Thursday, March 25, 2021

Abusive Medical Billing: What Is It and How to Stop It

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This Video Addresses Abusive Medical Billing by a Radiologist for Checking Out an MRI. Abuse becomes part of the Larger Problem of Scams, Waste and Abuse in Medical Claims for Worker Health Plans.

The Radiologist Charged $4,453 for the 5-Min Job of Translating MRI Images.

Ultimately, the Radiology Workplace Used an 80% Discount rate Down to $891 This is Still Nearly 8X the Medicare Rate of $118

Upon Additional Questioning, the Radiology Director of Accounting Said They Had Actually Slipped Up Going As Distant as 2019 in Charging a lot which They Generally Attempt to Expense ONLY 10 X the Medicare Rate … Instead Of 40 X the Medicare Rate!

The Director of Accounting Stated the Factor They Costs A Lot is Due To The Fact That Numerous of Their Insurance Coverage Agreements Still Pay Them a Percent of Billed Charges … For That Reason, the More the Radiology Practice Costs, the More Cash They Make.

The Inaccurate $4,453 is Lower than the $5,000 to $10,000 Limit for Many Insurance Coverage Providers to Audit a Claim.

For Over a Year, this Radiology Practice Has Actually Been Paid Handsomely for Their Error … at the Expenditure of Clients and Companies Like You.

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