Georgia Department Of Labor

Georgia Department Of Labor Review

The Ear Nose and Throat Institute is balance billing patients that have Georgia State Medicaid even though they are getting reimbursed from Medicaid. EXAMPLE: patient comes in for a hearing test that has Georgia Medicaid Insurance and the ENT Institute is charging the patient up front for the service and then billing Medicaid as well cause The Ear Nose and Throat Institute does not like how “little of reimbursement they are getting from Georgia State Medicaid.” This is against the guidelines. Also, employees did NOT have insurance for about 3 months but The Ear Nose and Throat Institute was still taking the emolyees premiums for the insurance out of their paychecks. NO EMPLOYEE HAD INSURANCE. Where was the money going that they were taking out of their paychecks? The Ear Nose and Throat Institute suggested that people “go a head and pay the medical bills” that the employees were receiving and that “they would get reimbursed later.” This is dishonest and fraud. No one knows where there money was going out of their paychecks and no one has got their money back. There is no paper trail for where their money was going that was being taken out of their paycheck. I have also filed this with The National Association of Insurance Commissioners. This company is also billing insurances for allergy serums for patients and then if the patient decides not to get the shots of serum, they take off the patient label, and reassign it to a different patient, and then bill that ONE serum to another insurance company. So they are collecting money on ONE serum from TWO different insurance companies. This company is full of fraud. I know this cause once I started calling them out on their fraud, they fired me.

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  1. Kenneth Coye
    June 13, 2020
  2. Dewey Tags
    June 13, 2020
  3. Yen Mcbratney
    June 13, 2020
  4. Ross Bemiss
    June 13, 2020
  5. Myrtie Olenski
    June 13, 2020

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