Medical fraud has been increasing at alarming rates in the recent past. Two major types of medical fraud include upcoding and downcoding . Upcoding involves overbilling a patient, while downcoding is the reverse of upcoding. It entails under-billing patients. Upcoding disadvantages patients as they . . .
Read More Upcoding And DowncodingImagine you're returning home from a short hospital stay for routine surgery. Let's say you had a standard surgery like an appendectomy. A few weeks pass before the medical bills and benefit statements arrive in the mail. Right away, you notice something is wrong. Your statements reflect all sorts . . .
Read More Medical Billing Fraud LawyerThe US healthcare system relies heavily on third-party payers. Between private health insurance companies, federal programs like Medicare and Medicaid, and state-run programs like California's MediCal, most patients pay only a small portion of their medical costs. At first, this seems like a favorable . . .
Read More How Is Upcoding Being Monitored By PayersMost people know that there are scams we must watch out for in today's world There are phone scams, email scams, and more. What we don't think about is insurance scams perpetrated by our doctors, but it happens. Do you know what to do if you see someone upcoding for insurance ? DoNotPay has the answers . . .
Read More What To Do If You See Someone Upcoding For InsuranceIf you've purchased your health insurance (or are eligible for Medicare) you should be able to visit a doctor without worry. However, patients can still fall victim to unsavory practices like upcoding and undercoding, not to mention unbundling. All of these terms refer to types of medical billing fraud: . . .
Read More Upcoding And UndercodingMedicaid and Medicare fraud comprises the largest area of fraud against the government today. An average of 10% of all medical bills in the United States are fraudulent or inflated. This fraud is why the Department of justice compensates large whistleblower rewards to anyone who reports Medicare fraud. . . .
Read More Medicare Fraud WhistleblowerUpcoding may sound like a new vocabulary, but in Medicare, it is a severe and frequent fraudulent offense that has caused immense losses to the federal government every year. Medicare officials have been stealing from American taxpayers and senior citizens through upcoding. Upcoding is a form of fraud . . .
Read More How To Report UpcodingUpcoding is a type of fraudulent medical billing in which a charge for health treatment is provided that is more expensive than it should have been based on your service. An upcoded bill can be sent to any payer, including a private health insurer, Medicaid, Medicare, or the patient. Upcoding could . . .
Read More Upcoding Dental ReportEvery person and health care provider has a liability to report Medicare upcoding fraud and other forms of health care fraud. Medicare medical fraud costs the government and taxpayers a lot of money, thus making it a cause for alarm. Criminal healthcare fraud such as upcoding and unbundling attracts . . .
Read More Liability To Report Medicare UpcodingWe all know that medical bills can be expensive. Therefore, you may not think twice about a bill that seems excessive. However, in today’s world, you must look carefully to protect yourself from overcharges and upcoding. Upcoding is a form of Medicare fraud. It is a way that doctors can get paid a . . .
Read More UpcodingWhen you visit a doctor or a medical facility, they write your entire visit out in codes. These codes make medical billing straightforward, but they also make it possible for your insurance to be overcharged. If you're concerned about medical bills you've received, you should know how to report medical . . .
Read More Report Medical Billing FraudFor every medical procedure including a checkup by your doctor, a laboratory test, x-ray, scan, surgery, etc. there is a current procedural terminology (CPT) code. These codes are assigned by the American Medical Association (AMA) and are copyrighted. Why does this matter? When you have any form of medical . . .
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