Nobody likes fraud and every time someone is caught is is a plus. From prior posts and articles, this is more than just an effort on running algorithms as the people committing fraud are usually “better billers” as they have one focus only and don’t see patients. The link below contains...
The Medical Quack .... by Barbara Duck
The Medical Quack
Wed, May 26 2010
Filed under: Filed under: Medically Related, Insurance, healthcare, health insurance, Blue Cross, Patients, Blue Shield, formulas, Contracts, Ingenix, scoring health claims, algorithms fraud, claim denials