Medical Billing Scam to Avoid | Indiana Lawyer Explains

2024-07-11 4

https://davidholublaw.com #IndianaLawyer #FightingForTruth

Hi. I'm Indiana personal injury attorney David Holub.

This video clip is prompted by a call from a client.

A physical therapist, spoke with a client, and tried to have him sign a direction to the therapist not to actually bill his insurance carrier.

So here's the issue. People pay premiums for their health insurance benefits.

There's no reason to give up those benefits just because you're involved in a motor vehicle collision.

So what fuels this type of scam?

Well, the problem is providers, in order to advertise that they accept insurance from ABC Insurance Company, basically say they'll take thirty-three cents on the dollar or something comparable, in receipt for whatever services they actually charge. So here's an example.

Suppose the therapist would charge one thousand dollars. They send that bill to the health insurance company, and the health insurance company pays three hundred and thirty dollars.

Well, the physical therapist thinks they're out six hundred and sixty six dollars, forgetting that they actually made an agreement that they would accept the lesser amount of three hundred and thirty dollars.

So they essentially think, now here's a car crash victim. He's going to get an insurance benefit from the third party who actually injured him. So I'll take advantage of that, and I'll try to get my patient by whatever means, tricking them or whatever I can do to get them to sign so that they actually get fully paid a thousand dollars for their services.

This is a scam.

And if you have a physical therapist or a doctor or a chiropractor or anybody who's trying to pull this kind of a scam, I would suggest you fire them and find another therapist or another provider because you can't trust them on anything they're going to do for you physically if they're going to be trying to cheat you, in this manner.

To learn more about the Law Offices Of David W Holub visit https://davidholublaw.com today.

To read David Holub's book "Fighting For Truth: A Trial Lawyer's Insight Into What It Takes To Win" visit https://www.amazon.com/gp/product/1732468206/

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