I had the same thought so I looked up the UBH codes and descriptions. These are both codes for outpatient treatment. The partial hospitalization is basically day treatment and then go home. That being said, I wonder whether NN meets any of the qualifications for the kind of provider that UBH thinks they are reimbursing.
There is a video here: http://www.wsbtv.com/videos/news/criminal-case-opened-against-narconon-rehab/vpfsh/Narconon Georgia is being looked into for fraud, billing insurance companies for services already paid for or falsely billed.This is big!
Did NN submit these charges to the insurance or did they use a billing service? I see at the top "exp hospital billing" and thought I remembered Luke or someone talking about a billing service being set up to bill insurance. I may be totally in left field but thought I would see if anyone else had a thought on this.Found what I was thinking about (now I will not wake up at 2 in the morning with this bugging me). Luke wrote: In Jette McGregor's depostion by Jeff Harris, she stated that her husband Kent is "working on insurance lines" with Arrowhead, but is not an employee there. I bet that Kent is one of the LADCs that Gary was including, and they are probably paying Kent via PITA Group as a consultant/contract employee to be able to bill more insurance.I just wonder if they set up a billing group as a front group for the NN front group or something along those lines.
Here is Christian Boone's account in the AJC this morning. http://www.ajc.com/news/news/local/state-investigating-possible-insurance-fraud-by-na/nWCjL/I think it gives some more detail to the overall story. WSB also posted attorney Barbara Marschalk's response regarding the investigation. I didn't realize that billing for services that didn't happen, for services that they aren't licensed to deliver, and for visits with doctors who weren't there is considered usual and customary to them. Barbara Marschalk defending Narconon is starting to sound like Shawn Holley defending Lindsay Lohan.