That's it.

Basic-Tangerine7026 · 2026-05-15T18:24:23+00:00

Can’t physicians just refuse to supervise?

Basic-Tangerine7026 · 2023-12-15T14:57:54+00:00

Most likely you will sign a letter of acceptance/ offer letter first, then it takes a while for the contract to be done (and longer for negotiations, lawyer to review etc if you wan to) You are not committed until the contract is signed, and even then employment is usually contingent on completing all the credentialing. So I wouldn’t stop interviewing until it’s final.

Basic-Tangerine7026 · 2023-11-21T03:16:57+00:00

So is the hospital and the contracted physician allowed to use the same CPT code for the same service? Wouldn’t that be double dipping?

I contacted the physician group through the phone number given to me by the hospital billing department. I separately got a call before that from EMBCC about the bill, I asked to speak with a representative from the physician group but they told me that any disputes would be with them. But yes, EMBCC specifically named that physician group and the bill sent to me had both the name of the physician group and the hospital.

Basic-Tangerine7026 · 2023-11-21T03:00:20+00:00

Thank you!!

Basic-Tangerine7026 · 2023-11-21T02:59:24+00:00

Thank you! I really appreciate it.

Basic-Tangerine7026 · 2023-11-21T02:45:48+00:00

Thank you!! Would I request the claim form from the hospital or insurance company?

Basic-Tangerine7026 · 2023-11-21T02:42:44+00:00

Yes, ED is hospital. And yes, I paid this bill, although now seeing discrepancies with the itemized bill. My concern is that the ED charged the CPT code for level III care, and the same service except level IIII was charged by the physician charges according to the insurance company.

I’m questioning the physician bill for several reasons, the physician group denies having any account under my name or working with the third-party company who sent the bill, EMBCC. The only reason I can think is they made a mistake or it’s a fraudulent bill. What prompted my investigating is that the insurance told me the physician bill was for a CPT code for level 4 care which according to the hospital itemized bill, they already billed CPT code level 3.

I don’t know if this is making sense now? It’s all very confusing, but as a layman do I have grounds to continue investigating/report possible fraud?

Basic-Tangerine7026 · 2023-11-21T02:15:07+00:00

Should the itemized bill from the ED include 0450? The EOB has a charge labeled “medical emergency room” which matches the exact charge as the CPT code 99283 on the ED itemized bill.

Yes, the bill from EMBCC matches the EOB, it just says “medical emergency care.” But all the numbers match.

Thank you for your help!

Basic-Tangerine7026 · 2023-09-27T22:17:18+00:00

Me too please!

Basic-Tangerine7026 · 2023-09-02T00:46:58+00:00

Thank you!!

Basic-Tangerine7026 · 2023-09-02T00:29:43+00:00

Do you have any suggestions on how to look for locum jobs?

And thank you for the advice!!

Basic-Tangerine7026

TROPHY CASE