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To: rktman

Where are the prosecutions that match this.

Those numbers are probably estimates generated by contracting firms that have contracts to catch or prevent fraud.

In other words, they’re marketing numbers to keep their contracts.

They probably include things like payments rejected because there was a technicality on the bill. The care was actually provided, but the first submit of the bill was rejected. The provider will fix the invoice and resubmit the bill and get paid.

But someone will claim that was an improper payment that was prevented. That’s just one example.


8 posted on 04/13/2018 12:29:14 PM PDT by DannyTN
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To: DannyTN

Right next to the prosecutions for felons stupid enough to fill out a 4473.


10 posted on 04/13/2018 12:31:50 PM PDT by rktman (Enlisted in the Navy in '67 to protect folks rights to strip my rights. WTH?)
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