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Started By
Message
re: Hospital overcharging BS
Posted on 12/29/19 at 4:36 pm to NIH
Posted on 12/29/19 at 4:36 pm to NIH
quote:
Best system in the world
Slow down cowboy. You told someone else to stop buying into the boogeymen then you come back with this. I'd say both of you are buying a little bit too much into certain sides of it.
0
Posted on 12/29/19 at 4:39 pm to OWLFAN86
You need to go pay for a woman to give you sex... You sound frustrated.
Posted on 12/29/19 at 4:39 pm to Ricardo
quote:
A dogbite can be treated in an outpatient clinic
not exactly an "emergency", but its urgent for sure.
rabid dog bites you, all the urgent cares are closed on a sunday night, you 100% should be going to an ER that moment.
I do agree, its the people that use it as a clinic as you say though
I had a pt scheduled for an 830AM appointment, he was late an hour (I still would have seen him as its a residency clinic) but instead of going to the clinic he goes to the ER for his refills and still has to come see me the following week for labs and a checkup.
or the person that goes to the ER for a toothache x3 months, but chooses to come to the ED "just because it was more convenient" instead of making an appointment for the dentist down the street. still has to make said appointment.
Posted on 12/29/19 at 4:41 pm to OweO
Posted on 12/29/19 at 4:41 pm to OWLFAN86
Fail
Posted on 12/29/19 at 4:42 pm to Fat and Happy
quote:Relatively true.
It’s because Medicaid gets so much for free.
The reimbursement from Medicare/Medicaid at Scruffy’s hospital is somewhere around 18%.
Posted on 12/29/19 at 4:42 pm to Strannix
its your browser
Posted on 12/29/19 at 5:47 pm to Strannix
Dealing with a charge of over $200 for a blood work. I am 100% covered with my insurance. I have the same blood work done every week for the past 8 years. 
Some a-hole got lazy on the job to key in the right info.
Some a-hole got lazy on the job to key in the right info.
Posted on 12/29/19 at 5:53 pm to Tiguar
quote:
Hospital charges are essentially meaningless.
Well when you are sent a bill that says your insurance paid x amount and you owe x amount, the bill they send to you... Don't pay it and see how meaningless the charge is.
Posted on 12/29/19 at 5:54 pm to OweO
Well reading all this,
I’ll just gamble and stay with the VA for my health care
I’ll just gamble and stay with the VA for my health care
Posted on 12/29/19 at 5:55 pm to OweO
Look at the whole bill.
There is an initial charge, then the insurance “negotiated price”, then what you are contractually obligated to pay via your agreement with your insurance.
Your insurance company sets your cost.
There is an initial charge, then the insurance “negotiated price”, then what you are contractually obligated to pay via your agreement with your insurance.
Your insurance company sets your cost.
Posted on 12/29/19 at 6:03 pm to OweO
Worse when you think there $12 socks are likely sold on key retail already marked up 100%.
Posted on 12/29/19 at 6:14 pm to lsucoonass
quote:
I’ll just gamble and stay with the VA for my health care
Hope you never need real care. And yes, I could get 100% care from the VA and even tried their care. Would of died waiting on them.
Posted on 12/29/19 at 6:31 pm to lsunurse
quote:
Exactly...if the hospital had charged $50 for the brace...insurance would have only reimbursed them like $5 for it.
This isn’t true at all and you certainly should know better being in healthcare. For the most part insurance has set amounts they pay for shite, they don’t make things up. The issue is it’s complicated, ever changing, and there are multiple insurance companies. So no one cares to figure out what they will actually pay out. But you can damn well find out before you submit. If a doctor submits a bill for $100 or $50 the insurance company is supposed to reimburse the same day $38 and the can know that.
Doctor’s are too damn busy/ lazy to learn what is reimbursed also though. Many don’t give a shite what things cost. I have called my kids pediatrician back multiple times because they kept sending us the script for an absurdly expensive eye drop for pink eye that was like $180 after prescription and not $10 like the other option.
Posted on 12/29/19 at 6:53 pm to Scruffy
quote:Sounds right.
The reimbursement from Medicare/Medicaid at Scruffy’s hospital is somewhere around 18%.
The boutique day surgery hospital I worked for that waited too long to get in-network with any insurance company and went under when obamacare took effect (example of allowing personal politics to guide business decisions: fail) had a reimbursement rate of 13% max out-of-network.
The "brilliant" CEO, COO, and CFO decided to try increasing submissions to insurance by 20% so that when they issued payment of only 13% of the inflated bill they'd come out even better!
And that's when the fight(s) broke out.
When I left, every insurer in the nation had begun filing fraud suits against them and they had over $18million already tied up in litigation.
Posted on 12/29/19 at 6:54 pm to baldona
quote:That is completely true.
Doctor’s are too damn busy/ lazy to learn what is reimbursed also though. Many don’t give a shite what things cost. I have called my kids pediatrician back multiple times because they kept sending us the script for an absurdly expensive eye drop for pink eye that was like $180 after prescription and not $10 like the other option.
We do a fairly poor job about that, especially when it is generic vs brand name.
Scruffy always goes generic.
Also important to know your Walmart $5 list.
Most of our patient population is very low socioeconomic status and we have to pay close attention to what we send people home with.
Posted on 12/29/19 at 6:57 pm to Strannix
Insurance sets the price. It most likely includes labor for measuring/fitting whereas Amazon just mails it.
Hospital probably paid around the Amazon price as well - Amazon is a behemoth and sells a lot of items below wholesale. Partly because they can get items from the manufacturer and partly because a lot of medical equipment companies have ceased to exist and liquidators got their inventory for pennies on the dollar.
Hospital probably paid around the Amazon price as well - Amazon is a behemoth and sells a lot of items below wholesale. Partly because they can get items from the manufacturer and partly because a lot of medical equipment companies have ceased to exist and liquidators got their inventory for pennies on the dollar.
Posted on 12/29/19 at 7:00 pm to Strannix
You have to pay for all the ones they have away to those w/o insurance.
Posted on 12/29/19 at 7:02 pm to lsucoonass
quote:
I’ll just gamble and stay with the VA for my health care
Oh you poor thing.....you think the VA health system is great
Posted on 12/29/19 at 7:04 pm to Bestbank Tiger
There was no measuring/fitting, dude just tossed it to me it’s still in the plastic wrapper
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