Last update: January 4, 2020
Coverup
Coverup
*Note: Hacking my Website is Witness Intimidation, Interfering with a witness's testimony or cooperation in a criminal case is a criminal act that can be misdemeanor or a felony. Intimidating or tampering with a witness involves trying to get a witness to lie, say certain things under oath, alter or destroy evidence, or not testify even if it comes from Corrupt Investigators and Dirty Cops.
There are six cases. These are some of the evidence to question: Is TeamHealth a Criminal Enterprise defrauding this Veteran (s) and maybe you, out of Veterans Health Care, Social Security Health Care, and Workman Compensation Health Care.
There are six cases. These are some of the evidence to question: Is TeamHealth a Criminal Enterprise defrauding this Veteran (s) and maybe you, out of Veterans Health Care, Social Security Health Care, and Workman Compensation Health Care.
Since, 2013 TeamHealth has or now attempting to defraud me as a Veteran out of around $150,000. Since, Congress is being lobbied for a vote next week. I would request that Congress forward Victim of Fraud funds to pay my bills from this Company operating in Las Vegas and other states under alias names. Team Health and many of its employees and Doctors are operating as a criminal enterprise. Please, reconsider laws to break up this criminal enterprise as I tell you what they did to me. Most Vets do not have my knowledge of this corrupt TeamHealth and maybe some others operating defrauding Veterans out of how much? This may not include social security recipients, work comp injured workers, or disabled America. I provide graphs at the end from VA OIG on Non-VA Emergency Claims. Why charging more to insures and paying them less have left the Veteran stuck with the bill.
This case was about hidden agreements that are readable if you understand the code they are using, in the medical records as Doctors took part in fabricating false statements, misdiagnosing to adversely affect the approval of the claim from VA and Medicare.
President Trump surely did not withhold as much from an ally; I thought Veterans were allies:
Block quote: Plaintiffs' lawyers say that based on past estimates by the VA, the department is now on the hook for between $1.8 billion and $6.5 billion in reimbursements to hundreds of thousands of veterans who have filed or will file claims between 2016 and 2025.
I tell you how the fraud works with TeamHealth as you get a surprise bill. The Surprise is that someone paid a premium to Medicare or paid a price in the Military for a paid premium that Doctors and employees of TeamHealth are participating in fraudulent billing and medical misdiagnosis activity, from the Doctors working under the insurers, to make that bill incorrectly denied.
2017 OIGs Report said CAR VA should have approved about 17, 000 Veterans with bills $53 million and about another 50,000 ER visits.
81,500 denied claims and 114, 000 rejected VA Claims for ER Hospital visits.
Block Quote Retrieved from: https://www.nbcnews.com/news/veterans/court-rules-va-must-pay-veterans-emergency-room-care-decision-n1052131
"Sept. 10, 2019, 4:00 PM PDT by Courtney Kube, Mosheh Gains and Adiel Kaplan
Aug. 16, 201900:27 Former Coast Guardsman Amanda Wolfe, one of the plaintiffs in the case, told NBC News on Tuesday, "I’m just overjoyed. I think it means change, it means that veterans don’t have to be afraid of receiving care, emergency care. They can have that sense of security that sense of peace knowing they are covered if they have emergency care." “I served side by side with some of these veterans who were impacted and to think that this is going to make a difference for them is what is most important to me."
Additional Evidence
Block Quote Retrieved from: https://www.nbcnews.com/news/veterans/court-rules-va-must-pay-veterans-emergency-room-care-decision-n1052131
"Sept. 10, 2019, 4:00 PM PDT by Courtney Kube, Mosheh Gains and Adiel Kaplan
WASHINGTON — The Department of Veterans Affairs must reimburse veterans for emergency medical care at non-VA facilities, a federal appeals court ruled Monday — a decision that could be worth billions of dollars to veterans.
The U.S. Court of Appeals for Veterans Claims said the VA has been wrongfully denying reimbursement to veterans who sought emergency medical care at non-VA facilities, and struck down an internal VA regulation that blocked those payments.
"All of this is unacceptable," said the ruling, which ordered the VA secretary to "re-adjudicate these reimbursement claims."
Plaintiffs' lawyers say that based on past estimates by the VA, the department is now on the hook for between $1.8 billion and $6.5 billion in reimbursements to hundreds of thousands of veterans who have filed or will file claims between 2016 and 2025.
Aug. 16, 201900:27 Former Coast Guardsman Amanda Wolfe, one of the plaintiffs in the case, told NBC News on Tuesday, "I’m just overjoyed. I think it means change, it means that veterans don’t have to be afraid of receiving care, emergency care. They can have that sense of security that sense of peace knowing they are covered if they have emergency care." “I served side by side with some of these veterans who were impacted and to think that this is going to make a difference for them is what is most important to me." In 2015, the court struck down a previous version of the internal VA regulation that refused any coverage for an emergency claim when another form of insurance covered even a small part of the bill. The court said the regulation violated a 2010 federal law. Hard-won victory In September 2016, Wolfe went to the emergency room because her appendix was about to burst. After a speedy recovery, she figured she was all set — she had two kinds of insurance, a private plan she paid for and her Veterans Affairs benefits.
The VA's Office of Inspector General released a report in August confirming Walz's suspicions, finding the VA had improperly processed 31 percent of claims filed by veterans for non-VA emergency services and the amount of incorrect claims denied April 1 through Sept. 30, 2017 -- estimated at $53.3 million -- represented "potential undue financial risk" for roughly 17,400 veterans. The August report found that in just one recent six-month period, the VA left roughly 17,400 veterans to pay out-of-pocket for $53 million in emergency medical treatment the government should have covered.
What is causing these cost against me and other Veterans, and maybe Disabled Americans? Your underlying causes not correct? Medicare for all, but the Insurer and Doctor just won't bill Medicare, through writing misdiagnosis for patient and billing wrong insurers as in my case and many others to run the clock out on filing a timely claim!
1) Block quote retrieved from: https://www.nytimes.com/2019/12/08/upshot/deal-surprise-medical-bills.html
"Behind the scenes, lobbyists for doctors, hospitals, air ambulances, insurers and large employer groups have been making the rounds on Capitol Hill. The bonanza for lobbyists and media consultants demonstrates the deep pockets of the health care industry, and the intense interest it takes in even relatively small policy changes.
Reported, TeamHealth said in a letter to several senators that it now rarely sends surprise bills, but it did use the threat of out-of-network billing to negotiate higher prices from insurance companies.
The deal struck by the two committees — the House Energy and Commerce Committee and the Senate Committee on Health, Education, Labor and Pensions.
Up to one in five emergency room visits may result in a surprise bill, but research suggests that the problem is concentrated in a small number of hospitals that contract with physicians who fail to mirror their insurance arrangements. Envision and TeamHealth, the principal companies behind the advertising blitz, have employed out-of-network billing as a broad business practice, a study by Yale professors suggests. As Axios has reported, TeamHealth said in a letter to several senators that it now rarely sends surprise bills, but it did use the threat of out-of-network billing to negotiate higher prices from insurance companies.
Surprise bills can run into the thousands of dollars, representing shocks to patients who expect their care to be covered. The issue has emerged as a major consumer concern, popping up in public polling as a top health care worry and a priority for government action.
Passage of the bill is still not guaranteed, but the bipartisan agreement substantially increases the likelihood that the legislation will move this year, most likely as part of a large government funding package expected to pass before a Dec. 20 deadline. The Congressional Budget Office has said that the approach in the deal will save the government money, making it a helpful piece to help offset other priorities.
The deal struck by the two committees shares key features with a bill the Energy and Commerce Committee passed this summer. Doctors who provide care that is out-of-network for a patient’s insurance will automatically be paid the median price of in-network doctors in the area. For certain large claims, doctors will be allowed to appeal to an outside arbitrator for reconsideration. A similar process would also apply to hospitals that treat patients in medical emergencies, and to air ambulances (the helicopters and planes that transport patients from remote areas to major hospitals). Private equity is also highly invested in the air ambulance industry."
2) Block Quote Retrieve from: http://www.softpanorama.org/Skeptics/Health/Medical_industrial_complex/medical_bill_maze.shtml
Standard practice for insurers is to negotiate with providers to pay merely a fraction of the cost. In the case of inpatient hospital bills, for example, a NerdWallet study found Medicare negotiates, on average, a 73% discount. {The VA does similar, so Teamhealth is the mechanism used to make Veterans and maybe some disabled on Social Security Medicare pay the bills instead of accepting the discount. The Doctors receive the money are represented by Teamhealth incentivizing the Doctors into misconduct to assist the insurer, VA and Teamhealth, as two examples.)
3) Block Quote Retrieve from: https://www.axios.com/teamhealth-sent-thousands-of-surprise-medical-bills-in-2017-cb405e14-7ef5-4a0b-98b5-fff37334093f.html Caitlin Owens Dec 5, 2019
"Physician staffing firm TeamHealth sent thousands of surprise medical bills to patients in 2017, a strategy used to obtain higher payment rates from insurers, according to a letter from the company sent to a group of senators in March, which was obtained by Axios.
Why it matters: These bills can be unaffordable for the small portion of TeamHealth's patients who receive them, and the subsequently high in-network rates raise premiums for everyone.
In the same letter, Murphy said TeamHealth provides emergency care to 16 million patients a year, and 26% of its patients have commercial insurance.
It collects significantly less from Medicaid beneficiaries and uninsured patients, which collectively make up about half of its patient volume.
Yes, but: TeamHealth says it no longer practices balance billing.
"TeamHealth has a longstanding policy against balance billing... To the extent balance billing occurs from a TeamHealth facility, it is rare and unintended," Blackstone's Wayne Berman, head of global government affairs, wrote in a letter to the Energy and Commerce Committee in October.
Blackstone acquired TeamHealth in 2017."
4) https://www.vox.com/2019/5/9/18551274/trump-surprise-medical-bills-congress There are at least three ways Congress could outlaw surprise bills... (But, does this article really know what is going on with Doctors, Insurers behind closed doors with patient billing?)
How large is the incentive for Doctors to participate in this scheme? Those that participate misdiagnose to disqualify patient from receiving payments from medicare and VA; as well as service connection ratings. One dollar on the dollar from the patient intimidated their credit score ruined, one dollar on the dollar tax write-off, or maybe per-say collecting 25% on the dollar from VA or Medicare reduced payment agreements? Medicare for none?