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How to Protect Yourself
To avoid losing your money to a bogus medical billing business opportunity, the FTC advises you to:
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Ask the promoter to give you the names of many previous purchasers so that you can pick and choose who to call for references. Make sure you get many names from which to choose. If the promoter provides only one or two names, be careful: The contacts may be "shills" - people hired to give favorable testimonials. Interview the references, preferably where the business operates, to get a better sense of how the business works. Ask for the names of their clients and a description of their operation.
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Consult with organizations for medical claims processors or medical billing businesses and with doctors in your community. Ask them about the medical billing field: How much of a need is there for this type of work? How much work does medical billing entail? What kind of training is required? Do they know anything about the promotion or promoter you're interested in?
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Check with the state Attorney General's office, consumer protection agency and the Better Business Bureau in your area and the area where the promoter is based to learn whether there are any unresolved complaints about the business opportunity or the promoter. While complaints may alert you to problems, the absence of complaints does not necessarily mean the company is legitimate. Unscrupulous companies may settle complaints, change their names or move to hide a history of complaints.
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If the medical billing opportunity sells another company's software, check with the software company to find out whether company representatives know of any problems with the medical billing promoter.
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Consult an attorney, accountant or other business advisor before you sign any agreement or make any payments up front. An attorney can review the promoter's contract and advise you on how best to proceed.
Where to Complain
If you think you've been defrauded in a medical billing business opportunity scheme, contact the company and ask for your money back. Let the company representatives know that you plan to notify law enforcement and other officials about your experience. Keep a record of your conversations and correspondence. If you send documents to the company, send copies, not originals. Send correspondence by certified mail - and request a return receipt - to document what the company received.
If you can't resolve the dispute with the company, file a complaint with:
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the Federal Trade Commission. Call 1-877-FTC-HELP (1-877-382-4357) or log on to www.ftc.gov.
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the Attorney General's office in your state or in the state where the company is located. The office will be able to tell you whether you're protected by any state law to regulate work-at-home programs.
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your local consumer protection offices.
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your local Better Business Bureau.
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your local postmaster. The U.S. Postal Service investigates fraudulent mail practices.
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the advertising manager of the publication that ran the ad. The manager may be interested to learn about the problems you've had.
Compliant Billing Services- medical coding, audits, training
A full service medical billing company specializing in compliance, service, education, CPT audits, E/M audits, and provider training. ... Pre-Payment Audits: Could you be losing money by under-coding? ... Help with denied claims. Prompt and personalized attention to your medical billing needs ...
Precision Medical Claims - Billing
Precision Medical Claims is a Louisville based company that specializes in Medical Claims and also sells reseller of the Medisoft Software. ... edits and audits ... Claims Billing--Precision Medical will collect and enter all data into our computers. Send information to the clearinghouse the same day, retrieve all reports for audits ...
Texas Workers Comp consultants
The Texas Workers Comp Advisor, compensation system in Texas. ... MBMS' medical staff has a minimum of five years experience in the auditing workers' compensation claims. Audits are ... up to scan medical claims at clients' locations ...
Medical Claims Audits/ Bill Reviews
Professional medical claims audits and bill review services that deliver maximum cost savings, time and operational efficiencies, and improved ROI. ... in handling out-of-area & network medical claims and has one of the largest proven ... Containment Solutions - HIPAA EDI - Medical Claims Audits - Healthcare Savings - PPO - Health Care ...
MedReview, LLC - Medical Claims Audit Specialists
... Please click here to go to our new medical claims audits website ...
worker compensation medical claims litigation support: Tecum, Inc.
Tecum, Inc. Nationwide worker compensation medical claims litigation support, legal audits, fees, bills, cost control, software, law firm / attorney referral services, expert witness intellectual property, construction defect, and more! ... Medical Management Services ... and train Managed Care staff, & claims departments. Reports will be ...
Auditors of Medical Claims and Medical Bills for Employers and Health Care Payers
HDM provides medical claims auditing and healthcare cost containment services to self-insured employers and health plans. TPA and pharmacy audit services ... medical plan audits (third party administrator audits, medical claim audits), pharmacy audits (PBM ... audit claims and identify overpayments. Medical Claims Audit & Data Mining: ...
Health Compliance Associates (HCA) - Paid Claims Audit, Medical Record/Patient Chart audits, Charge master rate ...
... in paid claims audits and chart audits for. medical claims. Our services can be broadly classified as. Paid Claims Audit ... Paid claims reviews serve as compliance audits because ...
Open Directory - Business: Financial Services: Medical Billing
... Inc - An electronic medical claims billing specializing in both ... and electronic claims submissions. Clarity Coding, Inc. - Medical records coding consulting, audits, assessments and ...
Medical Claims Review&Audits - Medreview LLC Medical Bil Auditing
MedReview offers medical claims review and auditing services and represents companies who self-insure their healthcare benefits. We audit our clients' paid healthcare claims, identifies overpayments, and obtains refunds for them. ... we conduct hundreds of audits with dozens of different ASO ... fiduciary responsibility to manage claims costs and to make sure ...
Medical Claims Audits
Professional medical claims audits that achieve cost savings, time and operational efficiencies, and an improved ROI ... Healthcare Medical Claims Audits. In the healthcare field, audits on medical claims are necessary to maintain ... and uncorrected each year. Medical claims audits are a way of gauging ...
Medical Chart Audits
New careers through PASS, Ltd in the medical or dental field... We will review the claims for timeliness, completeness and enclosure of appropriate attachments when necessary ... Helpful Links. MEDICAL CHART AUDITS ...
Insurance Claim Audits and Investigation
Insurance Claims Consultants is a third party administrator for self insured companies. There is the simple choice when your company wants to reduce cost . Consider the technological approach with ICC The experts in Administrative... Workers' Compensation Claims. Property and Casualty Claims. Medical Malpractice ... 3) Medical Review. 4) Insurance Review for Coverage Question Disputes ...
Medical Benefit Audits
Auditing company specializing in medical billing and insurance claims. ... Michael Lilly. Medical Claims Auditor ... In November 2001, he took the first steps toward building Medical Benefit Audits from the ground up ...
The Services of Medical Claims Resource
On Site Audits. A Registered Nurse will pre-screen the hospital bill submitted. The length of stay will be equated in conjunction with the diagnosis, the procedures done and the itemized charges. ... MCR can provide both on-site audits and also desk audits. During the pre-screen process ...
Electronic Medical Claims Submission Software
make submitting your claims easier with electronic claims from medisoft ... claims electronically?????????both commercial and government?????????with full on-line audits and edits right from your medical ...
Medical Claims Audit Program - Profit Direct
Medical claims auditing program from Profit Direct. Confirm eligibility and coverage, pricing and payment accuracy for emploers who self-fund their healthcare plans. ... ProfitDirect conducts medical claims audits for employers who self-fund their company ... auditing and verification of medical claims submitted by physicians, hospitals, and ...
Insurance Resources & Auditing Services
... and Specific Claims Audits, Claims Processing Audits, Underwriting and ... Operational Audits and Medical Management Audits. Additional resources include Excess Claims Management ...
Keywords Report
... billing disputes 1 medical bill audits 1 claims auditing 1 attorney cost ... property 1 medical litigation review training 1 medical claims reviewer 1 medical claims management services ...
Precision Medical Claims -
Precision Medical Claims is a Louisville based company that specializes in Medical Claims and also sells reseller of the Medisoft Software. ... claims electronically?????????both commercial and government?????????with full on-line audits and ... with NDC Electronic Claims Processing. Sending claims with NDC Electronic Claims Processing has ...
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