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Old 12-23-2002, 06:56 AM   #21
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OK....I found more pork!!!!

Not a lot in the grand scheme of things, however something that I feel is not necessary for my tax $$$$$$ to be spent on.

All they had to do was call Daimond to get the answer! many things like this are we paying for??????

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Old 01-09-2003, 08:34 PM   #22
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Well......more money that is being stolen(allegedly):

Tenet Sued by U.S. Over Medicare Bills
Thu January 9, 2003 05:48 PM ET
By Kim Dixon
CHICAGO (Reuters) - Tenet Healthcare Corp. THC.N , the nation's No. 2 for-profit hospital chain, was sued on Thursday by the U.S. Justice Department for allegedly submitting fraudulent claims to Medicare.

The case, filed in Los Angeles, was brought on behalf of Medicare, a government program for senior citizens, and alleges that Tenet and its hospitals violated the False Claims Act by manipulating reimbursement codes to enhance its revenues.

The Justice Department is alleging it is owed about $323 million in damages, a spokesperson said.

Tenet warned earlier on Thursday that it expected the lawsuit shortly because talks with the department had come to a standstill.

Most of the alleged violations took place while Tenet was operating under a Corporate Integrity Agreement it had reached with the Department of Health and Human Services.

The Justice Department alleges in the suit that Tenet falsely certified to the government that it was in compliance with Medicare regulations and the terms of the Corporate Integrity Agreement although it knew it was not.

Some analysts believe Tenet may have its back against the wall as details of the case make it hard for the company to defend itself.

"The government may not want to settle, and the problem with this issue of coding (for Medicare claims) is it's very easy to accuse and difficult to defend," said Nancy Weaver, an analyst at Stephens Inc.

The U.S. Department of Health and Human Services is querying other hospitals' coding practices as well.

Tenet shares went into a tailspin since Oct. 28 when a Wall Street analyst raised questions in a research note about whether Tenet could sustain Medicare funds received for treating very sick patients, which accounted for more than $750 million of revenue for its fiscal year ended May. This has led to a separate audit of its Medicare payments.

The company also faces scrutiny because two doctors at one of its Redding, California hospital have been accused of performing unnecessary heart surgeries. That inquiry is ongoing.


Tenet said it could not come to agreement with the Justice Department over how Tenet bills the government in connection with four categories of conditions, including pneumonia.

That prompted the company to warn that talks were not going well.

Sheryl Skolnick of Fulcrum Global Partners said questions are still unanswered as to Tenet's prospects because of changes to contracts with managed care companies.

"We don't know what the risks are going to be with respect to negotiations with its contracts," Skolnick said. Some managed care contracts pay Tenet based on what the hospital charges government programs.

Tenet, which operates 114 hospitals in 16 states, had previously disclosed in its filings with the Securities and Exchange Commission that it was among the providers that the government was scrutinizing.

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Old 01-09-2003, 09:22 PM   #23
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A large national healthcare provider based here in Birmingham has been sued by the DOJ for similar claims.


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