We were told in a hospital board meeting by a lawyer with King and Spalding. Don’t know how to get better than that. He also told us that what the physician was doing in Ocilla was damned well against the law.
Guy W. Moorman, Jr., D.D.S.
The Swamp
Douglas, GA 31533
912-384-7400
This email message and any attached files are confidential and are intended solely for the use of the addressee(s) named above. This communication may contain material protected by patient rights, work product, or other privileges. If you are not an intended recepient, you have received this communication in error and any review, use, dissemination, forwarding, printing, copying, or other distribution of this email message and any attached files is strictly prohibited. If you have received the confidential message in error, please notify the sender immediately by reply email message and permanently delete the original message.
From: David R. Boag DDS [mailto:spikedds@gmail.com]
Sent: Tuesday, January 29, 2013 1:37 PM
To: gmoor@windstream.net
Cc: riccoker@gmail.com; 'Critcal Thinker'; 'Ace'
Subject: Re: [ACEsthetics] "Insurance Only"
I believe this the the right answer. I have not seen it on paper from an authoritative source, though. Got something to validate this position Guy? I'm merely asking for the source of the information you gave. I'm not judging it's right-ness or wrong-ness. I agree with this position in principle. I would simply like "proof" that I am correct. Can you tell me where to find it?
On Jan 29, 2013, at 1:00 PM, "Guy Moorman" <gmoor@windstream.net> wrote:
It is not illegal as long as it is not routine practice. If you do it every now and then for, say, professional courtesy. I have the parents of a dentist who practices 150 miles away. I do their work for what the insurance will pay or lab bill only. That is not illegal.
We have a physician who leases a hospital about 25 miles away and he is a boarded OBGYN. He accepts insurance as payment in full for every patient who walks in and does not charge those with no money. That is nice for those without funds but he is forgiving the co-pay on every single person as a routine practice. This is against the law. This simply means you are charging insurance more than you are charging other patients. He thrives on commercial pay insurance.
The stupid thing is his delivery fees are twice what our hospital charges so if the employer…city, county, and many industries, are paying 80% of twice the fee our hospital would charge. All OBGYNs in Coffee County are hospital employed. Industry is dumb enough to accept this…all but one. PCC took him off their provider list much to the dismay of their employees. We’ve informed the city and the county…both self-insured…that they are getting screwed but they have some really stupid people running the show who will not listen to their HR people. Somebody is getting cash under the table.
Guy W. Moorman, Jr., D.D.S.
The Swamp
Douglas, GA 31533
912-384-7400
This email message and any attached files are confidential and are intended solely for the use of the addressee(s) named above. This communication may contain material protected by patient rights, work product, or other privileges. If you are not an intended recepient, you have received this communication in error and any review, use, dissemination, forwarding, printing, copying, or other distribution of this email message and any attached files is strictly prohibited. If you have received the confidential message in error, please notify the sender immediately by reply email message and permanently delete the original message.
From: acesthetics@googlegroups.com [mailto:acesthetics@googlegroups.com] On Behalf Of Rick Coker
Sent: Tuesday, January 29, 2013 10:03 AM
To: Critcal Thinker
Cc: Ace
Subject: Re: [ACEsthetics] "Insurance Only"
I have heard of it being done, mostly from dentists doing prison time! <g>
Some dentists do it a lot more than I do, but sure, I do it at times.
Rick
On Tue, Jan 29, 2013 at 8:55 AM, <TonganoxieDental@aol.com> wrote:
There are times when I do a procedure, but don't want to charge a full fee (like some bonding I did a year ago chips), is it ok to charge the insurance and then write off the balance? I know that it is illegal to accept insurance as full payment as a general rule, but is there any reason that on rare occasions that can be done?
Thanks!
Grant
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Dr. Rick Coker, DDS, FACE
Director, Academy of Comprehensive Esthetics
www.tyler-smiles.com, www.tylersleep.com
http://www.google.com/profiles/riccoker.
903-581-1777
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