Hospital Billing Fraud

Hospital and Healthcare Ripoffs!

Archive for the ‘Law Ethics’ Category

Is this fraud? What should she do?

with 7 comments

medical billing fraud
Sikadakram asked:

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

hospital billing regulations

Share and Enjoy:
  • Digg
  • del.icio.us
  • Facebook
  • NewsVine
  • Reddit
  • StumbleUpon
  • Google Bookmarks
  • Yahoo! Buzz
  • Twitter
  • Technorati
  • Live
  • LinkedIn
  • MySpace

Fiance’s Medical Bills?

with 7 comments

medical billing fraud
Justagirl asked:

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

hospital

Share and Enjoy:
  • Digg
  • del.icio.us
  • Facebook
  • NewsVine
  • Reddit
  • StumbleUpon
  • Google Bookmarks
  • Yahoo! Buzz
  • Twitter
  • Technorati
  • Live
  • LinkedIn
  • MySpace

I need help understanding why this isn’t insurance fraud? If not- why aren’t there any safeguards for insured?

with 6 comments

health insurance fraud
momof2 asked:

True Scenario:
Go to Physician
He is employed by the hospital you work for.
Your insurance is through that hospital, your employer.
The physician has signed a contract with and is a preferred provider for your insurance- as your PCP.
You have a health condition that requires you to receive the pneumonia vaccination every 5 years.

You go to Dr.s office and they tell you the vaccine is not covered by your insurance. The cost will be $120.

You decide to go home and verify (5yrs ago it was covered same doc/same insurance)
The insurance company says it is covered.

You call the physicians office. You get the Tech. They say that “it is covered but they don’t pay me enough to do the shot. So we don’t use the insurance on that. You must pay the $120.”
Now another patient, with medicare, gets same shot- his insurance is filed. He pays nothing.

They (office manager) say they have the right to do that on items that would not make a profit.

Um- I thought thats why we had insurance?

health care billing

Share and Enjoy:
  • Digg
  • del.icio.us
  • Facebook
  • NewsVine
  • Reddit
  • StumbleUpon
  • Google Bookmarks
  • Yahoo! Buzz
  • Twitter
  • Technorati
  • Live
  • LinkedIn
  • MySpace

Credit fraud?

with one comment

medical billing fraud
J-Rock asked:

I have been divorced from my exwife for 2 years now. During the course of our marriage, she racked up a very extensive amount of medical bills. During the divorce, the judge ordered her to pay her own medical bills that were incurred.. and that I wasn’t liable for any of the charges.

I just found out that she had medical bills sent to collections “in my name” back in January of 2006. From 01/2006 to 02 of 2008 (2 years) she failed to pay on the charges that were in collections. Just recently she began making payment toward the bill.

Here’s the deal:
I was UN-knowingly sent to collections over 2 years ago. She failed to pay the bills when she knew they exhisted. She also failed to tell me that they were on my credit.. and that my rating was being decreased the entire time. On top of that, she unlawfully changed my address with them, so that the bill would route to her home.
She has recked my credit.

Any advice on what can be done

medical billing association

Share and Enjoy:
  • Digg
  • del.icio.us
  • Facebook
  • NewsVine
  • Reddit
  • StumbleUpon
  • Google Bookmarks
  • Yahoo! Buzz
  • Twitter
  • Technorati
  • Live
  • LinkedIn
  • MySpace

Written by Admin

May 21st, 2009 at 5:13 am

i know someone who had a car accident and her kid got hurtallstate gave her the money to paymed bills she didn

with 6 comments

medical billing fraud
any asked:

she didn pay the medical bills is that fraud?
she had medical insurance and allstate paid for what was not paid through her medical insurance.she was suppose to pay jonhs hopkins with the money from allstae ans lied and told allstate she put it on her credit card and did not.

healthcare

Share and Enjoy:
  • Digg
  • del.icio.us
  • Facebook
  • NewsVine
  • Reddit
  • StumbleUpon
  • Google Bookmarks
  • Yahoo! Buzz
  • Twitter
  • Technorati
  • Live
  • LinkedIn
  • MySpace

Written by Admin

April 23rd, 2009 at 12:59 am