Posts Tagged ‘Billing Fraud’

12 Are Charged in Medicare Fraud Schemes Said to Cost $95 Million

12 Are Charged in Medicare Fraud Schemes Said to Cost Million
Filed under: medical billing fraud

Ms. Poroger, a doctor of osteopathy, is accused of billing Medicare for a variety of services that were never provided, including vitamin infusion therapy, sleep studies, nerve conduction tests and medical scans, officials said. In a third case, …
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Former BigLaw IP Partner Gets 1 Year in 9K Billing Fraud re Autistic Son's
Filed under: medical billing fraud

By Martha Neil A former life sciences practice leader at Morrison & Foerster has been sentenced to one year in a $ 389000 billing fraud concerning medical and educational expenses for his autistic son. The county jail sentence for Jonathan Dickstein, …
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Doctor Gets 70 Months for Medicaid Fraud
Filed under: medical billing fraud

Medicaid Billing Scam Nets Year of Prison Time

Medicaid billing scam nets year of prison time
Filed under: medical billing fraud
Kateen Morris, 44, was the principal and billing agent for M&M Transportations and which became KATS, LLC. The company provided transportation services, including medical transportation for Medicaid beneficiaries around Fort Wayne, according to court … Read more on Fort Wayne Journal Gazette

10 Biggest Hospital Stories of 2011
Filed under: medical billing fraud
Increased fraud prosecution. With the Obama administration's intense focus on fraud-fighting efforts, healthcare fraud prosecution has ballooned. Statistics released in August showed a 24 percent increase in fraud prosecutions in the first eight months … Read more on Becker’s Hospital Review

Related Medical Billing Fraud Information…

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Health Care Provider Pays $3.49M for Billing Error

Health care provider pays .49M for billing error
Filed under: health billing
AP A Michigan nonprofit health care provider has agreed to pay the government $ 3.49 million after disclosing its billing for chemotherapy treatments at a Bad Axe facility didn't comply with Medicare and Medicaid requirements. The US attorney's office Read more on Detroit Free Press

ACOM Medical Billing Increases Chiropractor's Collections; Provides Transparency
Filed under: health billing
AMB provides a "trust factor" that no other medical billing service does. And, the bottom line is more money in the practice's pocket." In fact, ACOM Health reports that it can increase collections by approximately 10 to 25 percent with a practice's Read more on MarketWatch (press release)

Insurance Misrepresentation (Fraud?) by Employer to Employee?

medical billing fraud
f1Girlie asked:

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

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Is Health Care Billing a Fraud?

health care fraud
Spock (rhp) asked:

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 !!

DOes This SEem Like FRaUD or a SCAm? HELP?

medical billing fraud
~*JaYDens PrETTy MoMMy*~ asked:

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.
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8 minutes ago