The following article is a 1997 article, however, the recipe is still used for many things - one of the major differences is that the recipe below is a comprehensive examination of the report, but the physical medicine and rehabilitation providers billing for services on a more careful - specifically, therapeutic procedures, been entered.
You can create one-month period a year income, you can imagine? You know how to increase your weekly income for 8000 of $ 10,000 that you want? This is a national provider of property in fraud of the doctors recruited with promises of some of the questions asked by.
The unfortunate reality is that many doctors consider a patient care not greed, and wealth as a vehicle to drive patients to their use. And, for them, soft tissue injury is just what the doctor ordered!
Best of soft tissue injuries of the skin, muscle or ligament, or tendon is described as a deviation, for sprains and strains, and that nature is self-limited and associated with symptoms or treatment, where 90% will heal spontaneously resolved in 90 days without including . The patient subjectively complained of minor injuries, or patients of the doctor, and for the most part, objectively unverifiable, and virtually impossible to prove or disprove what is referred to. As a result, soft tissue injury to a complete medical conditions can be treacherous!
The National Insurance Crime (NICB) Bureau, insurance and property casualty insurance industry in the hands of action against crime, particularly fraud-related claims as a soft tissue injury suggests that injury. And reports, medical and legal providers that immorality is the largest financial incentive to participate in this scandal. The NICB version of the report and the cost of these claims are on the rise, reports the Insurance Research Council study, 83% in the number of claimants of soft tissue injuries - auto accident defects were introduced in 1992 was 75% from five years ago, and claims about the cost four times higher than the average of 15 years ago. The NICB estimates that the average American household an additional $ 200 per year premium for the insurance fraud problem with the $ 20 billion annually to pay for protection!
This is a minor injury, a major problem for insurance companies and customers - not by accident - but a fraud and a national provider organizations, to travel anywhere in the country to find doctors willing to take more money for the purpose of design. Attracted a large number of ads that you want prosperity, and it just will - whatever it takes! Here, the soft tissue injury to the medical condition of trickery, as the prescription for the use of blatant and costly fraud schemes in soft tissue injuries, and property to follow a recipe! This recipe calls for specific components:
Use any and all means, and with professional associations, including solicitation scams, insurance people in the door.
With insurance at all, regardless of medical conditions or needs, patients are.
Back to the needs of patients, respectively, until the insurance runs out, or cut - off too.
Bill for the insurance companies to provide a comprehensive examination worthless diagnostic tests and unnecessary treatment.
Aggressive tactics, use the legal system and political connections to make insurance companies pay.
This recipe is about making money, not making people better. We trust the doctors knowledge and experience, and commitment is to make us better. We expect a lot from health care professionals, and most honest way and deliver care. However, this recipe Trust Society and the following doctors outside their trade status, the use of expensive examination, testing and treatment by a steal! The above components, especially the number one and four by evidence.
One component is very difficult, not only the financial impact it can cause, but more importantly, creates a public safety concern for patients. This component is for doctors to reach out to people with insurance, patient welfare with little or no regard as to be used to steal vehicles. A more common tactic is to use the device to provide a "free examination", the report as a public service, our health and we do not know what caused the wound may be offered by the doctors concerned?
"Free examination", advertising, coupons, store screenings, free dinners, phone calls and / or letters of offer, not a public service! "Free Exam" is a bait and switch scam; with the test (byte) hard for doctors to treat people with sales and insurance requirements to patients (replacement) of the offers. The first thing to "investigate" the available insurance, questionnaires and identified, where the actual injury "free examination" scams is a difference, but insurance is available to treat basis. Rolling the dice looking for doctors to use this tactic: insurance = income?
Keep the bait provided - "free examination", and you could not do it. Now, the person and how could it not? I know when I am hurt, you do not? Doctors who do not know how they are damaging to diagnose soft tissue injuries? If you are hurt, you (subjective) complaints will need a doctor to diagnose this condition? Further, why a doctor, we will test for free? It is really concerned about our health so that they are doctors, we will be providing free medical service? I do not think you do?
Police identified the victim reported the incident to the examinations Favorite targets automatically. Auto accident reported in the documents, contact the police and victim (s) provides information on the insurance. Both medical and legal professionals in the form of money for future insurance claims, auto accident victims, and aggressive soliciting by mail and phone. Accident victims, but in which local professionals for businesses located in other parts of the solicitation may be contacted by multiple sources.
This recipe is the fourth element of the importance of special interest and fraud fighters, which in this instance is complete, doctors provable beyond a reasonable doubt, deception, enough! They are unlikely to provide a bill for services, and other soft tissue injuries that are completely worthless when the diagnosis. If phlayakecara, and knowing what the meaning of the billing code, the services responsible for planning, we have powerful evidence of the doctors to stop.
Current procedural terminology or CPT codes in the medical provider, but the following recipe is used by doctors, to pay. The American Medical Association CPT codes promulgated so that all providers of certain services to collect and report to appropriate compensation. This code is based on the amount of work, judgment and clinical risks to patients, and to use the code (s) code that most accurately identifies the service (s) selected providers instruct.
Examination tests - treatment: a simple way to determine what services were phlayakecara to use the CPT code and bill services are broken down by category. Find the average of each category to calculate the relative phlayakecara. In particular, breaking down the bill, we find that less than half of Mother's doctor bills for treatment services (health care for the patient, Mother's help to get the good mode), and most of the examination and testing for the bill. In addition, the pattern is the exact same services to all patients identified on the phlayakecara.
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Wednesday, February 15, 2012
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