Revenue Cycle

Health card companies defrauding hospitals and patients shut down

Patient Access Weekly Advisor, August 12, 2009

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Lisa Truong's $28,000 bill from a San Francisco hospital is just one reason the California Department of Managed Health Care ordered two unlicensed companies offering fraudulent "discount health cards" to shut down and a third company selling health coverage to apply for a license or stop operating.

Additionally, the state plans to make a plea to hospitals, physicians, and clinics to have their intake workers report those instances when patients appear with such cards expecting they are covered, instead of letting the incidents slide unreported.

If the practice isn't stopped, patients will continue to have their credit records tarnished for non-payment, and hospitals and other providers will be left on the hook for increasing amounts of unpaid care, state officials said.

Read the full story by Cheryl Clark on HealthLeaders Media.



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