Court Dismissed Aetna "$99,750 Ear Wax Fraud" Lawsuit Against Hospital and Doctors
Friday, 13 April 2012 18:05

 

On 04-13-2012, Court Dismissed Aetna's Landmark "$99,750 Ear Wax Fraud" Lawsuit against An Out of Network (OON) Hospital and Two Surgeons in Hospital's Patient Discount Practice. ERISAclaim.com Offers Webinars To Examine Its Impact On The Patient's Rights To Choose And Patient Discount Litigation Explosions By Payers.

Hanover Park, IL (PRWEB) April 16, 2012

On 04-13-2012, a Texas Court dismissed Aetna's landmark "$99,750 Ear Wax Fraud" case against an out of network (OON) hospital and two surgeons, alleging that the hospital charged $99,750 for an ear wax removal and seeking temporary injunction to stop the hospital's patient discount practice without collecting full deductible and co-insurance from all patients. The Court dismissed the entire Aetna lawsuit after Aetna voluntarily filed a Notice of "Plaintiff's non-suit without prejudice" as a result of the dramatic court proceedings for the defendant hospital and two surgeons. New Webinars were announced to examine this breaking development.

According to the Court document filed on 04-13-2012, Aetna "announced to the Court that they no longer wish to pursue any of the claims asserted by them against Defendants Ifeolumipo O. Sofola, M.D., Navin Subramanian, M.D. and Humble Surgical Hospital, LLC. This non-suit terminates the case upon filing".

The Court Case info: AETNA HEALTH INC vs. SOFOLA, IFEOLUMIPO O (MD) (Case #: 2011-73949 / Court 152)

ERISAclaim.com offers webinars to examine its impact of this 2012 healthcare landmark case on the patient's rights to choose and payers' litigation explosions nationwide over the provider's patient discount practice, because more than 77% of the insured Americans in private sectors have paid for the rights to receive care from the out of network hospitals and providers, and "Harvard researchers say 62% of all personal bankruptcies in the U.S. in 2007 were caused by health problems-and 78% of those filers had insurance". 
(www.businessweek.com/bwdaily/dnflash/content/jun2009/db2009064_666715.htm)

"This Court decision, along with all other pending Aetna cases across the nation, is very important for the 77% of the insured Americans in the private sectors with out-of-network coverage. Is it legal for hospitals and doctors to offer indigent discount to non-Medicare patients? Even it is perfectly legal to do so for all Medicare patients." says Dr. Jin Zhou, President of ERISAclaim.com, a national expert on PPACA and ERISA appeals and compliance. (archive.hhs.gov/news/press/2004pres/20040219.html)

On Dec 7, 2011, Aetna filed this lawsuit in the District Court, Harris County, Texas. Aetna lawsuit seeks for temporary injunction to stop the hospital's patient discount practice and PPO surgeon's OON referrals, alleging breach of contract, conspiracy to overcharge, tortious interference, and common law fraud, including "a bill for $99,750 for the removal of ear wax".

On Feb. 02, 2012, Aetna filed a "$66,100 bunion surgery" lawsuit in California against seven California surgery centers, seeking to stop the alleged UCR billing without collecting full deductible and co-insurance from all patients. The court case info: Aetna Life Insurance Co. v. Bay Area Surgical Management LLC, File 02/02/2012, Case #: 112CV217943, The Superior Court of California, County of Santa Clara.

According to the Crain's New York Business on Feb. 07, 2012, Aetna also quietly filed similar lawsuits last year in the State of New Jersey and New York against several out-of-network doctors for allegedly aggressive collections from out of network patients.(www.crainsnewyork.com/article/20120207/HEALTH_CARE/120209916)



Read more: http://www.sfgate.com/cgi-bin/article.cgi?f=/g/a/2012/04/16/prweb9407784.DTL#ixzz1sba1TAYA
Last Updated ( Friday, 20 April 2012 18:23 )