How do I dispute a $609.00 coded as Consultation charge, from a Dr who claims it was a 90 minute consultation when it was not.

Upcoding is fraud. Call the billing office, and tell them that you wish to discuss the bill. Explain that you believe it was 'accidentally'...

Can a doctor set a price for unlimited urgent care service for 12 mths and bill their ins. each mth?

The physician places himself or herself at risk. If the physician accepts Medicare or Medicaid patients, such an arrangement likely violates...

Insurance company, false advertising?

First, appeal any denials. The summary of benefits is just that, a summary. The plan book and policies outline the true scope of benefits. Review...

The physician must obtain informed consent regardless of whether you are charged....

Are there hippa laws for pharmacist and their co workers?

HIPAA applies to all medical providers, including pharmacists. This violates HIPAA, but HIPAA is a mechanism for the government to sue providers,...

Was I evicted properly?

Moving this question to a more appropriate category.

Why is BCBS able to deny preventative coverage (ACA) for a colonoscopy when it was submitted as 'screening' by my physician?

There is a difference between "screening" and "diagnostic" colonoscopies. If the screening to investigate a specific problem (pain, bleeding, etc.)...

How should I handle this medical bill? Am I really responsible for this entire bill?

Responsibility is determined by the date of service, which you do not include in your facts. If the ER visit occurred prior to your Medicaid...

Is it legal for a Psychiatrist to start a side business to prescribe Phentermine?

It would be difficult to answer your questions without more facts concerning the Dr.'s practice. You can always direct questions to the Washington...

How to file an injunction

This is not a health care question. I am moving it to a more appropriate practice area.