04
Jun
10

Doctors Speak Out About Medical Billing Fraud


Medical Billing Problems! Us?

As you know, the price of insurance and medicine has risen noticeably for many years. My own insurance is with Blue Cross, and it is supposed to increase in cost by 39%. The cost keeps going up, and my pay doesn’t. The rich fat cat medical organizations can charge whatever they want, and we can do “nothing” about it.
Maybe you don’t know it, but as recently as 1981, only 8% of families filing for bankruptcy did so in the aftermath of a serious medical problem. But by 2007, 62.1% of all bankruptcies in 2007 were medical related. This reflects a grievous, unchecked increase for families. Insurance costs have gone up. Will it ever end? Probably not.
Medicine is not like any type of business that competes for your dollar. As a matter of interest, have you ever wondered how the costs on your medical bill are calculated? Well most of it has to do directly with what the insurance policy you carry says it will pay. Then if your policy doesn’t cover past a certain point, you get the cost directly. Or your deductible on your insurance may b extremely high from the get go. But nothing regulates these costs, and they are just increased at the whim of the hospital or doctors office. Yet health care in the US is not improving under this type of unregulated system.
Furthermore, in states with large immigrant populations (many who are here illegally), the state’s costs for medical care is helping to destroy the state’s budget. And if the state doesn’t pay it directly, you might not like it but you bill goes up to cover the cost. The real cost of illegal immigration is that states do not check citizenship in providing education to their children, or for state funded social services, and for county run medical facilities.
I read recently that inflation of costs associated with medical visits continues to be done, reflecting how unethical billing practices have become rampant in the industry. People you know that when you see a bill for $50 for an aspirin, or $800 for entering the hospital emergency room, you have been had.
When doctors speak out against theses practices, or if they question the legitimacy of how billing is handled, they are often fired – meaning their contract is ended. In many places medical fraud is as popular as other felonious activities like robbery and murder.
I feel the system should not be left in the hands of the fat cats. What about you?
Related Articles:
Doctors speak out about their struggles with a “broken” medical system article

Medical Bankruptcy in the United States, 2007: Results of a National Study

Critical Condition of American Health Care book

Medical Fraud and How it is done: webpage

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1 Response to “Doctors Speak Out About Medical Billing Fraud”


  1. 1 Avera
    July 2, 2012 at 3:23 pm

    Doctors’ billers will often first send a legit bill to Medicare patients and then later a statement of the difference between the patient’s responsibility and the NONinsured fee…and make it look like a bill and follow up with real harassment to pay. Report this practice anywhere you see it and it will stop! Multi-billlion dollar extortion racket.


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