06-21-2005, 06:08 PM
A little background......this is a call I just had with a doctor who is filing fraudulent claims
G$D: Dr. so and so. I have a report here that says you did 57 eye exams on June 1st between 10:00am and noon.
Dr.: Oh really well I guess I must have.
G$D: Uh huh. Dr. How long does it normally take you to perform an exam?
Dr.: ............probably about 25-45 minutes depending on what is necessary.
G$D: I see. So in 2 hours you could probably squeeze in maybe 4 exams.......Funny. 4 is a lot less than 57.
Dr.: Well it must be an error then.
G$D: The kind of error with your signature on the bottom of each claim? I can see where that would happen.
Dr.: .............Do you have any idea how long I went to school to be where I am at? I bus.......
G$D: I dont care.
Dr.: What?
G$D: I dont care how long it took you to learn how to file false claims. What I want to know is how long it will take you to stop and what you are going to do to remedy the problem we have.
Dr.: I dont have to listen to this. Lemme talk to your supervisor.
G$D: Okay.....(hit mute for a couple seconds)......Hello Dr. So and So, this is G$D I understand you are filing fraudulent claims.
Dr.: This is the same person.....I WANT YOUR SUPERVISOR ASSHOLE.
G$D: Youre speaking to him.
Click........
This one will be fun.
G$D: Dr. so and so. I have a report here that says you did 57 eye exams on June 1st between 10:00am and noon.
Dr.: Oh really well I guess I must have.
G$D: Uh huh. Dr. How long does it normally take you to perform an exam?
Dr.: ............probably about 25-45 minutes depending on what is necessary.
G$D: I see. So in 2 hours you could probably squeeze in maybe 4 exams.......Funny. 4 is a lot less than 57.
Dr.: Well it must be an error then.
G$D: The kind of error with your signature on the bottom of each claim? I can see where that would happen.
Dr.: .............Do you have any idea how long I went to school to be where I am at? I bus.......
G$D: I dont care.
Dr.: What?
G$D: I dont care how long it took you to learn how to file false claims. What I want to know is how long it will take you to stop and what you are going to do to remedy the problem we have.
Dr.: I dont have to listen to this. Lemme talk to your supervisor.
G$D: Okay.....(hit mute for a couple seconds)......Hello Dr. So and So, this is G$D I understand you are filing fraudulent claims.
Dr.: This is the same person.....I WANT YOUR SUPERVISOR ASSHOLE.
G$D: Youre speaking to him.
Click........
This one will be fun.
Fuck.

