Healthcare Provider Liability: What to Do?

Questioner

My healthcare provider is proposing to split a 60-minute consultation into two 30-minute consultations for the health insurer. This is because there's a maximum reimbursement amount per consultation, and the cost of a single consultation is significantly higher than this amount. This is clearly against the rules. Who would be held liable if this were to come to light: the healthcare provider or me as the patient? In other words, am I at risk if I agree to this, or is it the healthcare provider's responsibility?

Questioner

The question is what you agreed upon with the healthcare provider. If you agreed that the consultation would be billed to your health insurer and you don't have to pay anything extra, it's the healthcare provider's responsibility to determine how they bill. However, if you agreed that you have to pay the difference between what the health insurer pays and the actual cost, you are at least partly responsible for the fraud being committed. Therefore, you are legally prohibited from participating in this fraud.