Hospital Billing Fraud

I am uninsured and need health insurance. I am middle aged and and have some preexisting conditions. My credit isn’t the best due to some fraud I had to deal with and I don’t have much money to spend. Please, does anyone know where I can turn? I live in Texas. Thank you!

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How or where can I find answer to questions about possible insurance misrepresentatin or fraud by an employer?
I have discovered that I wasn’t covered by medical insurance when I was supposed to be by my employer. Money was taken out of my check weekly to cover the premiums, I had been insured for over a year with this employer at the time and I didn’t recive any notice of a lapse in coverage. I realised after receiving unpaid bills from my doctor’s offices for annual check-ups, that my employer had let our policy lapse. My employer immediately cut me a check to cover the bills and my insurance premiums were paid. From what I can figure, I was not covered and unaware of it for 2 months. That was over a year ago, and now I think it has happened again. I also think my employer is going to drop our insurance policies altogether and I was wondering how much advanced notice they are required to give?
I live and work in Missouri and am very worried about what my rights to coverage are!

healthcare billing fraud

My wife’s HMO just sent us a summary statement of medical care bills and payments for all of 2008.

You tell me — doesn’t this amount to grand fraud?

1. total charges [excluding double billing caused by HMO delaying for months] 33,343.80

2. Allowed by contract [also includes 437.37 that hasn't yet been been ruled as allowed or denied] 8312.78

In other words, the amounts “billed” by the hospitals, lab operations, physicians, clinics, radiologists, etc. were FOUR times the amounts they’d actually agreed to accept as full payment from the HMO.

Now, if you didn’t have an insurance company bargaining for you, the hospitals, et al, would be trying to collect FOUR times as much from you as they really expect to get, and really “should” get.

FOUR FREAKING TIMES AS MUCH !!

***
Aside: for everyone who asks in these forums about paying their medical bills — the bill is a fraud. Provider never expected to get anywhere near that much. Don’t pay it. Offer them far less — it’s all they every expected to get anyway.

[The public hospital was the worst -- billing at FIVE times the amount they'd agreed to accept. By comparison, the regular doctor was only billing 1.6 times the allowed amount. Specialists were billing from two to four times the amounts they'd agreed to.]

***
Now, if your banker was billing you for FOUR TIMES as much interest as he actually expected to collect, you’d call it fraud, wouldn’t you?

And isn’t it just as much a fraud when the public hospital district bills at FIVE TIMES what it expects to get — and then sues the poorest people [who don't have insurance] for the WHOLE FREAKING AMOUNT?

Ye Gods above — no wonder unexpected medical expense is the leading cause of bankruptcy in America. Most of the bills are frauds from moment one.

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It now costs over $400 per month for the average group medical plan that has a $500 deductible and then only covers 80 percent.

Say you have a major trajedy, your still screwed, you’ll deal with in network, and out of network people, some will pay others differenetly, you could still wind up paying 60% of the bill, that is after all the costly monthly premiums.

i just like how they fight to not have to pay anything on claims.

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Is it insurance fraud to list someone as your husband on your health insurance when you have been together for 9 yrs and have 3 children together? we just never got married and i do pay for it out of my check bi-weekly…

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This is bad, real bad for me I really need some advice from someone who is a medical professional in the area of pharmacy or dispensing of medications. I suffer from AADD and narcolepsy along with disassociates disorder (multiple personalities). I must take a rather high dose of Adderall each day in order to remain functional. I have been on this drug for almost ten years and in that time my dosage has been gradually increased to what it is now. Before Adderall,it was Dexedrine and I was on a very high dose of that also.All along in these many years my health insurance paid for my medication,no problem.Recently however,they are threatening my doctor with legal action if he doesn’t stop prescribing this medication for me.They have accused him of over prescribing and malpractice.They also said they were going to investigate him and have his licence to practice medicine revoked.They came just short of accusing him and ME of insurance fraud.

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Ok.
My boyfriends mom is having a major back surgury done in February. She had a person donate $10,000 to her for the expenses. She has all the money that has been donated and earned in a medical account, with her friend who is also on the account. She will be out of town for about 2 to 3 weeks, and she decided that it might be useful for her to have a laptop for research and bill paying. She used some of her medical money for this. Her friend called her in hysterics telling her that it was fraud and that she had to send it back or else she would take herself off the medical account and she wouldn’t go with her.
Is buying the computer really fraud? She’s willing to send it back, if she’s going to get in trouble, but not just because her friend says she has to. She has other people to go with her, and that she can put on the account.
Thanks
–Julie ?
As I said, She is willing to send the computer back, and she didn’t know that she wasn’t supposed to buy the laptop with that money, because it was donated by all family, but she was just wondering if that was just her friend being dumb, or if she was right. She will send the computer back immediately.
Sorry guys!
the donations were made to cover ALL costs, not just medical bills. that’s why she didn’t know it would be fraud

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I am engaged to be married later this year. A few weeks ago, my fiance was in an accident which required 3 spinal surgeries and over 2 weeks hospital room and board. He is attempting to get Worker’s Comp to pay this case as it was work related and also is applying for medicaid in the event his claim is denied. To make a long story short, both me and his mom claimed him as a dependent (don’t know why she did when he lives with me) and Medicaid is calling this fraud, we were assured that he can reapply with his proper information (my address) and this will go through…

My question is… if workers comp and medicaid both deny his claims (unlikely but possible) when we marry later this year will I then become responsible for his incurred medical costs even though I am not legally his wife at the time of the accident?
I claimed him as my dependent to Medicaid in order to prove he was financially incapable of paying. He has no income and I support him which is basically what I had to say in a letter.
Medicaid considered it a “fraud” application because his mom also wrote the same letter - even though she was told not to — LONG story but I am getting a Marie Barone wanna be for a MIL

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ok i saw this add on the penny-saver, that said comouter jobs i called. and its a training course for medical billing n coding. its 2 weeks long n its from 1-5pm mon-fri. n they have job placement as well. he tol me they place u in either hospitals or a dr office. u get ur diploma and Two certificates in microsoft word and excel and the other ni medical billing. the fee is 2250 but i dnt start paying them until im working already n its in payments of 99$ a month,. how does this sound to u,? and the reason im actually looking into this its cus they said in this feild ill start off getting paid 15$ an hour n im 18 n a have a 4month old baby so i need the job n money. should i go for it?? or do u think its a scam?
10 minutes ago - 3 days left to answer.
Additional Details
8 minutes ago

the outside door to that building said its called ” Gendarme Institute” can sumone look that up for me, but i think its a financial aid type of thing
8 minutes ago

oh n it says “computerized Medical Billing
4 minutes ago

i dont have to pay anything up front> i dnt pay a single dime until ive gotten my certificates n they get me a job n have my first pay check!

health care billing fraud

Can’t you imagine an America with no poverty, free health-care, free college, no terrorist, no voter fraud, trustworthy politicians and no greed? Which of these has Obama used to capture your imagination? Ask yourself what has Obama done in his life to prove to you he can build this great society other than being a democrat?

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