Hospital 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 !!

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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.]

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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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looking for a complete list

closed gitmo
laid foundation for socialism including socialized health care
nominated 6 tax frauds to his cabinet
Hr 1388
spent 3 Trillion dollar
Spent 8 days apoligizing for America being big bad bullies to the world
Gave Browns a dvd collection and their kids a model airplane from the white house gift shop and the Queen an Ipod of which she already had one

what am i missing? come on I know there are a few I am not getting

medical claims billing

Since she keeps making all these promises including the health care fraud she calls universal health care I just keep wondering. How is she going to pay for it? Are any of you actually capable of giving an answer or just more rhetoric?
Sarah do you really think I and other americans who do pay for our health insurance should have to cover you as well? Do you really think people who refuse to work should be covered? I am happily self-employed and cover my families insurance needs, as it should be, and certainly have no desire to pay for yours.
Darryl, that doesn’t even begin to cover what it would cost the first year. It is also not likely something she could push through even a democrat congress.
Elway, although your sanctimony and self-righteousness was unneeded thank you for the info. There are quite a few things in those quotes and websites that I truly doubt but it does go further than anything Obama has said. I still tend to believe that Hillary blows nearly as much smoke as her husband. Her original idea for health care, and this isn’t far from it, was a bloated and expensive idea that would cost people like me far more than the middle and lower classes.

I do not feel I owe anyone anything. I provide reasonable health care for my employees on a 70/30 basis after they have been with me a year. If a program like this goes into effect I guarantee I will go to contract employees who are responsible for their own taxes and health care to avoid being taken advantage of by people who are either too lazy or not smart enough to take care of themselves.

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political Party? Actions like Iraq, threatening Iran, Illegal wire tapping, Patriot act, signing statements, appointing radical judges, election fraud to insure their continued control, tax reduction in the face of deficit spending, running up huge additions to the national debt, trying to spread democracy to other countries, radical disregard for health care issues, water and air pollution, climate change/global warming, approaching energy issues that will greatly change our way of life and need planning for……..
allen a – get what done, specifically.

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Other than putting an end to the war.

Would putting a stop to government employee theft, fraud and abuse be a good start. Another one could be putting an end to fraud and theft by doctors, hospitals, drug companies and health care providers.

What other areas do you think would be an alternative to tax increases.

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