• bdonvrA
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    3 days ago

    If you fail the audit, you’ll have to meet with

    • shikitohno@lemm.ee
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      3 days ago

      You could probably make a big enough threat to the companies just by saying, “If our audit finds you are, in fact, sending meritless denials to try and pad your bottom line, you need to reach out to all those impacted and inform them that the denied services will be covered 100%, along with any follow-up care needed as a result from the treatment you denied. And the fine is 150% of the cost of all claims you denied.”

      Shareholders ultimately don’t care about the CEO, they can get another one. Hit their bottom line hard enough, and they’ll take note, though.

      • bdonvrA
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        3 days ago

        Or you could start luigi-ing shareholders. That might work too. (theoretically, of course. I couldn’t publicly recommend anyone take illegal actions)