As has been mentioned on all Conference Calls, website and Power Point presentations, SPIN is totally independent of anything having to do with Medical Procedures or billings. Remember, all of the Affiliated centers are owned by the local Docs, to include our one Houston clinic, Northshore Orthopedics. As I referred to in my "business plan" sticky post, SPIN is only involved in two specific injection procedures, 5 to 6 months after the case was filed. And even then, simply in a capacity to to advance funds for just the two types of injection procedures that clearly were performed with the insurance companies advanced knowledge. Whereas, the local affiliate, may do many additional procedures or surgery which is billed by the local doc separately.
If you all read any of the case materiel on the various Google links I posted yesterday, you will see the insurance Companies were claiming the various Chiros, Docs, PT clinics, etc. were supposedly billing for items that were not performed, or unnecessary, or fee splitting, etc.
A while back, I spent 31 hours in an HCA hospital due to a chest pain. Since I had been paying for insurance for many years and never used it, I drove myself to the hospital. Happily as it turned out it was just a bad case of indigestion, but once you go to to the ER, they insist on keeping you there for "observation". About all they really did was a total of two EKGs, took some blood, and had a machine to continuously check blood pressure. Yet, a month later when I saw the bill to the insurance Company, it was three full pages of small print on about 100 line items of billing. And that was just from the Hospital. It totaled a shocking $16,000. IMO, there is no way they did even half of what they billed.
Now I am not trying to say that I feel the any of the Docs named in the suit did any of this, but I can easily see an insurance Company "go fishing" in a suit like this to intimidate the Docs.
