How To Handle Hospital Business After Charged With Fraud

By: Annie Lavery

Break Studios Contributing Writer

Need to know how to handle hospital business after charged with fraud? Hospital fraud is becoming a problem in some areas. Hospitals will charge for services not rendered or overcharge the insurance companies. When insurance companies fail to pay for overcharges or services not rendered, the cost is then transferred to the patient for payment.

  1. Keep track of every procedure done. Write down the date or dates of procedures you are having done as well as what type of procedures they are. Keeping track of this will help you determine if you are being charged fraudulently.
  2. Make notes of the prices you are quoted for the procedures. Ask what the price is for the procedure you are having done. This helps you, when the final bill comes, to check for hospital fraud charges that may have occurred.
  3. You will need to keep track of appointment times and dates and know the charges for them, too. This also helps you when the bill comes. Compare the bill to what you were quoted for the visit. If you have questions, call the billing department. Discuss any hospital fraud charges you think may have been added to the bill.
  4. If blood is drawn and sent out for testing, find out prices for this as well. You may need to call the lab to find out their prices. Be sure to get a quote from the doctor as well as the lab. This ensures there is no confusion on who gets paid for what service and ensures no hospital fraud charges.
  5. Stay in contact with your health insurance provider. Make notes of anything important you need to remember or questions and concerns you may have about billing. You can also ask your health insurance provider for help with handling hospital business. They can provide you with any answers you may need.
  6. Go over your hospital bills as soon as they arrive. Check dates, places and procedures. Look for any services you did not receive and prices that are inflated. Many times the hospital business department will overcharge, leading you to believe you have been charged fraudulently.

Hospital business needs to be handled in a timely manner in order to ensure any charges of fraud are taken off. If you get no satisfaction from the hospital business department, contact your health insurance provider.

Resources:

Fraud Guides

Posted on: May. 22, 2010