Monthly treatment plans are wasteful, disruptive of care, toxic and actually illegal. I
suggest you review these questions with your lawyer;
1) I found no evidence of a benefit of a treatment plan. In this study of asthma, it made no difference compared to ordinary patient education.
http://www.cochrane.org/CD011859/AIRWAYS_written-and-personalised-action-plans-help-adults-manage-their-asthma
You should inquire of reviewers for the studies supporting this practice. I may have missed them searching the medical literature. If they cannot provide the evidence, then they are not medically necessary;
2) the definition of Medicaid fraud is reviewed here. It includes the provision of procedures that are not medically necessary;
https://definitions.uslegal.com/m/medicaid-fraud/
3) if the predicate crime is Medicaid fraud, and one communicates with others about it, that satisfies the definition of the federal conspiracy crime;
4) beyond quackery, and its legal consequences, such treatment plans are not required in internal medicine, nor in pediatrics;
Obamacare contains a mental health parity provision. If it is repealed, mental health parity is still required by the Wellstone Act of 2008. These treatment plans and all other requirements not demanded of other specialties violate the Wellstone Act. One
reports such violations to the Labor Department for federal enforcement. Review here.
5) because of the fraction of minorities on Medicaid, these policies have a disparate impact on minorities. Statistical disparity is now sufficient evidence of racial discrimination;
https://en.wikipedia.org/wiki/Texas_Department_of_Housing_and_Community_Affairs_v._Inclusive_Communities_Project,_Inc.
https://en.wikipedia.org/wiki/Texas_Department_of_Housing_and_Community_Affairs_v._Inclusive_Communities_Project,_Inc.
6) their intent is to deny access to care, to deter providers with punitive writing assignment, to consume time to reduce the number of procedures billed. The result of this bad faith scheme? The 30% surge in suicide in Pennsylvania. These government functionaries
should be considered to be mass murderers. Did you ever get a repetitive writing assignment, after you broke a rule in school?
It was a form of corporal punishment. It was administered to the body. It took your time. It frustrated you and made you feel bad. It took your freedom away, to do other physical activities. It was even physically painful. It traumatized you, and deterred future misconduct by a lasting PTSD. It also intimidated the other students in a form of social learning. Seeing other animals punished has an effect on the on looking animals. That is called social learning.
We are not allowed to apply corporal punishment to our patients. We are not even allowed to do anything corporal, such restrain them. That is a human rights violations according to the regulators.
Why on earth would you allow payers to physically punish your staff? What are you deterring by this corporal punishment? It is billable clinical care.
The result? A rise of 30% in the suicide rate of Pennsylvania. That is 100% caused by the criminals who control your payments. Because they know the effect of limiting access to care, they are mass murderers as if they killed those thousands of people themselves. Your payers are knowing, cold hearted, mass murderers.
It was a form of corporal punishment. It was administered to the body. It took your time. It frustrated you and made you feel bad. It took your freedom away, to do other physical activities. It was even physically painful. It traumatized you, and deterred future misconduct by a lasting PTSD. It also intimidated the other students in a form of social learning. Seeing other animals punished has an effect on the on looking animals. That is called social learning.
We are not allowed to apply corporal punishment to our patients. We are not even allowed to do anything corporal, such restrain them. That is a human rights violations according to the regulators.
Why on earth would you allow payers to physically punish your staff? What are you deterring by this corporal punishment? It is billable clinical care.
The result? A rise of 30% in the suicide rate of Pennsylvania. That is 100% caused by the criminals who control your payments. Because they know the effect of limiting access to care, they are mass murderers as if they killed those thousands of people themselves. Your payers are knowing, cold hearted, mass murderers.
No comments:
Post a Comment