I’ve worked in insurance & the medical field & the fraud that goes on is a huge cause of high ins costs. More should be done to crack down on the people & institutions committing the fraud.

In the hospital I worked at, during a surgery case you maybe used two strips of elastoplast to hold a dressing on. The patient is charged for the whole role. This was also the case with regular tape.

My friend had a C-section & had to pay it all for lack of ins. She went over the bill & got $700 taken off it. They had charged her for a certain medication 3 x a day & she only took 2 pills. They charged her for sitz baths for her episiotomy, which she never had because she had a c-section. She found a few other discrepancies also. If you don’t see your bill, your ins co may be being charged for things you didn’t even receive.

what type of billing scheme was committed and why. In “A Wolf In Sheep’s Clothing,” how Melissa Robinson was able to commit check tampering fraud and what measures she took, if any, to conceal her theft.

inpatient billing

Ok, here is the situation, last year I had an issue with my throat and I called my insurance company for assistance on what to do; they send me to a doctor whom after examination performed surgery and, then I had a post visit (so 3 visits in total).

Ok, here is the kicker; now it’s been over a year and I am getting charges from the hospital because they got tired of waiting for payments from them. It turns out that they send me to an out of network doctor and that they are not going to pay. So after I called them they told me that the would only listen if I appealed on a letter and I did but they still refused to pay because now it’s been over a year and they have nothing to do with this.

I recently had surgery and my surgeon’s office told me the procedure would include about $5,275 for the hospital and anesthesia. When I got the bill it was $13,000, and now the surgeon’s office is saying, “sorry, that’s the estimate they gave us”. Is there any recourse I have here? Has anyone experienced something similar?

patient billing