Posts Tagged ‘Health Insurance Fraud’

Is This Health Insurance Fraud?

health care fraud
Cassandra asked:

ok, first of all I work for a doctors office as a receptionist. a while ago I was on myspace looking at one of my friend’s profile, and you know how one profile leads, to another, and so on. Well, I see one of my patient’s profile ‘jane doe” and i notice that she has a different name, then i realize that she has a twin sister but a fatter version claims to be “janice doe”

point is…i think my patient “jane doe” is using her obese twin sister;s (janice doe) insurance!!

what do i do? should i report my suspicions to the insurance company or my boss? but im also afraid that my boss might not care in fear of loosing money….i would

anesthesia billing

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Can She Be Unfit Need Advise ?

health insurance fraud
Mom2Be asked:

Ok my husband son’s mother is very young 19 immature she has 2 kids one 3 the other just born in august, she drinks underage she gets high and brag about it on her myspace talking about yea i drink and get high all day wft. Plus she lives with her parents not tryn 2 move out, I think her parents is about to kick her out she slept’s around with guys and girls, recently she went down to the court and lied filed for support even tho she’s been getting child support every month. Now the court doesn’t want the funds going to her cause I prove that she was getting support so now we send it to the court now. The child is sick has asthma shes not using the health insurance that me and my husband is proving, I think either she’s getting gov help or her parents is covering him can this be health insurance fraud. Please me and my is worrying about the will being of this child we tried to talk to her and told her that we’ll take him off her hands and just send him back home every holiday and summer cause we’re station overseas he have a stable home provide a safety for child good education what should we do?

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It Health Insurance Fraud if I Have Two Insurances at the Same Time?

health insurance fraud
j2rev asked:

I have health insurance through my employment and another insurance through my mom’s. I just had a procedure earlier today and asked the registrar upfront before the procedure of they could co-bill both insurances at the same time, and she adviced not to, and adviced me to let all my doctors know that i have another insurance, and that i would be in big trouble. i really am confused on what’s going on. can anyone help me please? thanks
I appreciate all the info guys. the thing is that I use my mom’s insurance as my primary since all the facilities and providers I see and get my procedures done are under the same name, and my mom works in a hospital under the same name.
I guess what I really want to know is what I need to do at this point to avoid getting into trouble.
I remember giving BOTH insurance information in one procedure way back (blood draw) but still paid the same co-pay amount for my mom’s insurance.

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What Is the Punishment for Health Insurance Fraud? in California?

health insurance fraud
SLGreene asked:

I’m not planning on it. I know someone who is… and want to know what they’ve got coming to them. There are children involved.
She is crazy… she is a mother of three, and is trying to screw her soon to be ex husband every way possible. She wants a boob job… is trying to find a doctor to “claim” she had/has cancer. Her ex father in law is doing the research and has found this information out. He is reporting it to the insurance company.

medical billing clearinghouse

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