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The Great American Healthcare Billing Scam

Author: Rudi Bester

Publisher: Independently Published

Published: 2022-07-23

Total Pages: 0

ISBN-13:

This book was written as a "how-to" manual for managing unexpected, huge healthcare bills, for our shrinking middle class. Many of our friends, family, and people who think they are adequately insured, often find themselves to be suddenly under-insured, or even uninsured. I wrote it for those of us who might be financially crushed by receiving surprisingly huge medical bills... like the bills I received for nearly $160,000 after a two-week period of unexpected illness, treatments received, and my hospitalization for a few nights. Sharing personal experiences, I will walk you though the ins-and-outs of the Great American Healthcare Billing Scam, how to understand your medical bills, where to find help, and how to negotiate a settlement. If I were to help just one person avoid bankruptcy, it would have been worth my time and effort to write this book! And if, because of this book, even a few people manage to successfully negotiate exorbitant medical bills - and get these adjusted or discounted to amounts deemed more affordable - that would also be a suitable reward. And finally, I did not write this book for any financial reward. As I have done with my previous written works, I order author's copies in bulk, at a discounted price. I pay for these books with my own money i.e., out-of-pocket. At our family's charitable gift shop in Lake Worth Beach Florida, I offer my books "for sale" to people in exchange for a donation. Whatever amount they can afford as a donation, determines the price. The proceeds - all 100% of it - is donated to Memory Trees Corporation, our family's registered public charity. Your can learn more about our "No Poverty" projects at www.memorytrees.co.

Phantom Billing, Fake Prescriptions, and the High Cost of Medicine

Author: Terry L. Leap

Publisher: Cornell University Press

Published: 2011-04-15

Total Pages: 253

ISBN-13: 0801461286

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U.S. health care is a $2.5 trillion system that accounts for more than 17 percent of the nation’s GDP. It is also highly susceptible to fraud. Estimates vary, but some observers believe that as much as 10 percent of all medical billing involves some type of fraud. In 2009, New York’s Medicaid fraud office recovered $283 million and obtained 148 criminal convictions. In July 2010, the U.S. Justice Department charged nearly 100 patients, doctors, and health care executives in five states of bilking the Medicare system out of more than $251 million through false claims for services that were medically unnecessary or never provided. These cases only hint at the scope of the problem. In Phantom Billing, Fake Prescriptions, and the High Cost of Medicine, Terry L. Leap takes on medical fraud and its economic, psychological, and social costs. Illustrated throughout with dozens of specific and often fascinating cases, this book covers a wide variety of crimes: kickbacks, illicit referrals, overcharging and double billing, upcoding, unbundling, rent-a-patient and pill-mill schemes, insurance scams, short-pilling, off-label marketing of pharmaceuticals, and rebate fraud, as well as criminal acts that enable this fraud (mail and wire fraud, conspiracy, and money laundering). After assessing the effectiveness of the federal laws designed to fight health care fraud and abuse—the antikickback statute, the Stark Law, the False Claims Act, HIPAA, and the food and drug laws—Leap suggests a number of ways that health care providers, consumers, insurers, and federal and state officials can bring health care fraud and abuse under control, thereby reducing the overall cost of medical care in America.

The Price We Pay

Author: Marty Makary

Publisher: Bloomsbury Publishing USA

Published: 2019-09-10

Total Pages: 305

ISBN-13: 1635574129

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New York Times bestseller Business Book of the Year--Association of Business Journalists From the New York Times bestselling author comes an eye-opening, urgent look at America's broken health care system--and the people who are saving it--now with a new Afterword by the author. "A must-read for every American." --Steve Forbes, editor-in-chief, FORBES One in five Americans now has medical debt in collections and rising health care costs today threaten every small business in America. Dr. Makary, one of the nation's leading health care experts, travels across America and details why health care has become a bubble. Drawing from on-the-ground stories, his research, and his own experience, The Price We Pay paints a vivid picture of the business of medicine and its elusive money games in need of a serious shake-up. Dr. Makary shows how so much of health care spending goes to things that have nothing to do with health and what you can do about it. Dr. Makary challenges the medical establishment to remember medicine's noble heritage of caring for people when they are vulnerable. The Price We Pay offers a road map for everyday Americans and business leaders to get a better deal on their health care, and profiles the disruptors who are innovating medical care. The movement to restore medicine to its mission, Makary argues, is alive and well--a mission that can rebuild the public trust and save our country from the crushing cost of health care.

Trapped in America's Healthcare Scam

Author: Michael J Considine

Publisher: Speedy Publishing LLC

Published: 2013-07-23

Total Pages: 50

ISBN-13: 1630222178

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The government shuts down, you are trapped in America's Healthcare Scam and Obamacare won't fix anything! Politicians argue over who should pay for a broken Healthcare system while Americans get sicker every day. We do not have a Healthcare System in America we have a for profit symptom care system controlled by the pharmaceutical companies. The Healthcare System in America is little more than a government back legalized network of drug dealers and pushers, pimping prescription drugs for the pharmaceutical companies. Do you think it's a problem that in 2014 around 50% of the FDA's operating budget will come directly from the pharmaceutical companies, the very industry they are regulating? Should we continue to allow these drug pushers to prescribe 6 million prescriptions per year for a drug more potent than cocaine to 5 million American children for a disease that there is no scientific proof even exist? Should the American Healthcare System be based on profits not cures, treat symptoms of a disease not the actual disease itself? Are you trapped with nowhere else to go...? This short book reveals the real reasons why America's Healthcare system is making Americans sicker not better, and what you can do to protect your family from this scam starting today.

Never Pay the First Bill

Author: Marshall Allen

Publisher: Penguin

Published: 2021-06-22

Total Pages: 289

ISBN-13: 0593190009

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From award-winning ProPublica reporter Marshall Allen, a primer for anyone who wants to fight the predatory health care system--and win. Every year, millions of Americans are overcharged and underserved while the health care industry makes record profits. We know something is wrong, but the layers of bureaucracy designed to discourage complaints make pushing back seem impossible. At least, this is what the health care power players want you to think. Never Pay the First Bill is the guerilla guide to health care the American people and employers need. Drawing on 15 years of investigating the health care industry, reporter Marshall Allen shows how companies and individuals have managed to force medical providers to play fair, and shows how you can, too. He reveals the industry's pressure points and how companies and individuals have fought overbilling, price gouging, insurance denials, and more to get the care they deserve. Laying out a practical plan for protecting yourself against the system's predatory practices, Allen offers the inspiration you need and tried-and-true strategies such as: Analyze and contest your medical bills, so you don't pay more than you should Obtain the billing codes for a procedure in advance Write in an appropriate treatment clause before signing financial documents Get your way by suing in small claims court Few politicians and CEOs have been willing to stand up to the medical industry. It is up to the American people to equip ourselves to fight back for the sake of our families--and everyone else.

Trillion Dollar Scam

Author: Saul William Seidman

Publisher: Universal-Publishers

Published: 2008

Total Pages: 200

ISBN-13: 159942956X

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Fraud is the result of government and insurance company control of health care. The growth of bureaucracy is a precursor to incompetence and soaring costs of medical care. A lack of clinical diagnosis and a dependence on expensive testing has increased costs while decreasing the doctor's competence. The FBI and the attorneys general of all states are dealing with exploding health care fraud. The result is a trillion dollars in waste and deception. Trillion Dollar Scam details the origin of this fraud and waste, and offers solutions to fixing the broken U.S. health care system.

The Social Transformation of American Medicine

Author: Paul Starr

Publisher:

Published: 1982

Total Pages: 532

ISBN-13: 9780465079353

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Winner of the 1983 Pulitzer Prize and the Bancroft Prize in American History, this is a landmark history of how the entire American health care system of doctors, hospitals, health plans, and government programs has evolved over the last two centuries. "The definitive social history of the medical profession in America....A monumental achievement."—H. Jack Geiger, M.D., New York Times Book Review

The Great American Health Hoax

Author: Raymond Francis

Publisher: Health Communications, Inc.

Published: 2015-02-03

Total Pages: 314

ISBN-13: 0757318495

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Francis pops the lid off the healthcare industry, and explains why the conventional approaches to health and disease aren't working-- and why healthcare costs are threatening to bankrupt our economy. He shows you that health is a choice-- and you have the power to improve your personal health.

Bad Medicine

Author: Stephen Soloway

Publisher: Simon and Schuster

Published: 2020-10-20

Total Pages: 313

ISBN-13: 1510762450

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What you don’t know about the American healthcare system might kill you. From fatal malpractice to Medicare fraud, Dr. Stephen Soloway has seen it all over his thirty years practicing medicine. Now, the man known as “Dr. Trump” is ripping off the Band-Aid and exposing the truth about the American healthcare system—the good, the bad, and the rotten. Page after shocking page, you’ll discover the truth about where the coronavirus came from, and if we’ll ever be able to cure it. Learn the sad reality of what Medicare for All would mean for our nation. Find out why you should stay away from hospitals as if your life depended on it. (It does.) Dr. Soloway explains the medical tips and tricks that could save you from amputations, years of pain, or even death. Appointed by President Donald Trump to the President's Council on Sports, Fitness, and Nutrition, Dr. Soloway is a leader in his field, who sat on numerous boards and panels in the pharmacological industry, along with national advisory panels for major companies involved in arthritis or osteoporosis research. His uncanny ability to diagnose even the most complex cases has earned him the reputation of being a real-life Dr. House—minus the pill problem. Beyond his savvy insights into the secrets of our medical system, Dr. Soloway also shares his own rags to riches story, and how dedicated medical professionals can still succeed in this difficult environment. Ultimately, Dr. Soloway has a diagnosis for all Americans: Our healthcare system—and our country as a whole—is headed for disaster. The prescription? Read this book to find out.

Deadly Spin

Author: Wendell Potter

Publisher: Bloomsbury Publishing USA

Published: 2010-11-09

Total Pages: 304

ISBN-13: 1608193500

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That's how Wendell Potter introduced himself to a Senate committee in June 2009. He proceed to explain how insurance companies make promises they have no intention of keeping, how they flout regulations designed to protect consumers, and how they make it nearly impossible to understand information that the public needs. Potter quit his high-paid job as head of public relations at a major insurance corporation because he could no longer abide the routine practices of the insurance industry, policies that amounted to a death sentence for thousands of Americans every year. In Deadly Spin, Potter takes readers behind the scenes of the insurance industry to show how a huge chunk of our absurd healthcare expenditures actually bankrolls a propaganda campaign and lobbying effort focused on protecting one thing: profits. With the unique vantage of both a whistleblower and a high-powered former insider, Potter moves beyond the healthcare crisis to show how public relations works, and how it has come to play a massive, often insidious role in our political process-and our lives. This important and timely book tells Potter's remarkable personal story, but its larger goal is to explain how people like Potter, before his change of heart, can get the public to think and act in ways that benefit big corporations-and the Wall Street money managers who own them.