Posts Tagged ‘Health Care Billing’
DOes This SEem Like FRaUD or a SCAm? HELP?
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.
Additional Details
8 minutes ago
I Need Help Understanding Why This Isn’t Insurance Fraud? if Not- Why Aren’t There Any Safeguards for Insured?
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.
Should Clients Be Rebated for Value-Shopping and Fraud Detection in Healthcare to Give Incentive?
And REQUIRE all practitioners and pharmacies to post their costs by care codes or drug?
What is killing health care is that costs are not kept in check because insurance covers small end stuff without any checks on fraud, waste, or value, and so UNINSURED people have to overpay too because nobody is shopping value and providers don’t care if they overcharge.
If you had gas insurance, you’d always buy premium whether it did you any good or not! It’s a wasteful approach. What people really need is critical care insurance and vouchers for the poor or low income and lots more community access, AND incentives to keep costs down for low end care. They did this in West Virginia and it dropped Medicaid by 30-50% immediately.
These simple measures alone are why socialized crap-care is NOT the answer, there are better ways working with the great setups we already have, to make healthcare affordable for all.


















































