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Irish_Dem

(62,298 posts)
16. Over billing insurance companies can be insurance fraud.
Wed Mar 8, 2023, 06:04 PM
Mar 2023

If it is a consistent practice and not just billing error.

Doctors can get into real trouble with this kind of thing if it is deliberate.
As I said before, the license holder is responsible for all staff in the clinic.
Ignorance is no excuse in the eyes of the state board.

I would speak to the office manager. If no results there, you could ask to speak to the dentist.

Then the state board. And your insurance company.

Sometimes billing staff can cook up some schemes to make some money.
Or it could be an honest mistake.

Medical practitioners are notoriously bad business owners and many problems arise from that.
That is why so many go bankrupt.

I had my own clinic and ran a tight ship.
No board complaints, no lawsuits, no deaths or injuries.

I knew to the penny all money going in and out.

Recommendations

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Every state has a Board FarPoint Mar 2023 #1
I doubt it would extend to billing disputes Effete Snob Mar 2023 #3
Yes state professional boards can get involved in billing problems. Irish_Dem Mar 2023 #5
That's unfortunate Effete Snob Mar 2023 #7
The person who holds the license is responsible for ALL staff in the clinic. Irish_Dem Mar 2023 #11
I provided the link to the TN Board of Health above Effete Snob Mar 2023 #12
State med boards hold license holders to much higher standards than consumer/business agencies. Irish_Dem Mar 2023 #13
What does it have to do with being a dentist? Effete Snob Mar 2023 #2
We don't have have enough information to determine if it is a legit board complaint or not. Irish_Dem Mar 2023 #10
In Minnesota I'd start with the Minnesota Dept of Commerce /nt progree Mar 2023 #4
Thanks. I will. See more explanation below question everything Mar 2023 #14
The dentist is being very foolish to risk a board complaint over billing issues. Irish_Dem Mar 2023 #6
This one should be checked out Effete Snob Mar 2023 #8
.... Irish_Dem Mar 2023 #9
Yes, I probably should talk to him question everything Mar 2023 #15
Over billing insurance companies can be insurance fraud. Irish_Dem Mar 2023 #16
I'm in the same situation you are. Two regular cleanings, 2 perios every year dflprincess Mar 2023 #17
Thanks for the offer. No, I am in Plymouth. For many years I would use one in Edina, question everything Mar 2023 #18
Talk to the AG's office geardaddy Mar 2023 #19
Thanks. I talked to them again, this time with the top money person and they are issuing a check question everything Mar 2023 #20
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