Visits to MTSTARS...sm

• Visits to MTSTARS...sm - Addicted
  • Well, er, ummm, I can't stay away. Let's just say that. - Shy
  • Too much, several times a day.....but usually only for a - few minutes. -nm
  • All the time, I love this place! - Maria
  • Maybe twice a week. That is enough for me. nm - Not often
  • i dunno, maybe 20? it varies depending - sm
  • Usually twice a day for about 10-15 min BUT today I seem - Busy MT'ing
    • Great information. Maybe you need a productivity forum? - nn
  • ONCE. All day, every day. LOL Just kidding.... - me

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But one must check in from time to time throughout the day. Only trouble is, I find myself using that time to also check my e-mail, do a bit of browsing. Amazing how those the clock ticks quickly and the minutes can add up. 

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As an insurance claims specialist, there are two issues here.

1) Since the mother works for the chiro, it is likely he would not bill the mother for treatment. And, if he did approve of professional courtesy by not charging the mother, then any claim to insurance would be fraudulent in the first place. This will be a policy provision in your own insurance policy.

2) The mother is probably filing fraudulent claims. You MUST speak to the Chiro on a personal and confidential basis. I would either try to contact him by phone, or send a certified letter where only the chiro can sign for the letter. Then you have proof that he received it. It won't take long for the provider to find out if the mother kept the money.

3) Filing a false claim is unlawful and can result in treble damages. You bring it up to your carrier and if it is truly a false claim, you could be entitled to part of the recoupment, if that happens. This could even potentially be a police matter of embezzlement.

4) 50% of all doctor's office will expeience some form of theft by an employee. I've seen it time and again.

No matter what, it doesn't sound right. And since the boy obviously hasn't been to the chiro in a while, it is very suspicious. Since you pay for the insurance and presumably the difference not covered by insurance, you have EVERY right to get involved. Furthermore, just as an innocent bystander, when you know someone is breaking the law, you have an obligation to report it. Don't be intimidated, find out what's going on. Best of luck.

Cyndee Weston

I have often wondered this exact same thing. A lot of people go to the ER who have no health insurance or no primary doctor. 

I had one woman bring her child in because he made a funny face after eating a sour fruit candy, I mean come on! 

I do have a high deductible for mine, I think $5000 but the important thing to me is that I only pay $35 office visit copay. The deductible only kicks in on lab, x-ray etc.. and I have prescription coverage. The other thing you have to consider, as I also work in a physician's office doing medical billing, is that there are substantial contractual adjustments if you are with a BC plan. Say, your bill is $100 and the "allowable" from the insurance company is $75, that means that your doctor's office has to adjust off the extra $25 and you are not responsible for that; whereas, if you had no insurance, you'd have to pay the whole $100 out of your own pocket, no discount there.

please tell me which number I won with.  Was it 68??? 

 I need to play my winning number on the roulette wheel today!!   

I received my Godiva yesterday....thank you so much!  It arrived beautifully packaged and is sinfully delicious!

Thanks again!

I just received my mouse pad from MT-Stuff.  Thanks to MTStars and MT-Stuff for the great recognition of Medical Transcription Week.  It was great.  I usualy have no luck at all so this is truly amazing.

Is there a way to enter your clients information and keep it stored in Flashcount so I do not have to re-enter it every time?  Also, what is the difference between Regular Word Count and Extended Word Count in the Rule Selection section?  I ran both and got a higher count with Regular than with Extended.

The main board, job board have sporadic yellow blinking symbols at the beginning of some the posts.  Just curious if that had a specific meaning.