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I Advice - Medical Billing - Billing The Wrong Item
EBay, EBay, EBay! Can you really ever get enough of this crazy and plentiful website? It seems that everyone is always saying something about EBay or some other online auction site. People love them because they're easy. They want that 24/7 access and they want to find all those rare and bizarre items that no retailer has anymore. Hey, this is what EBay is a
Can you see where this is going? At best, the company is going to get charged back for the misbilling. At worst, they're going to get charged with fraud. Somewhere in between there are other things that can happen but we won't get int
Should you be looking for a nursery job and have found nothing suitable so far, it would be a brilliant idea to use the Internet as an employment means. Of course, you cannot always get hired just by browsing the Internet! Nevertheless, you can find numerous job opportunities just waiting for you to analyze them! You may try posting your resume and CV with d
You've just got your DME software all setup. The patients are in, the inventory is in, the doctors and facilities are in, the insurance carriers are in and you're ready to start billing.
And this is what happens.
John Doe pops up on your computer. He's a recent patient at Doctor Jones. It appears that he has been treated for some disease of the lungs and he has prescribed an oxygen concentrator for the patient and several months of oxygen to be given to the patient. The medical billing person goes through the procedure and bills Medicare for the oxygen concentrator and oxygen for the first month. This goes on for about 11 months.
On the twelfth month, the patient dies and the equipment needs to be picked up. Mind you, Medicare has been paying for this item for almost a year now. The maintenance men go to the patient's home to pick up the concentrator and find, not a concentrator, but a wheelchair. You can imagine their confusion. Well, they call up the DME company and tell them what they found. The DME company says, "Well of course there is a wheelchair at the home. John Doe had his legs amputated".
Oops. To say the least anyway. Now, we've got a real problem. For starters, we've been collecting money for an item that is a heck of a lot more money than what the patient actually got. That's fraud and a serious crime. Second, Medicare obviously doesn't know about this or they wouldn't have paid on the item. So what do you do? Do you tell them?
Here is where it gets sticky. Medicare IS going to find out, first of all, that the patient is dead and then they're going to find out how the patient died. And then they're going to put two and two together and realize that this patient never had an oxygen concentrator. That's when the investigation begins.
Can you see where this is going? At best, the company is going to get charged back for the misbilling. At worst, they're going to get charged with fraud. Somewhere in between there are other things that can happen but we won't get int
Many residential cleaning companies start out as a one-person operation. But as your cleaning company grows and you add employees you will soon face the problem of whether you should send in a single person to clean a home or if you should send in a team. Some cleaners may prefer to work alone, but is that in the best interest of your cleaning company?
John Doe pops up on your computer. He's a recent patient at Doctor Jones. It appears that he has been treated for some disease of the lungs and he has prescribed an oxygen concentrator for the patient and several months of oxygen to be given to the patient. The medical billing person goes through the procedure and bills Medicare for the oxygen concentrator and oxygen for the first month. This goes on for about 11 months.
On the twelfth month, the patient dies and the equipment needs to be picked up. Mind you, Medicare has been paying for this item for almost a year now. The maintenance men go to the patient's home to pick up the concentrator and find, not a concentrator, but a wheelchair. You can imagine their confusion. Well, they call up the DME company and tell them what they found. The DME company says, "Well of course there is a wheelchair at the home. John Doe had his legs amputated".
Oops. To say the least anyway. Now, we've got a real problem. For starters, we've been collecting money for an item that is a heck of a lot more money than what the patient actually got. That's fraud and a serious crime. Second, Medicare obviously doesn't know about this or they wouldn't have paid on the item. So what do you do? Do you tell them?
Here is where it gets sticky. Medicare IS going to find out, first of all, that the patient is dead and then they're going to find out how the patient died. And then they're going to put two and two together and realize that this patient never had an oxygen concentrator. That's when the investigation begins.
Can you see where this is going? At best, the company is going to get charged back for the misbilling. At worst, they're going to get charged with fraud. Somewhere in between there are other things that can happen but we won't get int
Business writing today is much less formal than it was twenty years ago, mainly due to the influence of email. Most people use email as an alternative to face-to-face conversation where informality is key.Since we frequently use contractions when speaking, it's certainly acceptable to use contractions in most of our daily business writing. However, co
Oops. To say the least anyway. Now, we've got a real problem. For starters, we've been collecting money for an item that is a heck of a lot more money than what the patient actually got. That's fraud and a serious crime. Second, Medicare obviously doesn't know about this or they wouldn't have paid on the item. So what do you do? Do you tell them?
Here is where it gets sticky. Medicare IS going to find out, first of all, that the patient is dead and then they're going to find out how the patient died. And then they're going to put two and two together and realize that this patient never had an oxygen concentrator. That's when the investigation begins.
Can you see where this is going? At best, the company is going to get charged back for the misbilling. At worst, they're going to get charged with fraud. Somewhere in between there are other things that can happen but we won't get int
Have you ever wondered why some business owners seem so calm and steady, while others are in a constant state of worry and panic?Surprisingly, the difference between these two scenarios has nothing to do with the operation of the business-it is the vision of the owner.Your vision for your business provides the foundation for its success, or fai
Oops. To say the least anyway. Now, we've got a real problem. For starters, we've been collecting money for an item that is a heck of a lot more money than what the patient actually got. That's fraud and a serious crime. Second, Medicare obviously doesn't know about this or they wouldn't have paid on the item. So what do you do? Do you tell them?
Here is where it gets sticky. Medicare IS going to find out, first of all, that the patient is dead and then they're going to find out how the patient died. And then they're going to put two and two together and realize that this patient never had an oxygen concentrator. That's when the investigation begins.
Can you see where this is going? At best, the company is going to get charged back for the misbilling. At worst, they're going to get charged with fraud. Somewhere in between there are other things that can happen but we won't get int
Most marketing people think of newsletters as quaint old things, like handwritten letters or mimeograph machines. While marketing is not immune to fads, newsletters are an absolute evergreen. After all, how can direct communication with your customers ever be a bad thing? And if you do it right, your customers will actually look forward to hearing from you!<
Can you see where this is going? At best, the company is going to get charged back for the misbilling. At worst, they're going to get charged with fraud. Somewhere in between there are other things that can happen but we won't get into them. None of them are pleasant.
Where this is all going is simply, as soon as you find out about the error, report it to Medicare immediately. If you report the problem, the chances are that you will simply be charged back for the error and paid for the wheelchair instead.
The truth is, this happens more often than you realize. Computers make mistakes. People make mistakes. So if you should find out that you have billed an insurance carrier for the wrong item, report it right away. The alternative is a lot of trouble that you don't want.
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