——– Original Message ——–
Subject: Re: US-POLITICS: Competitive Bidding in O&P
Date: Fri, 04 Feb 2000 00:09:19 -0600
From: Reed Coleman
To: Michael P Madden
References: <[email protected]>
Mike,
How do you propose we ‘police’, ‘self clean from within’ if no rules or
legislation is in place to do so ???? What good does it do to identify
the ‘culprit’ if you cannot ‘serve’ them the sentence ???? Pardon me,
but being sanctioned by A.B.C. does not scare me at all. (B.T.W. – I
stay completely on the ‘right side’ of the rules ). How can their
sanctioning affect me ???? I do not have to be certified to bill M-care
or other insurances.
I personally have turned in individuals/companies for fraudelent/abusive
practices to HCFA and the D-MERCS with DOCUMENTATION and had the insured
member both call and put the situations in writing. Guess what??? I
AIN’T SEEN NOTHIN’ YET !!!! ( over 6 1/2 years since the first report
). I am about to turn in an other individual & his company, and I can’t
help but think I’m wasting my time and effort.
If laws are enacted with specific does and don’ts, then the fraudulent
and abusive practices can be stopped. If you don’t think so, go out
and break any of the ‘laws’ on the books and get caught. I guarantee
you will pay the appropriate penalty. Only when penalties are imposed
that mean something can you put a stop to the abuse. Laws on the books,
now we as a profession can POLICE OURSELVES. Until then, we have to
rely on another body or agency to do the ‘policing’ for us. Sorry Mike,
until then it is basically out of our hands.
Respectfully,
E. Reed Coleman, L.P.O., C.P.
