Home > Research Legal Advice > Medical Malpractice > I believe my doctor knowingly submitted inaccurate medical coding/claims...
Asked 4 months ago - Salt Lake City, UT
FlagI was seeing a jaw speacialist (maxillofacial doctor) to treat TMJ (clenching of the jaws). I was without a doubt diagnosed with TMJ and referred to a specific phys. therapy doctor for additional treatment 3 x's a week. lots of laying in a room, heat pads and occasional facial pulse therapy. That was it. I was on my mom's insurance at the time. Two years later I go to get individual insurance and am quoted an outrageous amount due to being treated for FIBROMYALGIA. Find out that my phys. therapist was filing claims to Blue Cross stating that he diagnosed me with fibromyalgia. Nope. Don't have it. Also learned that my insurance didnt cover TMJ, so we think he was coding it so insurance would accept it and get more money. I was subsequently denied insurance after everything. More details.
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