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.

physician billing fraud

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

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The way I see it, is that there are too many out there that don’t pay into it, that are getting health care for free. Until they deal with the frauds, and illegals getting helped for free, all of us who pay will have our rates go up to carry the burden. Of course this won’t be addressed because those on welfare (I’m talking those fraudulently on welfare, mind you) vote, and in some cases, so do the illegal immigrants (they ever check your ID card when you go to vote? ME either), and neither side would want to upset potential voters. So, I believe if they change welfare from the open check it is now, to a 2-3 year support system, and make every effort to get illegals out of this country, everything will become more affordable.

Does anyone agree??

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