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Rant and Question

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blhoffman:
My situation yes, that is also what I told this consultant. It would just deny as dup. That was months ago.

She told my co-worker to change the units of services rendered which would change the claim and would possibly get payment. Might I add the secondary is a Medicaid plan. I researched it and it is fraud under the False Claims Act because of knowingly misrepresenting the charges.

They are out of here soon. Funny thing, the company I am working for hired another billing consultanting company to come in for a week and audit this billing consulting company to see if they were on the up and up. That was three weeks ago and they were told yesterday by Corporate who made a special visit that they are out at the end of May. Thank goodness someone is paying attention.

Don't get me wrong, there are exceptionally great billing consultants that get the job done legally and are a big help. Then there are others that leach on and won't let go of a company because its money and make false problems to continue the contract and at the same time not have the knowledge of how to pull that company out of the mess they are in. It can go both ways. Sorry for all the rant, its just been building up. Thanks.

Pay_My_Claims:
OK, now I fully understand what you were saying......I thought you NEVER filed the primary at all ...

PMRNC:

--- Quote ---My situation yes, that is also what I told this consultant. It would just deny as dup. That was months ago.

She told my co-worker to change the units of services rendered which would change the claim and would possibly get payment. Might I add the secondary is a Medicaid plan. I researched it and it is fraud under the False Claims Act because of knowingly misrepresenting the charges.
--- End quote ---

Ahh ok.. I was waiting to hear more on this.. changing the claim indeed would be fraud! You are 100% correct.

DMK:
Good girl!  You really clarified that for me.  You are correct and have strong legs to stand on!

blhoffman:
Okay - No worries this is a Laugh not a Rant!
 ;D       ;D       ;D        ;D       ;D        ;D

So corporate found that the first consultant is not doing a good job. They are terminating the contract as of 05/31/2010. They hired the consultanting company that came in to audit their work. Their job is to clean up and help transition the billing operation to NJ.

So we have old consultants and new consultants working in same room. Oh yes, corporate did not wait to hire the new consultants. When the new consultant tells us to do something or not to and then leaves the room - the old consultants immediately comes over and asks what we were told. Then tells us not to listen to her. Then the new comes back and asks why it isn't done and we say ask so-and-so.

Its very confusing, but I have to say there is a certain comedy to the whole situation. It really can't be described unless you are living it. I know I'm losing my job to this transition. Can't be helped, its good for the company but this new situation is just bizarre and no one knows which way to turn.

I have decided after watching this that I will NEVER take on a consulting job in my life where there is another contracted consultant still working in same building. 

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