Posted by: Harry Revell
March 24, 2008
Topic: Community News
Nicholson Revell LLP has filed a class action lawsuit against MCG Health, Inc. for the invalid and illegal billing of TRICARE beneficiaries. The TRICARE program system known as DRG (Diagnosis-Related Group) which is used to establish reimbursement rates and payment amounts for patient care provided to TRICARE beneficiaries. As a participating provider under TRICARE, MCG must accept the DRG-based payment as the full payment for medical services provided to the TRICARE beneficiaries. MCG cannot bill or attempt to collect from TRICARE beneficiaries.
MCG has tried to collect from TRICARE beneficiaries despite these agreements as a TRICARE provider. Any TRICARE beneficiaries who have been billed by MCG after submitting a claim to TRICARE should contact our firm to determine their legal rights and if they are a member of this class action.
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