Viewing a single comment thread. View all comments

killshelter t1_iujr4wu wrote

Isn’t that fraudulent of the hospital?

84

portagenaybur t1_iujwbz6 wrote

Yes. But there’s no recourse or any law against it really. People/insurance are overcharged all the time in healthcare. It’s the US’s greatest grift.

118

HadesHimself t1_iujwnf8 wrote

Fraud requires intent I'd guess right? Hospital can easily claim it was an honest mistake on their end, which they corrected when the couple notified them of their mistake. We'll never know whether it was truly accidental of course.

34

boadicea-h5 t1_iujz9lb wrote

It does require intent. I'm a medical coder and biller. We make mistakes. If we are notified and correct it, it's not fraud. Typos happen. We are legally obligated to notify insurance companies of these mistakes so the medical record they have for the patient is corrected as well. It's very easy to make a mistake. We try not to, though.

17

Rikuskill t1_iuk0whj wrote

I just wish there was some more transparency in this situation. It shouldn't have taken a year to discover the fraud. The data should be quickly available, and if not then the charge should be dropped, no?

27

Johnny_Lawless_Esq t1_iuk6sjh wrote

Intent is a key element of fraud, and proving intent would be very difficult in this case.

25