Get Money Back From Medical Billing Fraud

iEditorial Note: These blog posts represent the opinion of DoNotPay’s Writers, but each person’s situation and circumstances vary greatly. As a result, you should make sure to do your own independent research. Because everyone is unique, our self-help tools are never guaranteed to help with any specific situation. DoNotPay is not a law firm and is not licensed to practice law. DoNotPay provides a platform for legal information and self-help.

As a Patient, Do I Need a Medical Billing Fraud Lawyer?

Imagine 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 of procedures you don't remember. You know you didn't have numerous X-rays, spend weeks in a hospital recovery room, or physical therapy assistance. Pouring through your bill, you also notice some procedures are listed twice or more. That can't be right. You only had one appendix to remove!

You contact the hospital, and they give you a runaround. You bounce around the phone system and leave several messages for the billing department. You're starting to wonder: "Do I need to hire a ?"

No, you don't need an attorney to fight against health care fraud. DoNotPay is here to help. You can use the app to report medical billing fraud, including Medicare fraud.

This article discusses the steps you can take by yourself to get your medical bills straightened out, and how to get billing errors fixed using DoNotPay. This could be a huge hassle, but the world's first AI Consumer Champion makes it easy.

You Don’t Need a Medical Billing Fraud Lawyer

First, know that medical billing errors can happen, and it's not always a fraud case. Follow these steps:

  1. Gather all the documents and make notes regarding the care you received vs. line items you'd like to dispute. Just highlight anything that seems wrong.
  2. Make a copy of these papers and keep the original.
  3. Call the provider, play their phone games, leave some messages, and wait to hear back.
  4. After a week without a response, send a detailed email to the billing department.
  5. Wait for their response.

Usually, the billing department will make corrections and send you updated bills. Your insurer, whether it's Medicare or a private insurance company, will also send you an updated statement of benefits. The total lead time for this project should be less than 60 days or so.

What if the Provider Doesn’t Respond or Gets Nasty?

Don't be surprised if they avoid your calls or behave rudely. They're counting on the fact that you'll give up because it's hard to stand up against a huge organization like a hospital. Don't give up.

If this happens, it's time to report the healthcare provider to the insurer. They're committing medical billing fraud. You can report them by yourself or use DoNotPay. The app works for all types of insurers — even Medicare — and all kinds of care providers, like:

  • Hospitals
  • Primary care physicians
  • Anesthesiologists
  • Emergency rooms
  • Urgent care facilities
  • And contracted service providers, like ultrasound techs

DoNotPay makes it easy to stand up against all kinds of medical bill fraud, like upcoding and unbundling, which occur when staff charges your insurance for more services than you received or more expensive care items.

How to Use DoNotPay to Fight Medical Fraud

You don't need a , you can do this in just a few clicks with DoNotPay.

If you want to find the correct CPT code and write a demand letter for bill correction but don't know where to start, DoNotPay has you covered in 5 easy steps:

  1. Search Fight Medical Fraud on DoNotPay.

  2. Tell us the date of your visit, what you were treated for, and where you were treated.

  3. Let us know what CPT code your visit was filed under. If you don't know, we'll generate a letter for you to send to your physician to request the code.

  4. Choose the correct CPT code or let us know if you want us to find it for you.

  5. And that's it! DoNotPay will automatically find the correct CPT code for your visit if you don't know it and then generate a demand letter on your behalf to send to your physician for a bill correction.

It's fast and easy. Now sit back and relax while your AI Consumer Champion handles the situation. In the meantime, spend a little time browsing the app to see other paperwork tasks you can manage with the app. Remember, whenever you feel like a big organization is taking advantage of you, try DoNotPay.

Other Ways to Use DoNotPay

DoNotPay began as an app to fight unfair parking tickets. Over the years, the app has evolved to help consumers handle all kinds of red tape. You can use it to stand up to shady landlords, report lost pets, report your neighbors for illegal dumping, and so much more.

Right now, you might be interested in learning about:

UpcodingReport Medicare FraudMedicare FraudHealth Care Fraud
Medicare Medical FraudReport Medical Billing FraudUpcoding and Unbundling

Helping you with bill correction is only a drop in the bucket of our services. These are just a few examples of how we can advocate for you:

Remember, you don't need to pay for an expensive attorney to fight fake medical bills. Take on the biggest hospital from the comfort of home today with DoNotPay.

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