If you can read this, either the style sheet didn't load or you have an older browser that doesn't support style sheets. Try clearing your browser cache and refreshing the page.

(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  
•       •       •

10011 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»



133 Comments   (+0 »)
   
View Voting Results: Smartest and Funniest

Archived thread

First | « | 1 | 2 | 3 | » | Last | Show all
 
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.
 
Displayed 33 of 133 comments

First | « | 1 | 2 | 3 | » | Last | Show all

View Voting Results: Smartest and Funniest


This thread is archived, and closed to new comments.

Continue Farking
Submit a Link »






Report