3 ms·
That is technically insurance fraud. As a provider, when you accept insurance from a specific company you sign a contract that says you are required to accept t
by didgeoridoo 8y ago
That is technically insurance fraud. As a provider, when you accept insurance from a specific company you sign a contract that says you are required to accept that insurance as payment if you see a client who is a customer of that insurance company. You cannot hold specific "insurance" and "cash pay" slots. A large practice in Boston is being investigated for this right now, and it might put them out of business.
- uxp100 8y agoIs it fraud to have cash pay slots that require you not have insurance? From your description it sounds like it isn't. They might (They do, this has happened to me, and the end result was not getting care I needed, but anyway) suggest you not inform them of your insurance, then it's your fraud, not theirs.
- didgeoridoo 8y agoAs a provider, if you do this you're putting yourself at massive risk. A patient could at any point (maybe you annoyed them that day) decide to request reimbursement from their insurance for your past sessions with them. That would probably trigger an audit, and could get you kicked off the insurance panel — and worse, be on the hook to pay back the insurance company for every cash payment you took that should have been covered.