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hello this is dr eric bricker and thank you for watching a healthcare z todays topic is abusive billing specifically around radiology reading fees now abusive billing is the a in fwa fraud waste and abuse and so fraud is like you know billing for medical services like that never happened waste would be like billing for things that like were totally not necessary but whats abusive billing i mean thats just kind of a nebulous term so this is actually a really good example of abusive billing and you can and we can see how it impacts an employee health plan okay so this is an extension of the story of my wifes mri where the previous video that i made was talking about the facility fee for the mri but the mri also has a professional fee for the radiologist to actually read it so thats called professional fee vis-a-vis the facility fee which is for where its done now the professional fee 480 a loud amount for an extra you know for like a chest x-ray its like 15 and typically the the