Subject: Re: Minn Med Fraud
that paper shuffling gives insurance companies an excuse to not pay claims for weeks or months.
You just delay with less people, you can always delay. One companies formula was to always initially deny any claim, because a certain number of people would accept that. But if you are defrauding, you just have AI make minor changes and resubmit. At first we'll be looking for the claim with five fingers, then immediately everything from that provider becomes suspect. A lot of the fraud will be additional codes or coding up. I'm suspicious of my CPAP supply provider because I periodically see rental charges and it's been over two years.