Filed under: Buyer Beware, Insurance Fraud, Mental Health, Therapy | Tagged: bad therapy, consumer protection, fraud, insurance fraud, mental health, psychology, psychotherapy, therapy, unprofessional conduct |
Posted on April 21, 2011 by wisdomovertime
The approximately $800 I received back was much more an emotional and psychological victory than a cash reward (plus I paid that money out to a very unethical therapist 5 years ago!)
If you haven’t read my other blog entries and know the history… I’ll give a quick synopsis of the story.
Back several years ago I had gone to a therapist during a divorce and while supporting very ill family member, now deceased.
The therapist committed insurance fraud 2 ways….the first was in 2006 (for sessions in 2005) by telling me my insurance company denied his claims and that I owed him for the sessions. This turned out to be a blatant lie as I later found out. He had never filed the claims. This is a form of health insurance fraud performed by billing a client more than the amount of a copay for services that are fully covered under a managed care plan.
The second way was by triple billing my insurance for 10 sessions in January 2007 when we only had three, and double billing my ex-husbands insurance during the same time period. ( He had to pay back the insurance company for those and withdraw as a provider)
The check I received was reimbursement for the first fraud If I paid myself for the number of hours I spent reporting the fraud to the insurance company, filing a licensing board complaint and then dealing with getting money back from the insurance company ( the therapist had to submit billing at the insurance company’s request for those sessions in 2005)…..I probably made about minimum wage but getting that check back was an emotionally and psychologically priceless!