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Celtic Vs TeamHealth Fraud Upcoding Lawsuit December 2020 PDF

62 Pages·2020·English
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by ['Health Care Fraud Research']| 2020| 62 pages| English

About Celtic Vs TeamHealth Fraud Upcoding Lawsuit December 2020

TeamHealth is being sued by Celtic Insurance for fraudulent health insurance billing. Celtic alleges that over the past seven years, TeamHealth billed over $100 million in fraudulent claims to Celtic by engaging in a systematic scheme of "upcoding", or billing for more expensive services than were actually provided. TeamHealth staffs emergency rooms with doctors and physician assistants but creates the insurance claims and keeps most of the money collected, classifying its clinicians as independent contractors. Celtic claims TeamHealth exploited information asymmetry by only providing billing codes to insurance companies rather than full medical records, allowing TeamHealth to fraudulently bill for more expensive services than were actually provided.

Detailed Information

Author:['Health Care Fraud Research']
Publication Year:2020
Pages:62
Language:English
Format:PDF
Price:FREE
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