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For post below about failing audit - MtMountain


Posted: Aug 29, 2012

(not using my spellcheck - please forgive)  Recently I have found some interesting information on the internet - about how insurance companies are now conferring with employers on a 3- or 6-month basis to determine which employees are using excessive health insurance, as in if someone has cancer or is costing them money.  They in turn are letting those employees go in various ways. 

Since insurance companies can no longer terminate policies or refuse care for people with preexisting conditions, is this a new 'through the backdoor' way of kicking people off? 

Watch for work being all of a sudden severely scrutinized, for ex:  being put on 100% QA when you have normally been an employee in good standing right along, or being targeted with way below normal quality of dictation, only to have that harshly QA'd.  Being targeted, if you will. 

My guess is that no employer in this country wants to pay for health benes anymore, and they are simply finding 'creative' ways to deny people coverage. 

The $10,000 a year paid out to my HI premium I was told BY the insurance company was only to pay for the 'privilege' of having HI, not that it would cover everything.  (??) 

With my $3000/year deductible and 25/50 dollar copays for everything under the sun, what is a 6000 dollar voucher going to pay for? 

Ty,

Mt

~ THINK:  It's patriotic.

Maybe thats why they leave me alone - I dont take their bennies

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x

makes sense, I never get bothered either and have - no bennies

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Wonder if the sick people all get audited to death...

No bennie, no bother here either. - nm

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x

Wow... you seem to be on to something here. - No bennies for me, and no audits.

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As far fetched as it sounds, it might actually be true. I've literally never had an audit and I'm PT with no benefits, like the others.

I have bennies, I'm a 35-year veteran MT, and I - get audited more and more each year.

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So, if it can be proven that's what companies are doing, I wonder how legal that is? Doesn't sound very.

I guess one should consult the attornys? - probably not MModals though

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Sounds illegal!

Hmm. I was doing fine, then had to go to the ER at - the end of last year. Not long after, - S/M -

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and seemingly out of the blue, I was getting hammered for making too many mistakes. What's really strange is, the number of mistakes they claimed I made in a week, I wouldn't have likely made in 6 months to a year! That was really fishy, and got me suspicious. Then things quieted down for a while, and then this summer, right about the time I got a physical exam (only so I could renew chronic meds, because I'm healthy), and a mammogram was also scheduled, all of a sudden, my work was mysteriously failing audits. Never mind that I only have 1 account, and I've been on it for several years.

??????????????????????????????????????

Methinks this whole scenario of health insurance use resulting in heavy-handed auditing should be investigated further.

FAILING AUDITS - Nature

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Well, that certainly explains my situation. I had cancer. Was an excellent MT with no problems until that time (8 years). All of a sudden was audited to death until I went part time w/o insurance. Five years later, everything OK with no problems other than what most of the MTs have now. I always wondered why. Now I know. How sad. They made life hell for me, and I almost had a nervous breakdown, as 3 months later, my grandchild died, and I just could not handle the stress my job was putting on me. That is why I went part time.

Now THERE'S the type of story 60 Minutes would - probably LOVE to sink its teeth into!

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And it sounds, from reading this thread, that your story is just the tip of the iceberg.

but they wouldn't - because nobody cares

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nobody cares.

How old was your grandchild? Mine was - Grandma, too

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2-1/2 mos. Condolences.

Grandchild - Nature

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She was 3 months. It has been 5 years next month since she died, and my daughter still morns her terribly....breaks my heart. She was going to have her tubes tied, and I prayed and prayed she would change her mind. She did change her mind the day of the scheduled surgery. She got pregnant the next month with twin girls. She had them 7 weeks early, and they were in the NICU for 2 weeks for one and 3 weeks for the other. She decided later that she did not want anymore children, as the twins were a handful (to say the least). She had an IUD that was suppose to be 99% safe. The week she was going to have a tubal and him a vasectomy, she found out she was pregnant. She had a boy. That made 5 children (4 girls). She is enjoying her son so very much. I am so glad. I just wish she did not have anxiety so bad about him dying with SIDS, but I would probably be the same way. The little girl (Summer Raine) died in her arms. She fell asleep holding her, and woke up to her being dead. I still have nightmares about it, as I lived in the apartment below, and watch her giving CPR and crying for me to help her. I feel like my heart broke in several pieces that night and even more pieces when I hear her cry.

I have little doubt that this is true - MModal Livestock

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If someone is going to actually use their benefits I'm sure MM would do their best to divest themselves of that burden. As for those using their health insurance, come on people, didn't MM make it clear that was a prop, like wax fruit, you don't really eat it;)

Unfortunately, it doesn't apply to my situation. I have no real benefits except for my life insurance, though as I mentioned elsewhere that was just cancelled too for unknown reasons. I didn't go for the benefits because they were too expensive, but also because my original company's insurance plan was scrapped when we were bought out and I had already been under treatment for my Crohn's disease. So under the new plan, it was pre-existing. I should haven known better than to seek out medical treatment in America.

MModal is a corporation. It's their sole duty to make money by any and all means currently legal or easily hidden. That doesn't necessarily mean they treat everyone badly. I've often found myself the beneficiary of their unintentional mercy. But their relationship to us is similar to my relationship with ants. Since becoming an adult, I no longer seek out ants and ruin their little lives for fun. However, I can't say I watch where I step all that much. And once the poor little guys find the sugar (though I certainly have enough to spare), I break out the Raid.

The lesson here: Uh... find a time machine and warn your past self never to join MQ/MM? Wow, I can't think of an applicable lesson...

"People of the same trade seldom meet together, even for merriment and diversion, but the conversation ends in a conspiracy against the public."
- Adam Smith, pioneer of modern capitalism and economic philosophy.

AUDITS - Nature

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I cried and cried after my last post. I went through so much after I was diagnosed with cancer and then my granddaughter dying and watching my daughter go through hell (and still do). I hope that the audits were for another reason (even because I made too much money), because I don't like to think about working for a company that is that cruel to its employees. Please, someone tell me that this would not be true.

So sorry about your granddaughter - nana

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I am a grandma too, and I cannot imagine what you went through. My heart breaks thinking about it. You and your daughter are in my prayers!

I'm truly sorry for all you've been through - MModal Livestock

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I can't imagine how hard that must be for you and your family. It is awful to think that MModal has played some part in the stress and trials you've been going through. Losing your health insurance is a devastating emotional and financial blow and I've seen far too many (across so many professions) these past few years go through it.

I can only hope your health is improving now and that your family has received the loving support they deserve. Regardless of whether MModal's executives care or not, the world still has a lot of good people in it. The rich rarely know loss like we do, but that's only because they don't have anything worth keeping.

It's probably also why it's so hard to get hired after - 50. Ins. co"s. dont want them to.

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It's just one more reason I think the entire country of middle & lower class workers, not just MTs, should one day just stop going to work, and refuse to work, or buy anything, or do anything, until these rich a-h*les sit down and offer us a living wage, decent benefits, and no more discrimination.

We could shut this country down, and make it beg us to go back to work.

100% support this - MModal Livestock

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What's sad is that such a small minority of the population (the upper class) are holding the rest of us hostage. They are nothing without us.

I read a news article a while ago about the Waltons (the ones that own Wal-mart) and their giant "Wal-mart sized" apocalypse bunker that is partly underground. They will have a whole staff of servants and guards to wait on them after the apocalypse. What strikes me as so hilarious about this (beyond the basic concept) is that you're going to hand over a pile of guns to your guards and then tell them to protect you. After an apocalyptic cataclysm has rendered your money worthless.

If MModal called you tomorrow and told you that they ran out of money, but they needed you more than ever, are you coming into work?

audits - okcmt

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I'm almost scared to post this but since my company was taken over by MM several years ago,I have NEVER had an audit. However, about 2 weeks ago I went to the ER with palpitations (I'm assuming now from stress mostly.....dealing with this job plus the fact that my husband has been unemployed for quite awhile), ended up staying the night and having a stress test the next morning. Thankfully, my heart is just fine but now I'm waiting for the ax to drop!! Actually, I'm at the point where I just don't care what MM does anymore.....they certainly don't care about me. I am not surprised that they badger and harrass people who have the gall to actually use their health insurance, such as it is. This is a vile company.

Scary thought. I thank the good Lord that I am healthy - everyday. You just never know with

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coporate America these days. It's unfortunate that the United States place such little value in the health of it's citizens. If your sick you should have affordable health so you can go to the doctor and not be afraid to use it...shaking my head.

My cousin was visiting from Scandinavia, and - told me that in her country - sm

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everybody has full health coverage, working or not. (And unemployment there is very, very low.) I've been there to visit her, and boy oh boy - the standard of living in Scandinavia is astoundingly better then ours in the U.S. Compared to them, we're a nation of hillbillies.

I don't have bennies and I get audited - anon

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on a monthly basis, as does everyone in my group, so not targeted due to having bennies.

Your group is the non-bennie group they have to audit so none - get suspicious. nm

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x

OMG, that is probably true! LMAO - anon

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Crap, I always get picked for the loser group, hahahaha.

holy moley.... - MT Gone

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this is scary stuff!!! And, I don't for one minute put any of it past them. The "Q", "M*Modal" or whoever they are calling themselves now needs to be turned upside down and shook and just watch at what falls out. However, as one poster said, no one cares, at least not till the lawsuits start because of the robopuke going into people's permanent medical records!!!


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