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re: What in the hell is wrong with medical billing?
Posted on 12/27/23 at 6:12 am to TJG210
Posted on 12/27/23 at 6:12 am to TJG210
Most times for a single hospital visit with labs etc, you wind up with multiple items being billed. What most people don’t realize is that the lab may be contracted to a different company. The radiologist that reads images may be contracted. The cardiologist that reads the EKG may be contracted. The copay covers your hospital visit. The rest of the bills come down dependent on if the other contract items are in or out of network, just like the hospital visit. This is pretty commonplace in certain areas. Some larger hospital systems have begun employing more of their physicians and services internally, which would theoretically lead to a cleaner billing unless something has to go out to a specialty clinic or lab.
3
Posted on 12/27/23 at 7:18 am to chawbaw
quote:
Most times for a single hospital visit with labs etc, you wind up with multiple items being billed. What most people don’t realize is that the lab may be contracted to a different company. The radiologist that reads images may be contracted. The cardiologist that reads the EKG may be contracted. The copay covers your hospital visit. The rest of the bills come down dependent on if the other contract items are in or out of network, just like the hospital visit. This is pretty commonplace in certain areas. Some larger hospital systems have begun employing more of their physicians and services internally, which would theoretically lead to a cleaner billing unless something has to go out to a specialty clinic or lab.
The reason most people do not understand is what is being described would be akin to one buying a car and getting bills from the tire manufacturer and the steel manufacturer and the manufacturer of the material used to cover the seats. The ONLY industry in the US that bills in the manner described also happens to the ONLY industry in America which routinely and systematically erroneously bills customers for services they never received or received and paid for in full. There has to be a reason that this industry is one and the same, I just can't put my finger on it....
Posted on 12/27/23 at 12:44 pm to chawbaw
quote:
Most times for a single hospital visit with labs etc, you wind up with multiple items being billed. What most people don’t realize is that the lab may be contracted to a different company. The radiologist that reads images may be contracted. The cardiologist that reads the EKG may be contracted.
And that all should be illegal. I work at a hospital and have health insurance thru that hospital. I went to the ER at said hospital and was seen by a contracted ER physician. I got a $800 bill from the ER physicians group because they were “out of network”. So the hospital was “in network” but the group inside of the building is “out of network”. How is the public suppose to know that? The contract is between the hospital and er doctors. Not the patient.
This post was edited on 12/27/23 at 1:06 pm
Posted on 12/27/23 at 1:02 pm to chawbaw
quote:
What most people don’t realize is that the lab may be contracted to a different company. The radiologist that reads images may be contracted. The cardiologist that reads the EKG may be contracted. The copay covers your hospital visit. The rest of the bills come down dependent on if the other contract items are in or out of network, just like the hospital visit.
We realize it, just think it’s stupid
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