- Report: #822817
Complaint Review: Central Ohio Primary Care
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| Central Ohio Primary Care 570 Polaris Parkway Suite 250
Westerville, Ohio United States of America |
|
Central Ohio Primary Care AKA COPC Medicare Code Fraud Westerville, Ohio
*UPDATE Employee: Medicare Fraud Allegations Against Central Ohio Primary Care
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I visited my doctor and five months later learned I had a very large unpaid bill. The unpaid bill represented laboratory work done by a Central Ohio Primary Care facility. The work was all coded as routine and Medicare refused to pay any part of a bill marked "routine". The Dr. said he corrected the coding, but the billing office refused to accept the corrections.
This report was posted on Ripoff Report on 01/14/2012 01:45 PM and is a permanent record located here: http://www.ripoffreport.com/r/Central-Ohio-Primary-Care/Westerville-Ohio-43082/Central-Ohio-Primary-Care-AKA-COPC-Medicare-Code-Fraud-Westerville-Ohio-822817. The posting time indicated is Arizona local time. Arizona does not observe daylight savings so the post time may be Mountain or Pacific depending on the time of year.
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Search Tips#1 UPDATE Employee
Medicare Fraud Allegations Against Central Ohio Primary Care
AUTHOR: Director of Coding and Compliance - (United States of America)
SUBMITTED: Monday, January 16, 2012
POSTED: Monday, January 16, 2012When a Medicare patient has diagnostic testing performed at COPC and the diagnoses submitted to Medicare do not qualify for "medical necessity" we are required to have the patient sign a form, an ABN (Advanced Beneficiary Notice) - without this form signed prior to the service, by the patient, the patient cannot be held responsible.
Also - we cannot change coding that is already present within a physician's progress note - so if the physician has not documented chronic illnesses to cover the diagnostic testing - we cannot change the coding just to have it paid by Medicare.
Patients do need to be aware that a complete "head-to-toe physical exam" is never covered by Medicare and will always be patient responsibility. It is important to know what service you are expecting to have the physician perform when you schedule your appointment.
I would ask the person that made this allegation to call the Compliance Department at 614-326-2672.
