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There Are Phantom Med Schools Lurking In Medicare Data

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  • There Are Phantom Med Schools Lurking In Medicare Data

    Dr. Thomas "Randy" Lombardo has been a well-regarded cardiologist in the Beaumont, Texas, area for decades, but a look at his entry in the Medicare provider database would make anyone do a double-take.

    It says he graduated from Gate City Medical College in 1981, which is a problem because the school was shut down in 1911 after its dean was found to be selling phony diplomas for $50.

    Though it's actually a data error, nonetheless it should have led Medicare to red-flag him for potential fraud, since that's why school information is collected by the Centers for Medicare and Medicaid Services (CMS) in the first place. If that occurred, CMS would have learned he was indeed a real doctor with a real medical degree and perhaps encouraged him to correct the misinformation.

    But nobody is looking at the data.
    VICE News - Full Article

  • #2
    And we're supposed to trust all of the computer systems that monitor everything we do on behalf of our benevolent government?

    GIGO - Garbage In - Garbage Out.

    Quis Custodiet Ipsos Custodes? Who is watching the watchers?


    • #3
      Our company uses the term "Credentialing". We have a 50+ person staff that does nothing else besides credential new providers and re-credential current providers. Very, very time consuming process. Which is why most doctors and dentist only join enough company networks to get enough patients to make the money they want to make and no more......

      Twelve years ago I helped write the software our people use. Not a fun project, took about a year.
      “The time has come,” the Walrus said,
      “To talk of many things:
      Of shoes—and ships—and sealing-wax—
      Of cabbages—and kings—
      And why the sea is boiling hot—
      And whether pigs have wings.”
      ― Lewis Carroll


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