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re: What in the hell is wrong with medical billing?
Posted on 12/27/23 at 6:28 am to LeGrosChat
Posted on 12/27/23 at 6:28 am to LeGrosChat
quote:
The issue could just as easily be due to the doctor's billing.
It is 10-20 times a year with us and it does not matter which provider or how often you change they all make these "mistakes" and they do so in every market we have lived in. They make these "mistakes" multiple times a month with my Dad who is 84 and spends most his time at doctors offices. In 10 years of reconciling 10-5 EOBs a year for us and my Dad not once was it not a "mistake" on the part of the providers...and before someone chimes in and claims it was a small number of providers it is not, it is every last one of them spread out across the United States. In our experience. Maybe we are just unlucky and only go to providers who systmatically send fraudelent billing statements through the US mail...but everyone I know who has ever discussed it with me has had the same experience.
1
Posted on 12/27/23 at 6:35 am to AwgustaDawg
quote:
Maybe we are just unlucky and only go to providers who systmatically send fraudelent billing statements through the US mail
Your experience is extremely common.
"You don't get paid what you don't bill for"
There are classes and conference on how to bill and code things to the maximize the reimbursement, regardless of condition or patient coverage. Some of these actions can cause frequent denials if not done correctly or appropriately and the response in many instances is to just bill the patient and then threaten to turn them over to collections.
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