Saturday, March 1, 2008

Medical Over-Billing


Audits sting hospitals, physicians
Sat, 01 Mar 2008 12:53 am PST

AP - In coming weeks, private audit companies will begin scouring mountains of medical records. Their mission: Determine if health care providers erred when billing Medicare and require them to return any over-payments to the federal government. The auditors will keep a tidy percentage for their services.

Oh, c,mon. This has been going on for decades and they're just now getting around to checking it out? Everybody knows that over-billing goes on all the time. And the insurance companies turn a blind eye to it. I myself successfully challenged $400 on a bill of $2500. They gave in and removed the items without so much as a second look. Why? Because that's the way they do their billing. If it's challenged, remove it. "Whoops, sorry, we made a mistake." If it's not challenged, it's found money. The only thing that disturbs me about this story is that the government is paying expensive accountants to verify the "errors." That's probably another story that could be investigated for fraudulent intent.

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