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Started By
Message
re: Why is medicine the only retail service that can't figure out billing?
Posted on 9/3/15 at 9:19 am to NOMT
Posted on 9/3/15 at 9:19 am to NOMT
quote:
As a practitioner, I (or my group) contract with insurance companies. Why should I be subject, then, to whatever a hospital will pay me for a surgical procedure (which would be as little as they could)? You want me to contract additionally with the hospitals?
You would not have to contract with the hospital for price. They would simply include your bill with their bill.
0
Posted on 9/3/15 at 9:23 am to pongze
Consolidation of the medical industry may also solve this issue, to an extent. Look at Ochsner. My mom goes there, and pretty much every possible aspect of the service (the doc, the hospital, the x ray tech, their own hospital lab, etc) are all employees of Ochsner. Thus, since they are all part of the same company, all aspects of the medical work tend to be billed together.
Posted on 9/3/15 at 10:17 am to LSUFanHouston
quote:I went to Ochsner and I got 4 separate bills. One from the hospital, one from radiology, one from the doc, and apparently one from the nurse.
Look at Ochsner. My mom goes there, and pretty much every possible aspect of the service (the doc, the hospital, the x ray tech, their own hospital lab, etc) are all employees of Ochsner. Thus, since they are all part of the same company, all aspects of the medical work tend to be billed together.
edit: Well, I got 5 bills counting the second one from the hospital 3 months later.
This post was edited on 9/3/15 at 10:19 am
Posted on 9/3/15 at 12:32 pm to Golfer
Because of MEDICAL INSURANCE. Physicians have no way to change the system.
If a third party payor was involved with your burger purchase, it would be a mess as well. The insurance decides how much you get paid for a service, not you.
If we could get rid of ALL medical insurance, then the medical industry would be revolutionized.
If a third party payor was involved with your burger purchase, it would be a mess as well. The insurance decides how much you get paid for a service, not you.
If we could get rid of ALL medical insurance, then the medical industry would be revolutionized.
Posted on 9/3/15 at 12:51 pm to LSUFanHouston
quote:
Consolidation of the medical industry may also solve this issue, to an extent. Look at Ochsner.
Mayo Clinic established the model many years ago.
Posted on 9/3/15 at 1:01 pm to CajunAlum Tiger Fan
quote:
Mayo Clinic established the model many years ago.
There are pockets like this throughout the country, but by and large, it has not taken hold. Too many docs seem to want their independence.
Posted on 9/3/15 at 1:01 pm to SECdragonmaster
quote:
If a third party payor was involved with your burger purchase, it would be a mess as well. The insurance decides how much you get paid for a service, not you.
Non-sense. The ability to streamline the billing process is still available absent of any changes in insurance.
Every medical professional in here seems to simply deflect and blame on someone else. Here's an idea...figure it out yourself.
This post was edited on 9/3/15 at 1:04 pm
Posted on 9/3/15 at 1:10 pm to Golfer
I think opacity enables over-billing. My $.02
Posted on 9/3/15 at 1:51 pm to Golfer
Seems ur problems is with the paying of claims not the billing, how about next time you pay cash for your procedure and you file the claims to your insurance company and deal with the reimbursement, get back with me and let me know how that goes
Posted on 9/3/15 at 1:57 pm to Tigerpaw123
I have no issue paying for the procedures. But when you speak with someone in June and are told you are paid in full. Then to receive a bill in September for the service performed in February with no explanation.
Sorry that I don't willingly fork over the money and get no clarity from a guy in Dallas with regards to why I'm receiving this bill now.
Sorry that I don't willingly fork over the money and get no clarity from a guy in Dallas with regards to why I'm receiving this bill now.
Posted on 9/3/15 at 2:14 pm to Golfer
Again, I understand your frustration, the system sucks, but all the blame does not go to the providers , and again if you want to avoid it , pay for the visit in full at time of service and file the Hicfa 1500 yourself, see how the insurance companies work, I have 2 full time employees that I could get rid of with a cash system
Posted on 9/3/15 at 2:17 pm to Tigerpaw123
sounds like you need more than 2
Posted on 9/3/15 at 2:23 pm to yellowfin
No, we do just fine, I ain't the one bitching
Posted on 9/3/15 at 2:24 pm to Tigerpaw123
quote:
I ain't the one bitching
hopefully not your customers either
Posted on 9/3/15 at 2:30 pm to yellowfin
Return patients and their family and friends is a large source of new business for us, we do our best to educate patients on the billing and reimbursement side
Posted on 9/3/15 at 2:36 pm to Tigerpaw123
quote:
but all the blame does not go to the providers
The provider is offering the service and accepts the insurance plan. Yes, it is the provider's issue to handle.
Posted on 9/3/15 at 2:42 pm to Golfer
Unfortunately when you have a shortage of something such as doctors, the incentive to provide great customer service isn't there.
Medical providers could figure out some solutions to billing. (some are indeed just a fact of our insanely complex insurance system). Just like, providers could see patients on time instead of hanging out in their office for 45 min with a drug company rep.
Medical providers could figure out some solutions to billing. (some are indeed just a fact of our insanely complex insurance system). Just like, providers could see patients on time instead of hanging out in their office for 45 min with a drug company rep.
Posted on 9/3/15 at 2:44 pm to Tigerpaw123
doctor here in town just got lit up by his "accountant"(really some AP brawd he had taking care of everything) to the tune of half a mil over the last few years
too much pride to admit it happened under his nose so he pushed it under the rug and didn't press charges
too much pride to admit it happened under his nose so he pushed it under the rug and didn't press charges
Posted on 9/3/15 at 2:44 pm to LSUFanHouston
Just send the physician a bill for your time in the waiting room. They love that.
Posted on 9/3/15 at 2:57 pm to iknowmorethanyou
quote:
Just send the physician a bill for your time in the waiting room. They love that.
Sounds reasonable. However, if your time is that valuable and you're that wealthy why not find a concierge doctor?
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