Insurance company Aetna has filed a $20 million lawsuit against a Northern California surgery center firm, claiming the company is overbilling the payor, according to a Sacramento Bee report.
The lawsuit, filed in Santa Clara County, claims Bay Area Surgical Management recruited physicians to invest in its seven outpatient facilities in a scheme to help physicians profit by sidestepping state laws. The payor alleges the surgery center firm overbilled Aetna, billing $66,100 for a bunion repair, $6,642 for a colonoscopy and $23,301 for a knee arthroscopy.
Bay Area Surgical Management denies Aetna's allegations and says the insurance company is using the lawsuit to strong-arm patients away from its facilities.
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The lawsuit, filed in Santa Clara County, claims Bay Area Surgical Management recruited physicians to invest in its seven outpatient facilities in a scheme to help physicians profit by sidestepping state laws. The payor alleges the surgery center firm overbilled Aetna, billing $66,100 for a bunion repair, $6,642 for a colonoscopy and $23,301 for a knee arthroscopy.
Bay Area Surgical Management denies Aetna's allegations and says the insurance company is using the lawsuit to strong-arm patients away from its facilities.
Related Articles on Coding, Billing and Collections:
ASC Quality Reporting Secondary Payor Issue Resolved
Consumer Reports: Healthcare Prices Vary Drastically Between States, Cities, Physicians
Healthcare Spending Growth Expected to Rise 7.5% in 2013