IT was supposed to clear up a lot of the fraud. every single one of the cases I work on has some level of fraud.
Michael Angelo "allegedly" ran a lot of the suspect facilities:
https://www.justice.gov/opa/pr/opera...and-wire-fraud
https://www.clickondetroit.com/news/...crash-victims/
until last year, when an Automobile accident claimant submitted medical bills to an auto insurer, the amount was reimbursed at a "reasonable amount". Let me give you an example.
If you have BCBSM and get a MRI, that MRI is reimbursed by BCBSM at around $750.00,. regardless what the medical facility billed. They could bill $1,000.00 or $10,000.00, but if BCBSM had to pay, the MRI facility would accept as payment in full $750.00. this is because BCBSM had a fee schedule, so does Worker's comp, Medicaid, medicare etc.
However that same MRI submitted to an auto insurer would likely be reimbursed at $3,500.00, because it is a "reasonable amount" and there was no fee scheduled. Insurers would rather pay a little more to get rid of the case then spend $10k to go to trial and then still have to pay some amount.
Starting July 1, 2021, (there are exception) but the standard fees schedule is 200% the medicare (CS) reimbursement rate. So for that same MRI, Medicare might only pay $500.00. so 200% of the $500.00 is $1,000.00. which is much better than the $3500.00 the insurer was previously paying
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Fun toys: his '99 Ford Lightning, hers '66 Mustang Coupe, quads, jet skisOriginally Posted by Rich Christensen (PINKS)
Maybe the end of the story? Sounds like the Jeep dealer paid and the owner is off the hook. Headline says that but not really mentioned in the story. All around bad deal. Hard to imagine going into work at a reasonably safe job and this happens.
https://www.newsbreakapp.com/n/0gJmS...ng=en_US&s=i16
I Drag Race Because It's Fun, Not Because I'm Good At It.
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