advertise the hell out of these and hoverounds on over-the-air tv and have for some time. The biggest selling point seems to be the fact the government will pay for it.


"And it didn't cost me one red cent"

Color me surprised that there was fraud going on.
 
2013-02-22 09:59:41 PM
My SiL just got her Scooter in December, so I'm getting kicks...

/she needs it...she's in advanced MS
//she's a fox, too
///did I mention she's hawt?
 
2013-02-22 10:04:30 PM
It's about farking time. That place always struck me as crooked. When someone advertises 'Well get Medicare to pay for your scooter or we'll give it to you for free!' something isn't right. At least these people got something for them, unlike in Miami where the products don't even exist.

Next order of business needs to be all of the 'SSI Lawyers'. My wife is a nurse, and she tells me the stories of how an entire family will come in with identical symptoms of how they're hearing voices and seeing things. You would think half of Florida was haunted to hear these idiots talk about it. So if it doesn't work? Just work on your act and find another doctor! Didn't fool him either? Well, just keep on going.

Remember you only need 3 refusals before you can hire your SSI Lawyer! No money, no problem, they work on contingency!
 
2013-02-22 10:10:37 PM
I'm guessing the only reason it took so long was the backlog of work for the lawyers- the Federal Government doesn't have the manpower to do everything it wants these days. Once they got the preliminary case built against them, well, send in the FBI.
 
2013-02-22 10:13:39 PM
Matt Taibbi's now-infamous Rolling Stone article is relevant here.

Scanning the thousands of hopped-up faces in the crowd, I am immediately struck by two things. One is that there isn't a single black person here. The other is the truly awesome quantity of medical hardware: Seemingly every third person in the place is sucking oxygen from a tank or propping their giant atrophied glutes on motorized wheelchair-scooters. As Palin launches into her Ronald Reagan impression - "Government's not the solution! Government's the problem!" - the person sitting next to me leans over and explains.

"The scooters are because of Medicare," he whispers helpfully. "They have these commercials down here: 'You won't even have to pay for your scooter! Medicare will pay!' Practically everyone in Kentucky has one."

A hall full of elderly white people in Medicare-paid scooters, railing against government spending and imagining themselves revolutionaries as they cheer on the vice-presidential puppet hand-picked by the GOP establishment. If there exists a better snapshot of everything the Tea Party represents, I can't imagine it.

After Palin wraps up, I race to the parking lot in search of departing Medicare-motor-scooter conservatives. I come upon an elderly couple, Janice and David Wheelock, who are fairly itching to share their views.

"I'm anti-spending and anti-government," crows David, as scooter-bound Janice looks on. "The welfare state is out of control."

"OK," I say. "And what do you do for a living?"

"Me?" he says proudly. "Oh, I'm a property appraiser. Have been my whole life."

I frown. "Are either of you on Medicare?"

Silence: Then Janice, a nice enough woman, it seems, slowly raises her hand, offering a faint smile, as if to say, You got me!

"Let me get this straight," I say to David. "You've been picking up a check from the government for decades, as a tax assessor, and your wife is on Medicare. How can you complain about the welfare state?"

"Well," he says, "there's a lot of people on welfare who don't deserve it. Too many people are living off the government."

"But," I protest, "you live off the government. And have been your whole life!"

"Yeah," he says, "but I don't make very much."
 
2013-02-22 10:14:38 PM

propasaurus: The Scooter Store is owned by Sun Capital, the investment firm owned by Marc Leder, the guy who hosted the fundraiser where Mitt Romney made his "47%" comment.


Without him, maybe it would only be 46%.
 
2013-02-22 10:22:50 PM

liltingbanshee: For no apparent reason, I've gotten lots of spam from them (or one of their "affiliates"). So I figured they were shady.


This.  Every time I check my spam filter, there are always a few ads from the Scooter Store saying they can get me a free scooter if I have medicare.  It's right there with ads for Viagra, 419 scam letters, pitches for questionable diet drugs, and ads for Christianminge.com.

I have a little policy, if I get spam from any company, I presume them to be a scam.
 
Ehh
2013-02-22 10:23:38 PM

vpb: zulius: I always figured that place was shady...

Well, it's a company that makes it's money by billing Medicare that's owned by a right wing Republican?  What about that makes "shady" come to mind?


I snerked.
 
2013-02-22 10:26:33 PM
Subby, do you mean "The Shcooter Shtore"?  That's what the ads say!
 
2013-02-22 10:27:31 PM
I've always said their commercials should say "and we'll double-bill ... I mean, bill ... Medicare directly."
 
2013-02-22 10:35:37 PM

trippdogg: PSA:  products that treat actual medical conditions and require a doctor's prescription don't need to advertise on TV - your doctor will prescribe it if you need it.


There are some pharmaceutical companies who would most likely disagree with you.  It seems like the whole world must be suffering from diabetes and asthma...
 
2013-02-22 10:36:09 PM
I'd like to know how they "bulldoze" doctors into prescribing scooters.
 
2013-02-22 10:41:45 PM

BarkingUnicorn: I'd like to know how they "bulldoze" doctors into prescribing scooters.


I've got an old college classmate who's a medical student now.  He tells me that apparently it's a well-known pattern of harassment in the medical community, even to the point of getting people to ambush docs in parking lots with papers and trying to pressure them into signing prescriptions.  They'll call and clog up phone lines at offices with sales pitches, basically stalk physicians and pester them into signing prescriptions for their product.

They basically use the most weaselly of hard-sell cold-call tactics on doctors to try to pressure them to approve dubious prescriptions for medical devices that the doctors didn't think the patients needed.  Y'know kinda sounds illegal.  The FBI seemed to think so.
 
2013-02-22 10:42:52 PM
Imagine that. A company which advertises that it commits medicare fraud and violates the anti-kickback regulations in it's commercials gets raided by the FBI for committing medicare fraud and violating the anti-kickback regulations.
 
2013-02-22 10:46:43 PM

Lawnchair: propasaurus: The Scooter Store is owned by Sun Capital, the investment firm owned by Marc Leder, the guy who hosted the fundraiser where Mitt Romney made his "47%" comment.

And, yet, predictably, despite this being broken up by Obama-era FBI and far from the first instance of Medicare fraud conducted by Republican movers-and-shakers, both my right-wing family members on Facebook are on a rampage about how this proves liberal corruption.


LOLWUT
 
2013-02-22 10:51:27 PM
www.photochopz.com
Hot like his chicks.
 
2013-02-22 10:52:42 PM
But how will fat people go to Disney World?
 
2013-02-22 10:55:07 PM

CruiserTwelve: But how will fat people go to Disney World?


In a little canopy perched on top of an elephant.
 
2013-02-22 11:01:33 PM

trippdogg: PSA:  products that treat actual medical conditions and require a doctor's prescription don't need to advertise on TV - your doctor will prescribe it if you need it.


But they do anyway.

www.accessrx.com
 
2013-02-22 11:02:59 PM

UsikFark: CruiserTwelve: But how will fat people go to Disney World?

In a little canopy perched on top of an elephant.


What that might look like:

farm5.static.flickr.com
 
2013-02-22 11:04:07 PM

UsikFark: In a little canopy perched on top of an elephant.


i.ebayimg.com
Shut up and take my shekels!
 
2013-02-22 11:14:48 PM
Hell farking yeah.
 
2013-02-22 11:27:37 PM
Here is my Cool Story Sis:

Mr Theologian has spinal stenosis, fibromyalgia, and osteoarthritis.  And his doctor recommended a power chair.  Yes, we called the Scooter Store, and they sent the doctor paperwork, which she filled out diligently.  We found out from the rep that the doctor was one of the few people who actually answered the questionnaire with details and supporting records.  (Which means that most doctors would just rubber stamped the damn process.)

I told my husband that he has no more excuses to biatch about government programs.
 
2013-02-22 11:41:56 PM

Krieghund: UsikFark: CruiserTwelve: But how will fat people go to Disney World?

In a little canopy perched on top of an elephant.

What that might look like:

[farm5.static.flickr.com image 331x500]


Dahnkster: UsikFark: In a little canopy perched on top of an elephant.

[i.ebayimg.com image 297x300]
Shut up and take my shekels!


I'm deeply honored.
 
2013-02-22 11:44:32 PM

Nina_Hartley's_Ass: They advertise the hell out of these and hoverounds on over-the-air tv and have for some time. The biggest selling point seems to be the fact the government will pay for it.


Yep. Hoverounds are CRAP.
The scooter store f*cks said that after my non=medicare health insurance paid, I would owe $2,300 for a new chair. They said I would be better off using medicare because they can bill them more and get enough money that I would be "granted" the rest of the price.
I ended buying the exact same chair used...(sat in once. The old lady died a week later) for $200 bucks and I got new batteries for $132 with shipping.
Found a good place near me for service and they even reprogrammed my chair to go full blast for free.
They warned me that the scooter store is a total rip off and they prey mostly on medicare patients because the government is so easy to get money from.

As for which party members are behind this is not at all the point. Massive fraud comes from both sides, since no matter which way you lean, money is still green.

And the rest...I haven't flown since I stroked out and got stuck in a wheel chaire, so I don't know. I imagine it's a pain in the ass and the probably take your chair away and have somebody push you around in their "safe" chair.
I don't trust those morans to handle my chair properly OR get it back to me in one piece.

No, I'm not anywhere near fat...I just can't walk.

Come get me mother, I'm through.
 
2013-02-22 11:47:10 PM
I hate posting in the dark...it makes me look drunk. I prefer to be drunk while it's light out, so everybody can SEE the magic of self asshole transformation.
 
2013-02-22 11:52:07 PM
1. Defraud government of $800+ million
2. Hide $20 million away
3. Go to minimum security prison for 16 months
4. Move to a non-extradition country with your $20 million

Ain't that how it's done?
 
2013-02-22 11:59:53 PM
Good. They've been a drain on medicare/aid for some time now. And most of the fatties that get one are better off walking to get rid of that excess baggage.
 
2013-02-23 12:00:14 AM
Really ,finally now? FEDs should have been able to see the commercials and say "we need to look into that"
 
2013-02-23 12:03:07 AM
I work for a company in the DME (durable medical equipment) industry. Wheelchairs fall into this category, along with oxygen tanks, and scooters, and basically any kind of medical equipment you would find in somebody's home.

It's shady as hell. Essentially, the entire industry is built around defrauding Medicare at every opportunity. Thankfully, Congress has figured this out and is stomping on them in the last few years (stomping a little too hard, probably, but they deserve it). I think something like 10 thousand "DME providers" have simply disappeared in the last 5 years to avoid prosecution.
 
2013-02-23 12:08:02 AM

AllUpInYa: 1. Defraud government of $800+ million
2. Hide $20 million away
3. Go to minimum security prison for 16 months
4. Move to a non-extradition country with your $20 million

Ain't that how it's done?


Not quite. It goes a little more like this:

1. Defraud government of $800+ million
2. Hide $20 million away
3. Don't spend even a second within a mile of a prison, county jail or police precinct holding cell, because you did not make the mistake of ripping off rich people like Bernie Madoff did
4. Become Governor of Florida
 
2013-02-23 12:09:03 AM
Now how will the tea partiers get their government-funded but not socialistic at all scooters?
 
2013-02-23 12:09:26 AM
The mobility scooter industry is multi-BILLION dollar business.
 
2013-02-23 12:09:43 AM
I want to know what kind of kickbacks they are grieving the doctors my grandmother slipped on ice and broke her foot around xmiss and they were pushing hard for her to buy a scooter instead of rent a wheel chair for a month

/ the rental was a waste of money she went out to Walmart and got crutches the next day and won't let us help her carry firewood inside
 
2013-02-23 12:18:44 AM

FirstNationalBastard: [littleguurrl.files.wordpress.com image 850x508]

Hoveround guy sings about how Scooter Store can go fark itself.


I've seen the ad many times but just now noticed.  That guy is so fat he needs a seatbelt to stay in the chair.
 
2013-02-23 12:21:01 AM

realmolo: I work for a company in the DME (durable medical equipment) industry. Wheelchairs fall into this category, along with oxygen tanks, and scooters, and basically any kind of medical equipment you would find in somebody's home.

It's shady as hell. Essentially, the entire industry is built around defrauding Medicare at every opportunity. Thankfully, Congress has figured this out and is stomping on them in the last few years (stomping a little too hard, probably, but they deserve it). I think something like 10 thousand "DME providers" have simply disappeared in the last 5 years to avoid prosecution.


I've noticed a lot of talk about CPAP machines which fall into the DME category.  I find it strange that suddenly EVERYONE is unable to breathe at night and falling over dead.
 
2013-02-23 12:21:21 AM
When I finally lose the ability to walk, I won't mess with a mobility scooter. I will have a palanquin, carried by scantily-clad, healthy women.

Or a miniature stagecoach pulled by Shetland ponies.
 
2013-02-23 12:30:58 AM

BarkingUnicorn: I'd like to know how they "bulldoze" doctors into prescribing scooters.


They threaten malpractice lawsuits.
 
2013-02-23 12:32:54 AM

ZeroCorpse: When I finally lose the ability to walk, I won't mess with a mobility scooter. I will have a palanquin, carried by scantily-clad, healthy women.

Or a miniature stagecoach pulled by Shetland ponies.


Go for the stagecoach.  The women need to be inside your vehicle.
 
2013-02-23 12:38:09 AM

tacos813: TommyymmoT: Nina_Hartley's_Ass: They advertise the hell out of these and hoverounds on over-the-air tv and have for some time. The biggest selling point seems to be the fact the government will pay for it.

I wonder how many people got them just to sell?
There are over 1000 of them for sale on Ebay at any given time.

I work for a company that provides power wheelchairs and have literally never seen that. Usually the person that received it will die and a relative will try to sell it. Medicare has a mandatory 13 month rental period now so if the patient becomes ineligible they can not keep the chair.
I am glad the scooter store is going down. They are well known fraudsters.


Thanks for the info. That makes sense.
What happens if they're stolen, are they insured?
I kid you not, I was driving through the ghetto (Arbor Hill, Albany NY) about 3 years ago, and there were 5 or 6 homies riding down the street together, on Hoverounds.
I could not stop laughing.
 
2013-02-23 12:41:02 AM

sethen320: I've noticed a lot of talk about CPAP machines which fall into the DME category.  I find it strange that suddenly EVERYONE is unable to breathe at night and falling over dead.


It's hard to breath when you're fat.
 
2013-02-23 12:42:46 AM

Bucky Katt: Now how will the tea partiers get their government-funded but not socialistic at all scooters?


I worked and paid in to the system all my life. Medicare SHOULD be cut back quite a bit, but voters are scared away from reform my misinformation fed to them by BOTH sides. Paying for something isn't socialistic, EXPECTING something for nothing and receiving it IS.

No, I don't have medicare yet. They make people wait 24 months after disability is approved to get it. My disability was just approved Feb 14th. They are trying to f*ck me out of 19 months of back pay from the time I had my first stroke (while I was at work) and lost the ability to walk and talk. Haven't received a dime yet. A few liberals who know I'm a fiscal conservative started off asking if I was gonna blow all the money on guns, ammo, and grits.

No, I'm going to do silly things like get physical and speech therapy I couldn't afford before so maybe someday I can go to work and feel useful again.

/okay...rant over
 
2013-02-23 12:44:21 AM
TFA: At Los Angeles International Airport, airlines and companies that provide wheelchair service estimate 15% of all requests are phony

Government creates a privileged classes for whatever reasons and then people are shocked that people lie to get the same privileges.
 
2013-02-23 12:45:09 AM

Bucky Katt: ZeroCorpse: When I finally lose the ability to walk, I won't mess with a mobility scooter. I will have a palanquin, carried by scantily-clad, healthy women.

Or a miniature stagecoach pulled by Shetland ponies.

Go for the stagecoach.  The women need to be inside your vehicle.


This sounds like the beginning of some adventurous wild western porn.
 
2013-02-23 12:45:57 AM

sethen320: realmolo: I work for a company in the DME (durable medical equipment) industry. Wheelchairs fall into this category, along with oxygen tanks, and scooters, and basically any kind of medical equipment you would find in somebody's home.

It's shady as hell. Essentially, the entire industry is built around defrauding Medicare at every opportunity. Thankfully, Congress has figured this out and is stomping on them in the last few years (stomping a little too hard, probably, but they deserve it). I think something like 10 thousand "DME providers" have simply disappeared in the last 5 years to avoid prosecution.

I've noticed a lot of talk about CPAP machines which fall into the DME category.  I find it strange that suddenly EVERYONE is unable to breathe at night and falling over dead.


The Baby Boomers are getting old.  They've been getting handouts all their lives.  Now they're soft and helpless and they resent it when anyone else gets help.
 
2013-02-23 12:49:41 AM
"It happens regularly, airport officials say. A traveler requests a wheelchair, gets pushed to the front of the security line and screened - and then jumps up out of the chair and rushes off into the terminal.

People who pull shiat like that should be beaten until they actually need the wheelchair.


Krieghund: trippdogg: PSA:  products that treat actual medical conditions and require a doctor's prescription don't need to advertise on TV - your doctor will prescribe it if you need it.

But they do anyway.

[www.accessrx.com image 350x273]


If you watch the evening network news you'd think that their audience didn't need anything BUT prescription meds for various things. That and mattresses.
 
2013-02-23 12:54:48 AM
the company's strategy was to 'bulldoze' doctors into writing prescriptions, so people would get the chairs, whether they needed them or not.


DUH
 
2013-02-23 12:56:37 AM

fusillade762: If you watch the evening network news you'd think that their audience didn't need anything BUT prescription meds for various things. That and mattresses.


Young people don't watch the news. I get all of my news (and a helping of crap) hours or days early from the internet.
 
2013-02-23 12:56:58 AM

fusillade762: If you watch the evening network news you'd think that their audience didn't need anything BUT prescription meds for various things.


The other products don't want to waste their money on old people eyes.
 
2013-02-23 12:57:22 AM
There's always money in the Mylanta stand...
3.bp.blogspot.com
 
2013-02-23 01:08:44 AM

Bucky Katt: sethen320: realmolo: I work for a company in the DME (durable medical equipment) industry. Wheelchairs fall into this category, along with oxygen tanks, and scooters, and basically any kind of medical equipment you would find in somebody's home.

It's shady as hell. Essentially, the entire industry is built around defrauding Medicare at every opportunity. Thankfully, Congress has figured this out and is stomping on them in the last few years (stomping a little too hard, probably, but they deserve it). I think something like 10 thousand "DME providers" have simply disappeared in the last 5 years to avoid prosecution.

I've noticed a lot of talk about CPAP machines which fall into the DME category.  I find it strange that suddenly EVERYONE is unable to breathe at night and falling over dead.

The Baby Boomers are getting old.  They've been getting handouts all their lives.  Now they're soft and helpless and they resent it when anyone else gets help.


Um, most "boomers" worked their entire lives...unlike people of late.
 
2013-02-23 01:11:53 AM

sethen320: I've noticed a lot of talk about CPAP machines which fall into the DME category.  I find it strange that suddenly EVERYONE is unable to breathe at night and falling over dead.


Well... I'm not saying they're not overprescribed (no idea) but there's no intrinsic motivator for the patient to be complicit in CPAP fraud. To judge from my Dad's experience with them, they're basically annoyances that you put up with so that your sleep apnea doesn't cause you to wake up dead. He had to be hounded into it by my mom and his doctor working in concert, and he still grumbles about having to use it.

Whereas with scooters, well, beats walking, right? So the patient has a little bit of motivation to nod and wink his way through the exam. Which makes it a pretty solid scam--it's not like the patients are complaining!--at least until you piss off the bean-counters once too often.
 
2013-02-23 01:15:00 AM

Silverstaff: They'll call and clog up phone lines at offices with sales pitches,


which explains why i can't get hold of my doctor. you play phone tag with their answering machine. it sucks.
 
2013-02-23 01:19:44 AM

semiotix: sethen320: I've noticed a lot of talk about CPAP machines which fall into the DME category.  I find it strange that suddenly EVERYONE is unable to breathe at night and falling over dead.

Well... I'm not saying they're not overprescribed (no idea) but there's no intrinsic motivator for the patient to be complicit in CPAP fraud. To judge from my Dad's experience with them, they're basically annoyances that you put up with so that your sleep apnea doesn't cause you to wake up dead. He had to be hounded into it by my mom and his doctor working in concert, and he still grumbles about having to use it.

Whereas with scooters, well, beats walking, right? So the patient has a little bit of motivation to nod and wink his way through the exam. Which makes it a pretty solid scam--it's not like the patients are complaining!--at least until you piss off the bean-counters once too often.


Yeah, I see what you mean. I guess I'm always suspicious of the latest ailment to make the rounds.
 
2013-02-23 01:37:00 AM

semiotix: sethen320: I've noticed a lot of talk about CPAP machines which fall into the DME category.  I find it strange that suddenly EVERYONE is unable to breathe at night and falling over dead.

Well... I'm not saying they're not overprescribed (no idea) but there's no intrinsic motivator for the patient to be complicit in CPAP fraud. To judge from my Dad's experience with them, they're basically annoyances that you put up with so that your sleep apnea doesn't cause you to wake up dead. He had to be hounded into it by my mom and his doctor working in concert, and he still grumbles about having to use it.

Whereas with scooters, well, beats walking, right? So the patient has a little bit of motivation to nod and wink his way through the exam. Which makes it a pretty solid scam--it's not like the patients are complaining!--at least until you piss off the bean-counters once too often.


it's not really that you'll "wake up dead" from CPAP.  Generally speaking, unless you just took some narcotics, or you're dead drunk, the adrenaline discharge from high carbon dioxide after a long apneic episode wakes you up.  You wake up gasping for air and sometimes scared shiatless, you ventilate yourself down to a better CO2 level, you go back to sleep, and you do it all over again.

The health problems from CPAP are thus primarily being tired and pathologically somnolent all day despite long hours of sleep in bed.

The way CPAP kills you is much more long term, and not really related to stopping breathing.  As your obstructive sleep apnea (OSA) gets worse and worse, your body becomes accustomed to much higher levels of CO2.  Your pulmonary vasculature spends a lot of time very constricted, so the right side of your heart has to work harder than usual.  Over the long term, this causes something called pulmonary hypertension and in bad cases, cor pulmonale, which can kill you.  This is on top of the hypertension that it can also cause.  Other problems basically stem from intolerance to any medication that could make you sleepy, so if you have to have surgery where they'll give you narcotics for pain, you'll have to bring your CPAP with you, otherwise you WILL wake up dead.  Actually, you'll wake up with a breathing tube down your throat and a well-meaning nurse pounding on your chest and breaking your ribs as you're coded for respiratory failure, if you're lucky.  Dead if you're not.

And yeah, CPAP is annoying.  Nobody wants to fake their way into one of those unless they're thinking of turning it around and reselling it.  Don't see too many black market CPAP machines though, so my guess is that the rapid uptick in CPAP use is due to a rapidly fatt-assing population, and increase awareness by physicians to order sleep studies and prescribe CPAP to those that need them.

/anesthesiology resident, so getting a kick out of your replies, etc, etc, etc.
 
2013-02-23 01:42:12 AM

semiotix: To judge from my Dad's experience with them, they're basically annoyances that you put up with so that your sleep apnea doesn't cause you to wake up dead. He had to be hounded into it by my mom and his doctor working in concert, and he still grumbles about having to use it.


i have COPD and use continuous oxygen administered through the nasal cannula. when i first got it i was  amazed at how much better i slept. the tubing isn't particularly intrusive, annoying, whatever. if for some reason it slips off my nose i will wake short of breathe and adjust it. properly adjusted that doesn't happen. CPAP provides air pressure my stuff doesn't but mine provides lots of oxygen and a good nights sleep without the bulk of a mask.

all that said i have no idea if your dad could use continuous oxygen to sleep instead of CPAP but just wanted to share.
 
2013-02-23 01:42:45 AM

Silverstaff: BarkingUnicorn: I'd like to know how they "bulldoze" doctors into prescribing scooters.

I've got an old college classmate who's a medical student now.  He tells me that apparently it's a well-known pattern of harassment in the medical community, even to the point of getting people to ambush docs in parking lots with papers and trying to pressure them into signing prescriptions.  They'll call and clog up phone lines at offices with sales pitches, basically stalk physicians and pester them into signing prescriptions for their product.

They basically use the most weaselly of hard-sell cold-call tactics on doctors to try to pressure them to approve dubious prescriptions for medical devices that the doctors didn't think the patients needed.  Y'know kinda sounds illegal.  The FBI seemed to think so.


I was afraid of that.  Thanks.
 
2013-02-23 01:45:57 AM

AllUpInYa: 1. Defraud government of $800+ million
2. Hide $20 million away
3. Go to minimum security prison for 16 months
4. Move to a non-extradition country with your $20 million

Ain't that how it's done?


Why would you need 4 after doing 3?
 
2013-02-23 01:46:39 AM

fjnorton: Really ,finally now? FEDs should have been able to see the commercials and say "we need to look into that"


Seems they did.
 
2013-02-23 01:51:50 AM

leadmetal: TFA: At Los Angeles International Airport, airlines and companies that provide wheelchair service estimate 15% of all requests are phony

Government creates a privileged classes for whatever reasons and then people are shocked that people lie to get the same privileges.


I knew I was starting to show my age when supermarket cashiers began asking if I "want some help out" after I bought two bags of groceries.  I've been tempted to say yes for the lulz, but I just can't do it.
 
2013-02-23 01:59:07 AM

propasaurus: The mobility scooter industry is multi-BILLION dollar business.


That's not shocking in the least. My Father In Law had ALS and purchased his chair outright. It cost more than my fullsized diesel truck. We had a funny moment as his ALS was progressing where he was losing his movement in his arms but insisted that he still run the joystick. We had to go to an event where we had to put down a ramp as he had to get up some steps. He puts the chair on top speed and we have to push the chair up to help it make the incline. We all get to the top of the ramp and we stop pushing. Well he can't get his hand off the joystick but he's still holding it wide opened. We all stopped for a second and his chair takes off heading for a set of double doors. He's hollering for us to stop him and we are all trying to catch up with him. We caught up and pulled his hand off the joystick and then we all collapsed in laughter. The visual image of him possibly busting through those double doors at top speed had us all in tears. I insisted that they have a second joystick put on the back of the chair which they did the next week. The joystick, extra control setup and one other adjustment to the chair came out to the tune of $8K.

When he passed Mom donated the chair to the local MD chapter so that someone else can get some use out of it.
 
2013-02-23 02:45:40 AM

Do the needful: propasaurus: The mobility scooter industry is multi-BILLION dollar business.

That's not shocking in the least. My Father In Law had ALS and purchased his chair outright. It cost more than my fullsized diesel truck. We had a funny moment as his ALS was progressing where he was losing his movement in his arms but insisted that he still run the joystick. We had to go to an event where we had to put down a ramp as he had to get up some steps. He puts the chair on top speed and we have to push the chair up to help it make the incline. We all get to the top of the ramp and we stop pushing. Well he can't get his hand off the joystick but he's still holding it wide opened. We all stopped for a second and his chair takes off heading for a set of double doors. He's hollering for us to stop him and we are all trying to catch up with him. We caught up and pulled his hand off the joystick and then we all collapsed in laughter. The visual image of him possibly busting through those double doors at top speed had us all in tears. I insisted that they have a second joystick put on the back of the chair which they did the next week. The joystick, extra control setup and one other adjustment to the chair came out to the tune of $8K.

When he passed Mom donated the chair to the local MD chapter so that someone else can get some use out of it.


Oblig
 
2013-02-23 03:08:19 AM
ffbsccn.files.wordpress.com
       POW'ERRRRRRRRRR CHURRRRR
 
2013-02-23 03:12:30 AM

twiztedjustin: [ffbsccn.files.wordpress.com image 480x525]
       POW'ERRRRRRRRRR CHURRRRR


DUN DA NA NAN.
 
2013-02-23 03:47:35 AM

Silverstaff: This.  Every time I check my spam filter, there are always a few ads from the Scooter Store saying they can get me a free scooter if I have medicare.  It's right there with ads for Viagra, 419 scam letters, pitches for questionable diet drugs, and ads for Christianminge.com.


From Urban Dictionary: Minge:The minge is not the actual vagina, but the hair surrounding the area. On the labia majora and the pubic mound. Loose, shaggy hair that is not neatly trimmed, and may be a little fragranced with 'girl perfume'.

Thank you, Silverstaff, you are my new hero.

/dammit. Am I gonna be banninated for this?
 
2013-02-23 04:18:50 AM
You can read this comment at little to no cost to you.
 
2013-02-23 06:00:13 AM

sethen320: semiotix: sethen320: I've noticed a lot of talk about CPAP machines which fall into the DME category.  I find it strange that suddenly EVERYONE is unable to breathe at night and falling over dead.

Well... I'm not saying they're not overprescribed (no idea) but there's no intrinsic motivator for the patient to be complicit in CPAP fraud. To judge from my Dad's experience with them, they're basically annoyances that you put up with so that your sleep apnea doesn't cause you to wake up dead. He had to be hounded into it by my mom and his doctor working in concert, and he still grumbles about having to use it.

Whereas with scooters, well, beats walking, right? So the patient has a little bit of motivation to nod and wink his way through the exam. Which makes it a pretty solid scam--it's not like the patients are complaining!--at least until you piss off the bean-counters once too often.

Yeah, I see what you mean. I guess I'm always suspicious of the latest ailment to make the rounds.


I've had sleep apnea since I was 17 years old.  I'm 44 now.  I got my CPAP two years ago.  It was the best thing I've ever gotten.  It wasn't weight related when I weighed 140 pounds, and it's not weight related now that I weigh 180 pounds.  I'm not fat, I have a shiatty small throat and a big tongue.  It's genetics.

Anyone who suggests you're getting a CPAP for fun is full of shiat.  You have to do at least one sleep study to get diagnosed, and then a follow up to make sure the machine is working as expected.  Newer machines wirelessly report usage if you have wireless networking at home.  Otherwise, you bring your CPAP in to your doctor after the first month so they can make sure you used it at least 4 hours a night for 8 out of the last 30 days.

I wanted surgery to fix the apnea, since it runs in my family.  I have three brothers, my dad, and my grandfather who were all diagnosed.  To surgically fix it, they cut off the back of your tongue, laser out the roof of your mouth, and then cut the base of your tongue off, pull it through a hole they drill through your lower jaw, and then let it set for three months.  All told, it's about eight months of not being able to speak, and the results will last about ten years on average.  They offered it as an option, but I don't have eight months to take off work.  So CPAP it was.

No insurance-approved CPAP lacks a data recorder.  There are cheap Chinese models sold for camping and whatnot, but they are not covered by any insurance, you have to pay cash.

The racket is in supplies, since a CPAP is a lifetime solution without surgery.  You are literally sleeping every night with a consumer-approved respirator with a machine, a hose, and a mask.  Most CPAP machines also have a humidifier so you don't wake up every morning with a bloody nose.  According to Medicare rules, you can get a new hose every three months, a new mask every three to six months, and a new tank for the humidifier every 6 months.  So any medical supply company that can identify you will call every three months to try and make a guaranteed sale.  It happens to me all the time.

For the first year I took everything a medical supply company offered, but once I realized I couldn't use it all, I set my own schedule.  I replace the mask once a year, the tank once a year, and the hose every three months.  I can clean the tank myself, I don't need to stockpile extras.  When I asked if the supply company could just replace the nasal unit of the mask (the part that contacts your face) - they said they couldn't, so I ordered replacements on my own.

And after going through two sleep studies - you can't fake sleep apnea.  Either you pay off the guy or you have a sleeping disorder.  And trust me, anyone who has been diagnosed with sleep apnea and gets relief will scream from the goddamn rafters about one good night's sleep.
 
2013-02-23 07:02:03 AM
get up and walk you fat people.
 
2013-02-23 07:48:19 AM
Im getting a real kick out of this. I live literally within walking distance of this place, personally know the VP of this company and his family. People in this town have been expecting this to happen for a very long time .
 
2013-02-23 08:03:24 AM

HammerHeadSnark: Silverstaff: This.  Every time I check my spam filter, there are always a few ads from the Scooter Store saying they can get me a free scooter if I have medicare.  It's right there with ads for Viagra, 419 scam letters, pitches for questionable diet drugs, and ads for Christianminge.com.

From Urban Dictionary: Minge:The minge is not the actual vagina, but the hair surrounding the area. On the labia majora and the pubic mound. Loose, shaggy hair that is not neatly trimmed, and may be a little fragranced with 'girl perfume'.

Thank you, Silverstaff, you are my new hero.

/dammit. Am I gonna be banninated for this?


There was a mainpage greenlight a few days ago about a serial killer using Christianmingle.com to find victims.  The greenlit headline had a typo in it calling it Christianminge.com.  Briefly a modmin corrected the typo, before another one restored the typo since that was the whole appeal of that headline.

Since mods greenlit a headline with that in it, I'd doubt you'll get banninated for that.

Heck, I thought Christianminge.com was on its way to being a Fark cliche. . .or at least I was trying to do my part to help it get there.
 
2013-02-23 08:35:55 AM

Silverstaff: BarkingUnicorn: I'd like to know how they "bulldoze" doctors into prescribing scooters.

I've got an old college classmate who's a medical student now.  He tells me that apparently it's a well-known pattern of harassment in the medical community, even to the point of getting people to ambush docs in parking lots with papers and trying to pressure them into signing prescriptions.  They'll call and clog up phone lines at offices with sales pitches, basically stalk physicians and pester them into signing prescriptions for their product.

They basically use the most weaselly of hard-sell cold-call tactics on doctors to try to pressure them to approve dubious prescriptions for medical devices that the doctors didn't think the patients needed.  Y'know kinda sounds illegal.  The FBI seemed to think so.


I don't know anyone who's been ambushed in a parking lot by one of these outfits, but I will frequently get forms mailed to me by medical equipment companies to sign, which are retroactive orders for scooters, hospital beds, CPAP machines, and other stuff I never ordered.

They will explain that Mr/Mrs. [insert patient name here] received their equipment but somehow the Medicare paperwork was not processed properly so if you would be so kind as to sign and return these forms we can make sure that Mr/Mrs [insert patient name here] can keep the equipment that makes such a big improvement in their quality of life and if you don't promptly return the signed form the equipment will either have to be returned or the patient will be billed $3000 and we will be forced to tell them that it is because you didn't do your part of the paperwork.

It's quite clever, because it's very tempting to just sign and be done with it.  "Hmm.  I don't remember ordering that stuff.  But the patient has it now anyway.  And I don't want to be responsible for causing my patient distress or financial hardship just because I stubbornly refused to sign some piece of paper.  Maybe I *did* order it, and just forgot. What the heck.  It doesn't cost *me* anything anyway."

I never sign, because I am a hand specialist, and would never order wheelchairs, hospital beds, or any of that crap.

And yes, I've tried to report them to CMS.  But I have been told by a CMS agent that since I never signed the allegedly fraudulent orders, no fraud occurred, and there is nothing they can do.  I could sign the order and report the outfit, but then I'd be knowingly complicit in Medicare fraud.  *facepalm*  I hope they were just telling me that so that I'd shut up and not interfere with an ongoing investigation, but I doubt it...
 
2013-02-23 08:39:38 AM

BalugaJoe: get up and walk you fat people.


Some of us AREN'T fat... and we CAN'T walk.

Lots of people do lie there asses off about needing one because they're lazy, but not everybody.
But keep on labeling everybody as if there is no such thing as actual disabled people.
165 pounds isn't fat and half of your body being paralyzed IS a disability.
I don't wish what happened to me upon you, but nothing short of that will ever teach you anything.
 
2013-02-23 08:54:49 AM

cardex: I want to know what kind of kickbacks they are grieving the doctors my grandmother slipped on ice and broke her foot around xmiss and they were pushing hard for her to buy a scooter instead of rent a wheel chair for a month

/ the rental was a waste of money she went out to Walmart and got crutches the next day and won't let us help her carry firewood inside


I like the cut of her jib.

/I trust that you carry her firewood anyway, but if you don't...go do that today.
 
2013-02-23 09:10:09 AM

Lsherm: sethen320: semiotix: sethen320: I've noticed a lot of talk about CPAP machines which fall into the DME category.  I find it strange that suddenly EVERYONE is unable to breathe at night and falling over dead.

Well... I'm not saying they're not overprescribed (no idea) but there's no intrinsic motivator for the patient to be complicit in CPAP fraud. To judge from my Dad's experience with them, they're basically annoyances that you put up with so that your sleep apnea doesn't cause you to wake up dead. He had to be hounded into it by my mom and his doctor working in concert, and he still grumbles about having to use it.

Whereas with scooters, well, beats walking, right? So the patient has a little bit of motivation to nod and wink his way through the exam. Which makes it a pretty solid scam--it's not like the patients are complaining!--at least until you piss off the bean-counters once too often.

Yeah, I see what you mean. I guess I'm always suspicious of the latest ailment to make the rounds.

I've had sleep apnea since I was 17 years old.  I'm 44 now.  I got my CPAP two years ago.  It was the best thing I've ever gotten.  It wasn't weight related when I weighed 140 pounds, and it's not weight related now that I weigh 180 pounds.  I'm not fat, I have a shiatty small throat and a big tongue.  It's genetics.

Anyone who suggests you're getting a CPAP for fun is full of shiat.  You have to do at least one sleep study to get diagnosed, and then a follow up to make sure the machine is working as expected.  Newer machines wirelessly report usage if you have wireless networking at home.  Otherwise, you bring your CPAP in to your doctor after the first month so they can make sure you used it at least 4 hours a night for 8 out of the last 30 days.

I wanted surgery to fix the apnea, since it runs in my family.  I have three brothers, my dad, and my grandfather who were all diagnosed.  To surgically fix it, they cut off the back of your tongue, laser out the roof of your mouth, and then cut the base of your tongue off, pull it through a hole they drill through your lower jaw, and then let it set for three months.  All told, it's about eight months of not being able to speak, and the results will last about ten years on average.  They offered it as an option, but I don't have eight months to take off work.  So CPAP it was.

No insurance-approved CPAP lacks a data recorder.  There are cheap Chinese models sold for camping and whatnot, but they are not covered by any insurance, you have to pay cash.

The racket is in supplies, since a CPAP is a lifetime solution without surgery.  You are literally sleeping every night with a consumer-approved respirator with a machine, a hose, and a mask.  Most CPAP machines also have a humidifier so you don't wake up every morning with a bloody nose.  According to Medicare rules, you can get a new hose every three months, a new mask every three to six months, and a new tank for the humidifier every 6 months.  So any medical supply company that can identify you will call every three months to try and make a guaranteed sale.  It happens to me all the time.

For the first year I took everything a medical supply company offered, but once I realized I couldn't use it all, I set my own schedule.  I replace the mask once a year, the tank once a year, and the hose every three months.  I can clean the tank myself, I don't need to stockpile extras.  When I asked if the supply company could just replace the nasal unit of the mask (the part that contacts your face) - they said they couldn't, so I ordered replacements on my own.

And after going through two sleep studies - you can't fake sleep apnea.  Either you pay off the guy or you have a sleeping disorder.  And trust me, anyone who has been diagnosed with sleep apnea and gets relief will scream from the goddamn rafters about one good night's sleep.


Wow. I did not know all of that. The surgery sounds especially frightening. Thanks for the info.
 
2013-02-23 09:15:42 AM
 nothing to see here....just a mindless old doctor ragging so skip to the next message.....


Most folks with sleep apnea cannot help it.  And you FARKERS ought to drop that one just like you should wash your hands after wiping your.....but SCOOTER SCAMMERS?  RAG em all you want.  I don't write for them anymore.  I won't even entertain them anymore.  When patient's ask, I tell them NO.  My employees know to tell them NO. I imagine I have lost a few or not gained a few over this in the past.  First you have to do what they call a mobility exam, which is a bit of a joke anyway.  Then you have to send them your medical records.  Then you have to explain why in idiot's terms, that a person with double above the knee amputations, might just maybe might have trouble walking.  Then you have to give more than one diagnosis and you gotta be farking kidding me, the guy has NO FARKING LEGS........so even when the patient might maybe might just have a good reason for having a power chair it usually takes 7 faxes to go over it.  But the real problem is that they devices are provided free of charge to the patient.  So when they leave them out in the rain under the trailer because they were too lazy that day to bring it in and the thing is destroyed, the doc has to start over again.  Or because they are too farking fat to use it carefully and it breaks.  Or they let their snowflakes play with it and it breaks.  Or they just wanted a new color on the plastic.  Or whatever, but the damn things are a joke and the are all covered in minge and I have enjoyed this thread immensely....but there's nothing to see here
 
2013-02-23 09:30:48 AM
Many moons ago, I was a commuter airline pilot. I flew people all over the southwest. During Snowbird season, we had a lot of old folks who had trouble getting around. It was almost laughable how many needed wheelchairs. They'd come out to the airplane and we'd help them struggle up the six steps into our little turboprop.

One day we're doing the Phoenix to Yuma run and we get no less than 8 passengers in wheelchairs. It looked like a 4th of July parade as they wheeled out to the airplane. Keep in mind, this is a 19-seat airplane so now almost half the passengers are barely mobile (and frankly, they're dead if we catch fire and need to jump out in a hurry).

So we load and launch and about ten minutes out of Yuma, we call the station and tell them that we have 8 wheelchair people and they about quit right there. Yuma was a "big" station so at least it had two agents. But they had to do everything: check people in, handle the bags, tons of paperwork, escort people to the gate, and handle the wheelchairs.

So as we taxi in and pull up to our parking spot, we start laughing like crazy because they had miraculously come up with 8 wheelchairs and they were all lined up in the most perfectly straight line you ever saw. So, one by one our elderly folks struggled down the steps, and then walked right past those wheelchairs into the terminal. Not a one of them used a wheelchair.

Explanation #1: Pilots are God like and possess powers to heal the afflicted. Explanation #2: The power of vanity can never be underestimated. Those people were just determined to walk in so all their other old friends wouldn't think they were "old."
 
2013-02-23 09:34:20 AM
fusillade762:

Oblig

Hilarious. I think I recall seeing that back in the day but had completely forgotten about it. He would have loved that skit. Thanks.
 
2013-02-23 10:31:04 AM

realmolo: I work for a company in the DME (durable medical equipment) industry. Wheelchairs fall into this category, along with oxygen tanks, and scooters, and basically any kind of medical equipment you would find in somebody's home.

It's shady as hell. Essentially, the entire industry is built around defrauding Medicare at every opportunity. Thankfully, Congress has figured this out and is stomping on them in the last few years (stomping a little too hard, probably, but they deserve it). I think something like 10 thousand "DME providers" have simply disappeared in the last 5 years to avoid prosecution.


No damn wonder the tea baggers were out in force against Obamacare.

Fraud is exactly what their business model was based on.

I did always know something was up, but being a normal employed person I don't spend most of my time thinking about scams on sh*tty tv commercials.
 
2013-02-23 10:50:04 AM

propasaurus: The Scooter Store is owned by Sun Capital, the investment firm owned by Marc Leder, the guy who hosted the fundraiser where Mitt Romney made his "47%" comment.


So, how does Kevin Bacon fit in?
 
2013-02-23 11:47:18 AM
I had to get my 85 yr old mom a 3 wheeled scooter several years ago and the Dr. she was seeing told us not to go through 'The Scooter Store'. I didn't know why at the time, but had already been bombarded by the advertising from the place on both computer and TV and figured something was wrong.

Usually, when a company starts abruptly flooding the media with deals that seem too good to be true, they usually are.

Her basic scooter, bought from another company, cost $6000. I'm still trying to justify their cost, even though Medicare paid for it. The fake leather seat cover tears up real fast and even the replacement doesn't fit right. However, the thing has held up well for the past several years and has been a great benefit to her.

It breaks down into 4 pieces, so I can load it into the trunk of the car. Usually, I just break it down into two. The battery impresses me with it's durability.

It is not wise to drive the thing off paved surfaces though. The clearance between the bottom and the ground is only 3 or 4 inches. The wheels are narrow and you'll sink into soil.

It happened to her when she used it to try and get the mail down our dirt driveway one day. Later, when she cruised along the lawn, it bogged down in the grass.

Nina_Hartley's_Ass

Hope this guy is next:

Makes you kinda want to punch him in the face, doesn't he? Reminds me of a lot of old guys I've seen over the years, usually with a beer glued to one hand and a bad attitude about nearly everything.

That company chose poorly when they cast the actors in that penis pump commercial. (Their product is also covered by Medicare.)

Too bad important things like basic dental work or glasses aren't.

So, you can wander around nearly unable to see and have a mouthful of infected teeth which cause you to not eat right and can cause a system wide infection -- but you can do so with a Medicare paid for erection.

BTW. Medicare will NOT pay for a scooter of the Turnaround type that can come apart to be carried in a car. You need to buy a bumper mounted carrier for one, and a weather cover. Medicare figures that it will buy you a scooter for home mobility, but that does not include leaving your house to do things like get food.

It will not cover the bumper lift (hand cranked) nor weather cover for a 'fixed' chair. The lift, cable and ratchet powered, like most boat trailers, has less metal in it than my last boat trailer -- and costs up to $4000 alone. (Rip-off.) The weather cover costs a couple of hundred. Also not covered by Medicare.

Go to the Turnaround website and see for yourself.

If you've ever wondered why Medicare/Medicaid are in trouble, just look at the prices companies charge them for goods.
 
2013-02-23 12:01:20 PM
All I can say is thank the FSM that the diseases that cause mobility issues don't seem to run in my family.
 
2013-02-23 12:11:21 PM

jehovahs witness protection: Bucky Katt: sethen320: realmolo: I work for a company in the DME (durable medical equipment) industry. Wheelchairs fall into this category, along with oxygen tanks, and scooters, and basically any kind of medical equipment you would find in somebody's home.

It's shady as hell. Essentially, the entire industry is built around defrauding Medicare at every opportunity. Thankfully, Congress has figured this out and is stomping on them in the last few years (stomping a little too hard, probably, but they deserve it). I think something like 10 thousand "DME providers" have simply disappeared in the last 5 years to avoid prosecution.

I've noticed a lot of talk about CPAP machines which fall into the DME category.  I find it strange that suddenly EVERYONE is unable to breathe at night and falling over dead.

The Baby Boomers are getting old.  They've been getting handouts all their lives.  Now they're soft and helpless and they resent it when anyone else gets help.

Um, most "boomers" worked their entire lives...unlike people of late.


Well if you farks would retire, some of us would have jobs.
 
2013-02-23 12:18:18 PM

Evil Twin Skippy: Well if you farks would retire, some of us would have jobs.


Just to fark with you I recently decided to work to age 70. That way I both withhold my job from you for the next ten years as well as maximize the amount of Social Security benefits you have to pay me after that.

/good times!
 
2013-02-23 12:21:17 PM

Stone Meadow: Evil Twin Skippy: Well if you farks would retire, some of us would have jobs.

Just to fark with you I recently decided to work to age 70. That way I both withhold my job from you for the next ten years as well as maximize the amount of Social Security benefits you have to pay me after that.

/good times!


LULZ, well played. By the way, how is your heart?

BOOOOO!
 
2013-02-23 12:40:15 PM

BarkingUnicorn: Silverstaff: BarkingUnicorn: I'd like to know how they "bulldoze" doctors into prescribing scooters.

I've got an old college classmate who's a medical student now.  He tells me that apparently it's a well-known pattern of harassment in the medical community, even to the point of getting people to ambush docs in parking lots with papers and trying to pressure them into signing prescriptions.  They'll call and clog up phone lines at offices with sales pitches, basically stalk physicians and pester them into signing prescriptions for their product.

They basically use the most weaselly of hard-sell cold-call tactics on doctors to try to pressure them to approve dubious prescriptions for medical devices that the doctors didn't think the patients needed.  Y'know kinda sounds illegal.  The FBI seemed to think so.

I was afraid of that.  Thanks.


I don't think that's the common way the scam works. I believe the more common sequence of events is this:

1. A Durable medical equipment provider does a "free consult" for some unsuspecting old person.
2. Convinces the sucker they need all this crap
3. Says don't worry about the cost, we'll make sure your doctor submits all the paperwork/gives the sucker the crap. However there is probably a disclaimer they sign claiming they will be on the hook if for some reason the DME isn't reimbursed.
4. The DME tells the doctor to sign all of the paperwork otherwise the patient will be on the hook for thousands of dollars (many doctors will do this as they don't want their patient on the hook for thousands of dollars).


As for CPAPs they mostly aren't a scam, but the markup by the DME's is ridiculous. My insurance did a rent-to-own model (which is what medicare does) and I believe I came close to paying enough in co-pays that I could have just bought the model outright through an internet dealer. In the end I believe the markup was close to 3X the cost of the CPAP. Of course the DME will claim this markup is for the monitoring "service" and support, however that is dubious at best. When I decided I wanted an upgrade (my old CPAP works fine, but I wanted one on which I could access all of the machines data to make sure the therapy was going well) I bought a gently used s9 autoset w/humidifier/heated hose/etc. through craigslist as it was going to be about the same cost out of pocket as going through my insurance and I figured I might as well save my insurance the money.

But yeah the two things keeping me out of adult medicine are having to deal with BS like this and having to filter out chronic pain/people who just want disability/people who want drugs. Luckily, most of that doesn't exist in Pedsland (though you do get the occasional "crazy" parent)
 
2013-02-23 12:42:29 PM

Evil Twin Skippy: Stone Meadow: Evil Twin Skippy: Well if you farks would retire, some of us would have jobs.

Just to fark with you I recently decided to work to age 70. That way I both withhold my job from you for the next ten years as well as maximize the amount of Social Security benefits you have to pay me after that.

/good times!

LULZ, well played. By the way, how is your heart?

BOOOOO!


The ol' ticker's doing great! BP is about 130/80 with a PR of about 60. Normal weight, blood sugar and chemistry, and I ride my bike 10-16 miles (depending on route) to work 3 times a week. And given genomics advances, your generation is going to pay me for a loooooooooooooooooooooonnnggg time. ;^)
 
2013-02-23 12:51:42 PM

sethen320: I've noticed a lot of talk about CPAP machines which fall into the DME category.  I find it strange that suddenly EVERYONE is unable to breathe at night and falling over dead.


Actually about 10% or more of the population could probably benefit from a CPAP. The benefits aren't only better sleep, but a 10-15 point drop in blood pressure isn't uncommon. I'd say the biggest scam with CPAPs are the need for sleep studies. aPAP's are ridiculously good nowadays at finding the optimum pressure for uncomplicated sleep apnea. We could easily have people diagnose themselves with OSA just by having them record their sleep and then view the recording for nocturnal awakenings/periods of apnea etc. Then just hand out an aPAP and see if the patient feels better after using it for a month.  Such would be 1/3 of the cost of a sleep study + cpap titration + cpap and have very similar results and saves the 3,000+ spent on a sleep study. The only thing you lose is thetitration of CPAP pressure, however all the sleep doctors seem to be using aPAP's anyways (I've seen multiple patients with aPAP's set from 5-15cm H20 by the "sleep" physicians).
 
2013-02-23 01:06:46 PM
Yeah I'm cackling quietly at this myself.  Have a chronic pain scene that pretty much makes my right leg and back work... intermittently well I guess might be the best way to describe it.  After resisting it for years I finally caved to the reality that I needed one of the things for bad days at least.  Those shiatheads at the scooter store tried to get me to beg a $12000 full monte chair when all I needed was a basic scooter to get around with.  Continued to call me for 2 years after I told them to fark off - shady as England in frickin' February.

/Called up a local medical supplier with my scrip, told 'em what I needed, model I'd found on the 'net that looked good to meet my needs.  Had in in 24 hours, charged up and ready to go.  No problems, no 'upsale' BS, no nada.  Done and done.

//And yes, gods rot the MF's that jack chairs in public places just cause they're too damn lazy to walk.  You got a problem that you need to use one?  Ok cool, have a seat neighbor - I understand.  You're just lazy and had too many triple chili dogs earlier?  You let the kids grab them cause they're fun to play bumpercars with?  You sit down just because you don't feel like pushing a cart?  Die in atomic fire you leperous worm prong.  Those of us that need the GD things 'cause for one reason or another we couldn't bring our own into the situation are now hobbling along trying not to shriek cause it hurts too much to hang with.  Have another ding dong matey, just lemme get the arsenic frosting.

///And no, that wasn't for people that gain the weight but try to get along like the rest of us human beings.  Only for those who selfishly deprive the intended users of public mobilty resources for selfish and minor crap.
 
2013-02-23 01:50:28 PM
EAT HICKORY!
 
2013-02-23 02:50:08 PM
Official tax payer-funded ride of the Tea Party.
 
2013-02-23 03:04:16 PM
Oh, for a pic of Burl Ives on a Rascal, turning around to return fire with a Beretta.
 
2013-02-23 03:12:27 PM

AllUpInYa: 1. Defraud government of $800+ million
2. Hide $20 million away
3. Go to minimum security prison for 16 months
4. Move to a non-extradition country with your $20 million

Ain't that how it's done?


Corzine is gonna beat you down for giving away his secrets.
 
2013-02-23 05:21:13 PM

Lsherm: sethen320: semiotix: sethen320: I've noticed a lot of talk about CPAP machines which fall into the DME category.  I find it strange that suddenly EVERYONE is unable to breathe at night and falling over dead.

Well... I'm not saying they're not overprescribed (no idea) but there's no intrinsic motivator for the patient to be complicit in CPAP fraud. To judge from my Dad's experience with them, they're basically annoyances that you put up with so that your sleep apnea doesn't cause you to wake up dead. He had to be hounded into it by my mom and his doctor working in concert, and he still grumbles about having to use it.

Whereas with scooters, well, beats walking, right? So the patient has a little bit of motivation to nod and wink his way through the exam. Which makes it a pretty solid scam--it's not like the patients are complaining!--at least until you piss off the bean-counters once too often.

Yeah, I see what you mean. I guess I'm always suspicious of the latest ailment to make the rounds.

I've had sleep apnea since I was 17 years old.  I'm 44 now.  I got my CPAP two years ago.  It was the best thing I've ever gotten.  It wasn't weight related when I weighed 140 pounds, and it's not weight related now that I weigh 180 pounds.  I'm not fat, I have a shiatty small throat and a big tongue.  It's genetics.

Anyone who suggests you're getting a CPAP for fun is full of shiat.  You have to do at least one sleep study to get diagnosed, and then a follow up to make sure the machine is working as expected.  Newer machines wirelessly report usage if you have wireless networking at home.  Otherwise, you bring your CPAP in to your doctor after the first month so they can make sure you used it at least 4 hours a night for 8 out of the last 30 days.

I wanted surgery to fix the apnea, since it runs in my family.  I have three brothers, my dad, and my grandfather who were all diagnosed.  To surgically fix it, they cut off the back of your tongue, laser out the roof of your mou ...


I had the sleep apnea surgery.  They basically opened the back of my throat, got rid of the ulevea (sp) and trimmed down the back of my tounge.  I was on liquid foods for about a week, but I could speak right away.  Its seems to have helped me.  There was some pain, but nothing I couldn't deal with.
 
2013-02-23 08:47:34 PM

MontanaDave: cardex: I want to know what kind of kickbacks they are grieving the doctors my grandmother slipped on ice and broke her foot around xmiss and they were pushing hard for her to buy a scooter instead of rent a wheel chair for a month

/ the rental was a waste of money she went out to Walmart and got crutches the next day and won't let us help her carry firewood inside

I like the cut of her jib.

/I trust that you carry her firewood anyway, but if you don't...go do that today.


She lives 3 hours away but it's not worth the fight she is only 80 and my great grandmother lived to 103 and was mowing her lawn with a push mower 3 months before she went and I think it's genetic to be blindly stubborn and prove doctors wrong
 
2013-02-24 12:48:44 AM

kevinfra: I had the sleep apnea surgery.  They basically opened the back of my throat, got rid of the ulevea (sp) and trimmed down the back of my tounge.  I was on liquid foods for about a week, but I could speak right away.  Its seems to have helped me.  There was some pain, but nothing I couldn't deal with.


It varies depending on how severe the obstruction was.  Before I saw the doctors I thought I could get away with some trimming and maybe the laser surgery that scars the back of your throat.  No dice.  They would have to pull my big fat tongue forward, and that takes months.

I may still get it if I can arrange a sabbatical from work, but I'm waiting for the economic recovery to kick in before I try that.
 
2013-02-24 12:15:58 PM

BarkingUnicorn: I'd like to know how they "bulldoze" doctors into prescribing scooters.


I'm a physician, and I see things like this on a weekly basis. If a patient needs a scooter, home oxygen, whatever, I'm okay with prescribing it. However, if I do the full exam and capability testing and coupled with physical therapy it looks like they don't need it, they don't get it.

The number of patients I have who try to hustle for disability benefits is astounding. I have one patient, for example, who has been on my patient roster since June 2012. I'd never seen them until two weeks ago- they would call in for refills on meds, and when I'd refuse as I hadn't seen them before, they'd see someone else at the clinic and vanish for 3 months. Two weeks ago, they showed up. Nothing really mindblowing, just diabetes and high blood pressure.

Two days later I get disability paperwork for her, claiming her diabetes, hypertension, Crohn's, bipolar, and a host of other things.

I refused to fill it out. If I only see you once, you don't get any disability paperwork from me. I'm not comfortable with that.
 
2013-02-24 10:32:49 PM
One other thing, I was actually filling a prescription at my local independent Pharmacy, when the person taking the call asked the Pharmacist (and owner) if they would be interested in aggressively marketing durable (read expensive) medical equipment. To his credit he said 'Hell no.' I'm certain that he didn't know I was standing there just within earshot.

Independent Pharmacies and Drug Stores FTFW. They are better, cheaper, and friendlier than anything you will find at CVS, Rite-Aid, or Walgreens.
 
2013-02-25 03:54:29 AM

Loueloui: One other thing, I was actually filling a prescription at my local independent Pharmacy, when the person taking the call asked the Pharmacist (and owner) if they would be interested in aggressively marketing durable (read expensive) medical equipment. To his credit he said 'Hell no.' I'm certain that he didn't know I was standing there just within earshot.

Independent Pharmacies and Drug Stores FTFW. They are better, cheaper, and friendlier than anything you will find at CVS, Rite-Aid, or Walgreens.


Nope, no one is cheaper than Wal mart.

Better and friendlier, maybe.  CVS is the most expensive.  But Wal Mart is the cheapest.  By far.  On everything.
 
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