lawl.shan@gmail.com
Guest
Hello!
I'm not an auditor, but I think I may have discovered a huge billing issue.
We have been paid for surgeries over the 2021 year when we shouldn't have. We are starting to see take back requests, but I took it a step further to see how many claims should have a recoopment. It totals about $37.5K.
I brought this to our office manager's attention, but she doesn't seem like she cares.
Where I have now discovered this, if no action is taken to notify these payers, wouldn't that be fraud?
Bonus if you can attach links.
I'm not an auditor, but I think I may have discovered a huge billing issue.
We have been paid for surgeries over the 2021 year when we shouldn't have. We are starting to see take back requests, but I took it a step further to see how many claims should have a recoopment. It totals about $37.5K.
I brought this to our office manager's attention, but she doesn't seem like she cares.
Where I have now discovered this, if no action is taken to notify these payers, wouldn't that be fraud?
Bonus if you can attach links.