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ASC Pricing

Discussion in 'Arthrex' started by anonymous, Nov 6, 2019 at 7:57 AM.

  1. anonymous

    anonymous Guest

    I just took over an account from a rep that left and is trying to flip the business.

    The ASC called to post an MTP fusion and said “it’s Medicare”. I’m finding out this guy was charging under $1k on Medicare/Medicaid and $5k for private insurance.

    I feel like I’m in a Mexican stand off. If I don’t report this, does he? Then I’m banned.

    Also, he’s a big golfing buddy with the highest volume doc so I might lose some business anyway.
  2. anonymous

    anonymous Guest

    Is there something wrong with what you are describing? We do it all the time
  3. anonymous

    anonymous Guest

    It's insurance fraud to have different pricing based on a patient's insurance. As a rep you should steer clear of this practice as it will come back to you
  4. anonymous

    anonymous Guest

    Who gets thrown under the bus here, the rep/company or the ASC?
  5. anonymous

    anonymous Guest

    All TN Distributors do this... GO and Alpha. Dumb.
  6. anonymous

    anonymous Guest

    This is mild compared to the things that go on under the table on the west side of the state.
    Above the fold of the newspaper types of things.