this post was submitted on 03 Dec 2025
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We don’t know it’s fraud until it has been audited.
Yeah, I'm told by someone with some understanding of the billing system that it is weird (like, the number of hours doctors are allowed to bill for has only a loose relationship with the number of hours actually worked). If the system makes no sense to begin with, it's no surprise that the numbers look awfully strange.
My guess would be that there is a problem, but it's smaller than it initially appears.
Same for us flat rate mechanics. I can work 9 hours, and some days make 30 hours, and some days 1 hour. And the hours can be significantly different between customer pay, warranty and insurance, even when doing the exact same job.