Hospital Billing Fraud

Hospital and Healthcare Ripoffs!

Archive for the ‘Money’ tag

Insurance misrepresentation (fraud?) by employer to employee?

with 2 comments

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 this fraud? What should she do?

with 7 comments

medical billing fraud
Sikadakram asked:

Ok.
My boyfriends mom is having a major back surgury done in February. She had a person donate $10,000 to her for the expenses. She has all the money that has been donated and earned in a medical account, with her friend who is also on the account. She will be out of town for about 2 to 3 weeks, and she decided that it might be useful for her to have a laptop for research and bill paying. She used some of her medical money for this. Her friend called her in hysterics telling her that it was fraud and that she had to send it back or else she would take herself off the medical account and she wouldn’t go with her.
Is buying the computer really fraud? She’s willing to send it back, if she’s going to get in trouble, but not just because her friend says she has to. She has other people to go with her, and that she can put on the account.
Thanks
–Julie ?
As I said, She is willing to send the computer back, and she didn’t know that she wasn’t supposed to buy the laptop with that money, because it was donated by all family, but she was just wondering if that was just her friend being dumb, or if she was right. She will send the computer back immediately.
Sorry guys!
the donations were made to cover ALL costs, not just medical bills. that’s why she didn’t know it would be fraud

hospital billing regulations

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Is this Health insurance fraud?

with 4 comments

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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i know someone who had a car accident and her kid got hurtallstate gave her the money to paymed bills she didn

with 6 comments

medical billing fraud
any asked:

she didn pay the medical bills is that fraud?
she had medical insurance and allstate paid for what was not paid through her medical insurance.she was suppose to pay jonhs hopkins with the money from allstae ans lied and told allstate she put it on her credit card and did not.

healthcare

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Written by Admin

April 23rd, 2009 at 12:59 am

Insurance fraud HELP?

with 5 comments

health insurance fraud
starheartgirl asked:

I switched employers last year and when doing so kept my health insurance with ex-employer threw the cobra rights. well a month after leaving the company they switched health insurance carriers to National Alliance somthing this compnay is a total crock. I had a baby during the time of coverage with them and they have paid NOTHING they hae given me the run around saying one thing and doing another even the benefits package and paper work i have gives the run around. one page says one thing and the next page condradicts everything on the prior page… and on top of that i got a letter from SDS, LLC. saying they needed me to call ASAP about my health coverage (my coverage ended wtih them in Dec) i called and was transfered to a full mail box so i looked them up online found a page about them being linked to National Alliance insurance and how they are a fraud… what do i do next, get a lawyer i spent alot of money to keep that insurance and now i am paying alot of hospital bills because
I am being considered un insured sicne they are not paying a dime for anything.

This has put me a financial hole big time and i have a 6 month old daughter to take care of on top of all this in order to do so i need to work meaning putting her in daycare i’m barley making ends meet and if there is anyway i can get at least the m oney i spent to have the insurance back it would help a little… any ideas or suggestions

medicare fraud

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