Hospital Billing Fraud

chris k asked:


My son was hospitalized in 05 and the bills were sent to the ins. co. with me (his mother) as the pt. My ins. co started to pay but then received bills in my sons name. There were many double billing errs. After some time, this mess was rectifyed. My ins. company paid the allowed amts on all hospital and doctor bills and we paid our co-pay.

Time passed, about 8 months, when my son got a call from a collection agent stating he owed more money. When we attempted to get a copy of the billing statement the MD office stated that it had been sent to collection; we should contact them. We have made numerous calls and are always put on hold for an extended perior of time or sent to a full voice mail box. We would pay the amt. if we only knew what we were paying. What recourse do we have? Chris

medical billing and coding

David W asked:


When I was 19 years old I became very ill very suddenly and was taken into the emergency room by an ambulance. I was unconscious for most of the episode, I did not give the hospital any information, I did not sign anything at all; at the time I was homeless.

I was never billed for the treatment.

Here I am 8 years later. I was refused financing based on a collection on file. When I checked my credit report I had a collection with a company called Credit Control Corporation for over $3000.00 dollars. The address listed on my credit report was an address that I haven’t lived at since I was 17. The hospital gave the collection company outdated and completely invalid (even when I was 19) contact information and as a result it my credit was ruined. Is there anything that I can do other than just pay the bill? I don’t feel that I should be held responsible for the hospital’s mistake.

medicare fraud

Ignacio Garcia asked:


to the hospital and a billing error caused him to get a bill when the baby was covered by healthy families, at that time they did not have social securities issued so they just gave a name and address. The hospital sent a bill with the name mispelled, and my friend told them it was their mistake and wasnt paying, so that was that. He then took his daughter again to the same hospital months later this time they charged the insurance correct and had socials issued so he gave his, now today he got a letter from the Collection Agency Grand and Weber stating that the bill was in collection and could have negative impact on his credit.

I see this as fraud because the hospital is taking private information ( social) from one account and applying it to another with a mispelled name and no social.

Is this legal or illegal by the hosptils part, I mean they cant just take a social and apply it to a mispelled name and send it to a collection agency right, it could be 2 different people right?

What recourse doe my friend have?
Retired accountant, my friend tried everything possible to get this straightened out and there was no way for the bill to be covered, the hospital made the mistake of not billing the insurance when it was valid, they actually never did, when they tried it was no longer active, not my friends fault ok.

hospital management system

aredsailjunk asked:


is it worth my effort to document a series of events that happened to me at our local medical center today and ask for meeting with Administrator to dicuss same ?
Should I also contact my insurance company BC/BS and give them this info ? Not talking a lawsuit here-just want to file a formal complaint. Know for some states you can check ratings of hospitals, do not know about this one tho..not first problem, has been drug mistakes with family members xxx,incorrect diagnosis xx horrendous problems with their insurance billing , etc. How is best way to go on up the “food chain”?
This is the only “full service” ER and hospital within 75+ miles and has local nickname of Hospital Hell and many locals have a horror story to tell ! Have standing order `s with Life Flight to stabilize family members , then get us the hell to OKC ! Suggestions ???

medical billing training

Andre L asked:


Why is it that republican and religious and secular conservatives continue make family values an election issue. The issue of family values and morality was ONE of the hallmark reasons for the Republican take-over of congress and it was also used as a theme during Bush’s first run for office.

Read the list of “hypocrites” below and respond whether or not you think that family values was/is a “SMOKE SCREEN” to win favor and votes

POPULAR SCANDALS

1.Senator Larry Craig, recently pleaded guilty to lued homosexual acts in an Airport. He still defiantly claims that he is not gay.

2.Mark Foley, had phone sex and indecent conversations with male pages.

3.George W. Bush, Republican president, accused in a criminal complaint and lawsuit of raping Margie Schoedinger, who later committed suicide. Accused by Tammy Phillips, a former stripper quoted in the National Enquirer in 2000 saying she had an affair with Bush that had ended in 1999

4.Senator David Vitter (R-La) who ran a hard-core platform on traditional family values, name was found on a Madams list. He told his constituents that it was a “private issue” and to leave him alone.

5.Arnold Schwarzenegger, Republican governor, had sex with a 16 year old when he was 28.

6.Joe Scarborough, former Republican Congressman, currently a conservative talk show host. Resigned his congressional seat abruptly to spend more time with his family, amidst allegations of an affair. His intern, Lori Klausutis, was soon after found dead in his office. The medical examiner, who had his license revoked in Missouri for falsifying information in an autopsy report, and suspended in Florida for six years, ruled the case an accident, after giving conflicting information about her injuries. He said he lied about them because “The last thing we wanted was 40 questions about a head injury.”

7.John E. Peterson, Congressman (R-Pa), accused of sexual harassment and creation of a hostile work environment by six women. Peterson has refused to admit a crime, saying only “I may have been an excessive hugger.”

8.Henry Hyde, Judge who oversaw Clinton’s impeachment proceedings, prominent opponent of reproductive rights, who had an extramarital affair with a woman who was married and had three children, during the course of which she and her husband were divorced.

9.Newt Gingrich, married three times. Gingrich campaign worker Anne Manning admitted that she gave Newt oral sex while he was still married to his first wife. Informed one wife he was filing for divorce while she was in the hospital recovering from cancer treatments

10.Richard A. Dasen Sr., Republican benefactor of conservative Christian groups, convicted of sexual abuse of children, promotion of prostitution and several counts of solicitation, enough to add up to a sentence of 126 years in prison

Conservative Personalities and Figure Scandals

1.Paul Crouch Televangelist, Former President of Trinity Broadcasting Network (TBN). Paid $425,000 in hush money in an attempt to cover up a gay affair.
2.Ted Haggard, popular conservative pastor who advised Bush on Family Values issues was outed by a male prostitute who also alleged that he gave Haggard drugs.
3.Rush Limbaugh, triple-divorcee
4.Bill O’Reilly Right-wing conservative talk show host on Fox News, sued for sexual harassment by his producer.
5.Dr. Laura Schlessinger, right wing conservative radio host. Promotes family values, estranged from her mother, opposes birth control, has had her tubes tied, espouses saving oneself for marriage, admits to having had sex before she was married, opposes adultery, has committed adultery while she was married, and has slept with a married man, opposes divorce, is divorced and remarried, has posed for nude photos which are available online.

There are many, many, many more. I know that I am going to be accused of being repub-coserv-basher. I am not, I know the democrats have just as many scandals if not more. However, I think that the whole PLATFORM OF CONSERVATIVE FAMILY VALUES IS A DISINGENIOUS strategy to rally votes and to swing elections. THIS LIST DEMONSTRATES THE FACT THAT NO ONE PRACTICES WHAT THEY PREACH!!!
I also believe that we are all human and everyone makes mistakes, but it is VERY HYPOCRITICAL to impose ideas that these “cultural-icons” don’t keep!
(((What are your thoughts???)))))))

medical billing association