Talk of The Villages Florida - View Single Post - Potential Fallout - Beyond Healthcare - of TVHC's Massive Medicare Overbilling
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Old 08-22-2025, 01:04 PM
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Quote:
Originally Posted by Aces4 View Post
The "system", Medicare, indicates payment for a "long visit" which I indicated in the earlier post per Medicare guidelines exists. Then educating would include this vital information and the fact that some Drs. or their offices do bill this for charge when it has not occurred in any form.
I don't get it. I posted the criteria for just one E&M code, the highest level 99215. I can post others if anyone wants. I threw down the challenge to show me the word "long" anywhere in the requirements. Guess what? IT ISN'T THERE. If someone has seen the word long on their EOB, they are either hallucinating, or it is some sort of attempt to explain the code to an amateur, but it IS NOT AN OFFICIAL TERM. This is the third time I've had to reiterate this, it's really not that hard.

Now we have a new accusation----"some Drs. or their offices do bill this for charge when it has not occurred in any form." If true, and I very much doubt that it is, that would be an example of outright fraud. So naturally the person who posted that has irrefutable proof of their accusation? Of course they do,