WorkCover patients being turned into ‘unpoliced pots of gold’ | 7.30

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  • Опубліковано 22 жов 2023
  • Tonight, Adele Ferguson reveals how our government health schemes are being exploited in podiatry with 'bogus billing' and 'fake referrals' turning vulnerable WorkCover patients and veterans into 'unpoliced pots of gold'.
    This story was produced by Laura Francis.
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КОМЕНТАРІ • 76

  • @MandaPanda254
    @MandaPanda254 7 місяців тому +29

    When i was 17 i saw a psychologist under a mental health plan. I saw her 3 times, didnt like her so i went to see another one, and found out all of my sessions had been used.. discovered the psychologist was charging falsly, even when i was interstate. Reported her for medicare fraud, when they went to investigate all of a sudden her practice was empty and she ran.
    Its caused me so much distrust in those who im 'supposed' to trust, and left me unable to access treatment i needed

    • @daRich_X
      @daRich_X 7 місяців тому

      That psychologist sounds like a POS. Shame on her. Sorry to hear that you had that experience.

  • @jamesboyd2978
    @jamesboyd2978 7 місяців тому +19

    What a total fraud , that doctor needs to be investigated and prosecuted

  • @adamabbas8876
    @adamabbas8876 7 місяців тому +14

    Sounds like there needs to be better checks and balances in the system. The absolute vast majority of practitioners are hard working, honest and work exorbitant hours for not that much money. Maybe show the other side of the story for the 99.9% of practitioners who stay late, arrive early and sacrifice family time to serve their patients.

    • @iriya3227
      @iriya3227 6 місяців тому +5

      yea I work as a biller in a non-profit hospital. Most of our doctors and allied health have no clue/time on how to bill and severely under bill. Meanwhile, we are not allowed to bill without a signed consent form in perfect condition and we lose millions because of it and write off accounts. For-profit healthcare with weak regulators is a recipe for disaster.

  • @danielmacdonald5631
    @danielmacdonald5631 7 місяців тому +15

    I think the federal Police should look at this

    • @stevie-ray2020
      @stevie-ray2020 7 місяців тому +2

      AFP should arrest him before he flees the country!

  • @petesmitt
    @petesmitt 7 місяців тому +18

    I reported a specialist for blatant unethical medical treatment and Medicare fraud; the government authority that I wrote to not only failed to investigate my complaint, they sent him a copy of my letter making these serious criminal allegations against him; when I rang the authority to follow up, they hung up on me.

    • @NathanCroucher
      @NathanCroucher 7 місяців тому +1

      what was the "blatant unethical medical treatment" huh???

    • @headswillroll89
      @headswillroll89 7 місяців тому +1

      Your a liberal voter though hey.

    • @petesmitt
      @petesmitt 7 місяців тому +2

      @@NathanCroucher I'm not going into details in a utube comment..

    • @petesmitt
      @petesmitt 7 місяців тому +2

      @@headswillroll89 you're.. and nunya biz.

    • @NathanCroucher
      @NathanCroucher 7 місяців тому

      a 1 day old anonymous account and you wont go into detail. I recon the letter was also forwaded to the fuzzzzz..@@petesmitt

  • @stevie-ray2020
    @stevie-ray2020 7 місяців тому +7

    AFP should arrest him before he flees the country!

  • @Early0025
    @Early0025 7 місяців тому +21

    wouldn't be hard for Services Australia to send an automated text message to the patient with what they were billed for, written in laymans terms. For MBS items too.

    • @headswillroll89
      @headswillroll89 7 місяців тому

      It's because the last 19 of 25 years, the liberal government privatised as much as they could .. why would we expect otherwise

    • @proxactual
      @proxactual 7 місяців тому +1

      yes it would, for a host of reasons, chiefly that Services Australia doesn't have access to clinical notes nor the ability to transcribe them into laymans terms. They only have access to the item number

    • @noramaddy4409
      @noramaddy4409 7 місяців тому +1

      ​@@proxactual Then send the item number and charged amount.

    • @Early0025
      @Early0025 7 місяців тому +1

      @@proxactual not clinical notes, the item they're billed for. Whether it was an in person item, a comprehensive examination was required, 40 minutes or more etc. Not everyone has a mobile so there is a privacy risk of revealing someone's condition to a caregiver or shared phone user via their item number.

    • @ether4211
      @ether4211 7 місяців тому

      ​​@@Early0025simple solution would be to include it as a opt in notification scheme of X amount charged on medicare for services on X date either by text/email/post just like a normal bill or bank statement. That way if you see a odd charge you can call medicare to ask what it was for and/or report it.

  • @fdeffenti
    @fdeffenti 7 місяців тому +6

    Why was he referred to as "Dr"? He is not an MD and does not hold a doctorate.

    • @crypt2732
      @crypt2732 7 місяців тому +2

      He may be. I'm an MD who went ahead to do Podiatry. People are shocked, but calm when they see my degree.

    • @fdeffenti
      @fdeffenti 7 місяців тому

      @@crypt2732 Dr, I checked his credentials on his company's site. He states that he is a "graduate of a Bachelor in Health Science and Masters [sic] of Podiatric Medicine". You've earned your "doctor" title, no matter what you do afterwards. He, from what I can tell, has not, and is misleading and deceiving the public.

  • @johnpatrick1588
    @johnpatrick1588 7 місяців тому +11

    Sanjay acts more like a pimp or rap star than a doctor on social media.

    • @stevie-ray2020
      @stevie-ray2020 7 місяців тому +6

      A case of foot in mouth disease!?!

    • @richber
      @richber 7 місяців тому +2

      I think he might have tripped himself up.

  • @ifiehill1789
    @ifiehill1789 7 місяців тому +12

    Thank God Australia is a good country. There are either places where an expose wouldn't even happen.

  • @Lucas-yy3dh
    @Lucas-yy3dh 7 місяців тому +23

    Come on guys, how's young Sanjay gonna get to house 30 if he doesn't overcharge people?

    • @petesmitt
      @petesmitt 7 місяців тому +11

      gotta love the arrogance of putting himself out there on social media..

    • @martianvideo
      @martianvideo 7 місяців тому +6

      He's probably at house 42 by now!

  • @headswillroll89
    @headswillroll89 7 місяців тому +8

    Oh wow. Privatise public healthcare and wonder where we might end up?

  • @Bennie32831
    @Bennie32831 7 місяців тому +4

    And people are wondering why NDIS costs so much ✌️👏👏👏👏

  • @proxactual
    @proxactual 7 місяців тому +6

    "Tonight, we take a close look at Podiatry"... Oh boy, this is gonna be fun

    • @heavyduty2280
      @heavyduty2280 7 місяців тому +2

      "next week chiropractors" xD "yes ur back has a memory" lmao

  • @Bennie32831
    @Bennie32831 7 місяців тому +2

    Good on you Angus for speaking up

  • @Conjola-
    @Conjola- 7 місяців тому +2

    I have had dealings with Dr Sanjay, and he was a piece of work. I do not trust the Seaview Clinic in Wollongong as I do not know which receptionist was passing the information along to him or if it was all of them.

  • @Mr83rt
    @Mr83rt 7 місяців тому +3

    My poor wife has been chopped and changed through different specialists while on workcover.
    Shes just recently been told she's now been put back 10 months from the incorrect treatments from previous specialists by her new specialist 🤣🤣

  • @braininjurydiy
    @braininjurydiy 7 місяців тому +2

    Everyone just after gouging money from us, the doctors, the lawyers, the insurers, the IME's. I had one exercise physiologist, I wasn't getting any better, but she'd frame her reports to try and sound like the therapy was helping so she could keep getting appoinmtents approved. I had a brain injury, incredible fatigue, yet she said my grip strenght had gotten better, here's the thing, we never did grip strength exercises and the test depended on how good a grip i got each test, I realised these guys weren't just about treatment but repeat appointments.

  • @doctortrainercoach
    @doctortrainercoach 7 місяців тому +2

    When will someone shine a proper light on the unhealthy relationship - certainly within Workers Comp and CTP - between a minority of health professionals (including GPs and surgeons) and (at least some) plaintiff law firms?
    It takes a sadly lacking individual to have the lack of virtue and substance to work under such a model, but it certainly pays well to deliberately not fix people and keep them broken indefinitely. The ill-won fruits of this get to be enjoyed by many living in cushy suburbia whilst honest workers see their livelihoods go down the drain.

  • @justadam1917
    @justadam1917 29 днів тому

    Thank you ABC for being one of the few Avenues the whistle can now be blown

  • @Bennie32831
    @Bennie32831 7 місяців тому +1

    If these things were written in words people would see the scams

  • @mercy3219
    @mercy3219 7 місяців тому +1

    Why don't the veterans get copies of what is being billed in their names? That would be one avenue for identifying fraud.

    • @paulorocky
      @paulorocky 5 місяців тому

      Having been a provider for the DVA, this would be fantastic, however many on the DVA programs are elderly and/or suffering from PTSD, and may not have the wherewithal to store the receipts appropriately. There’s no reason why the department cannot undertake audits, especially for unusual billing practices.

  • @albertgriffith5801
    @albertgriffith5801 7 місяців тому +2

    Capitalism incentivizes total self-interest, and punishes any other behaviour. What else was going to happen here? The fact it's all to buy more real estate is just the cherry on top. People might as well look up to that doctor because he's clearly got the game figured out.

  • @SagittarianArrows
    @SagittarianArrows 5 місяців тому

    The dishonesty and lack of integrity in these professions is gob smacking. Hope these types do not access Essential workers housing. All patients must have a receipt for services. Billing addresses need to be confirmed by the patient before any "consultation" is processed.

  • @daRich_X
    @daRich_X 7 місяців тому

    This veteran looked visibly distressed when he was discussing the bogus charges to his DVA benefits. The shifty 'Dr' podiatrist dude is a bad seed.

  • @heavyduty2280
    @heavyduty2280 7 місяців тому +1

    repayments! should be jail time then he can get up at 315 any day

  • @themasses396
    @themasses396 6 місяців тому

    I took a client to tje podiatrist once. He logged into her NDIS and told me she had all this money to use and wanted to book it all out for her. I tried to dismiss him saying the office would take care of it and he was so pissed at me, he got quite offensive 😂 I knew it was weird then but now I can actually believe it. What sort of person does this

    • @themasses396
      @themasses396 6 місяців тому

      I should say, that he was not the Dr treating her either. It was her first session, and she was in the treatment room. How did he know what she needed to take all her funding, what if she decoded to go elsewhere.... she never needed to return, thankfully. And when she does she won't be going there ❤

  • @Bennie32831
    @Bennie32831 7 місяців тому +1

    The code system is a scam

  • @simonharris4801
    @simonharris4801 7 місяців тому

    Sure is , seen it all, every dr, specialist surgeon making money , yet bad results, system gets ripped every minute

  • @galahad6001
    @galahad6001 5 місяців тому

    Sanjay and the Colin (VET) are worlds apart in moral compass.. unfortunately Colin is in the minority and declining. LESS WE FORGET

  • @johnpatrick1588
    @johnpatrick1588 7 місяців тому +6

    The Seven Deadly Sins are on display.

  • @Kruse1
    @Kruse1 7 місяців тому +2

    Fraud.

  • @crypt2732
    @crypt2732 7 місяців тому

    Funny how you want to make this about podiatry and not the practitioner. Podiatrists are an important part of the health sector. I wont be shocked if this is a fishing technique by orthopods.

  • @Quadrajettison
    @Quadrajettison 7 місяців тому

    🚔