One of the biggest payers in the Paris mix is Medicare. Because we are so dependant on it, the thought of a Medicare audit strikes fear into the hearts of CEOs and billing personnel as well.
Well, the spectre of doom might be standing at Essent's door. The hospital is trying to pass this off as Dr. Xavier's responsibility.... Yeah, they'd love it if that were the case, but I think that we have to look deeper.
Can we say incompetence? These are mostly the same folks that forgot to bill patients for an entire year while the Minor Care Clinic was operational. These are the same folks who turned over billing for EKGs to RR when they were losing money at it, and RR made money. These are the same people that failed to pre-cert for surgeries, and to get provider numbers for locum CRNAs.
But, we also have to look at the corporate guiding lights--Hud and his crew came from Columbia/HCA to a great extent, and others, which have had Medicare billing problems before. These are also the people that feel that getting fines for non-compliance is cheaper than paying a director's salary.
Maybe Medicare will change their minds....