Quote:
Originally Posted by Laurawilcox
With owing millions from the Medicare over billing it may be the only option. Really want them to be successful as we need all of the medical options we can get here. It was interesting the Sun article indicated that all insurance will be accepted during the realignment hope that is true. Beautiful facilities were limited for Medicare patients to only Medicare advantage, hope that changes. May increase their success.
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I do not know how the Villages Health could have overbilled. All patients are enrolled in select Medicare Advantage plans. Here is an example of a doctor visit:
$249.00 Billed
$123.95 Allowed
$121.48 Plan Paid
So, the Villages Health should be allowed to collect $2.47 from Medicare. If they collected more than $2.47, then there would be an o overpayment. I think any overpayments would be a fraud or just stupidity from the Villages Health.