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re: Stealing medical services.....

Posted on 4/25/14 at 8:36 pm to
Posted by NC_Tigah
Carolinas
Member since Sep 2003
124169 posts
Posted on 4/25/14 at 8:36 pm to
quote:

He didn't fricking know how much a procedure was going to cost me.
Any you didn't ask why?

The short answer would have been to tell you to contact your insurance company and find out.

How is the doc supposed to know what your deductible is, how much you have left on it, and what expenses are not covered?

How is he supposed to know the rate your insurance carrier has negotiated with the hospital, free-standing Labs, etc?
Posted by Adam Banks
District 5
Member since Sep 2009
32003 posts
Posted on 4/25/14 at 8:37 pm to
quote:

Very few would. I think that is one of the points being brought up here. The healthcare industry in general is not (has not previously and is not currently) functioning efficiently.


I don't think it's valid. The worker at sunglass hut at mall of louisiana doesn't know the price of a coat at dillards nor should they be expected to. Just because there might be one disease doesnt mean that there won't be multiple services required. I don't expect a surgeon to know the price of gauze nor the price of iv fluids from the hospital. I also don't expect him to know the price of anesthesia. I would talk to the hospital and anesthesiologist for those things. Just as I would talk to dillards about a coat not sunglass hut. I would bet you that the surgeon (or at least the billing office) knows his charges for his services.
Posted by ProbyOne
Louisiana
Member since Dec 2004
1915 posts
Posted on 4/25/14 at 8:45 pm to
quote:

I don't think it's valid. The worker at sunglass hut at mall of louisiana doesn't know the price of a coat at dillards nor should they be expected to. Just because there might be one disease doesnt mean that there won't be multiple services required. I don't expect a surgeon to know the price of gauze nor the price of iv fluids from the hospital. I also don't expect him to know the price of anesthesia. I would talk to the hospital and anesthesiologist for those things. Just as I would talk to dillards about a coat not sunglass hut. I would bet you that the surgeon (or at least the billing office) knows his charges for his services.


My comment was much more general than you make it out to be. The current insurance system is to blame.

The (ir)responsibility of the entire industry lies with many though. Physicians in general are included. Nobody is preventing them from fixing the underlying issues. They are intelligent and on "the front lines" every day. Instead too many take their pay and go home silent. IMO this will change when their pay drops below fair pay.
Posted by Roger Klarvin
DFW
Member since Nov 2012
46543 posts
Posted on 4/25/14 at 9:00 pm to
quote:

I told him I would rather die rich leave a legacy for my family than live a long life in poverty


In my experience, a lot of people like to think this but their mindset quickly changes when death is actually staring them in the face.
Posted by Roger Klarvin
DFW
Member since Nov 2012
46543 posts
Posted on 4/25/14 at 9:18 pm to
quote:

He didn't fricking know how much a procedure was going to cost me.


No primary care doc would. If it's a procedure he routinely recommends, he might be able to give you a ballpark figure but the fact is there are so many variables for each patient that its impossible to give an accurate assessment, and the last thing you want to do is underestimate the cost.

Just as an example, heart transplant surgery can run anywhere from 180k-300k depending on a multitude of factors.
Posted by TIGERSandFROGS
Member since Jul 2007
3809 posts
Posted on 4/25/14 at 10:14 pm to
quote:

You are all about to be salaried federal workers....

....that's the logical end of current thought and events.

Just do your fricking job and stop bitching. Where is your compassion for your fellow man? Why do you deserve more than 75 grand or so a year?

Didn't you get into this to help people?



Missed the /sarcasm.


You got me. Jimmies were rustled.
This post was edited on 4/25/14 at 10:16 pm
Posted by Roger Klarvin
DFW
Member since Nov 2012
46543 posts
Posted on 4/25/14 at 10:16 pm to
He was being sarcastic
Posted by TIGERSandFROGS
Member since Jul 2007
3809 posts
Posted on 4/25/14 at 10:19 pm to
quote:

Yeah, its not all bad. Med school is hard and residency is a bitch, but we still have lives. Most doctors (aka not neurosurgeons) who actually enjoy what they do have awesome lives in their late-30s, 40s and 50s.

I just hope theres enough left of the field for me to enjoy my career 20 years from now


Worst of the worst is definitely not neurosurgery--at least not unarguably. It, of course, all depends on how big your call pool is, but in my experience it would really suck to be interventional cards or Cardiothoracic Surgery at bigger centers. The heart has no idea what time it is or who it is inconveniencing at 3 AM.
Posted by TIGERSandFROGS
Member since Jul 2007
3809 posts
Posted on 4/25/14 at 10:21 pm to
quote:

He was being sarcastic


Yeah.


Tiredness of getting off a 30 hour call --> poor discerning of sarcasm + bad fricking mood
Posted by Roger Klarvin
DFW
Member since Nov 2012
46543 posts
Posted on 4/25/14 at 10:24 pm to
Cardiothoracic surgery is definitely one of the most stressful specialties.
Posted by SpidermanTUba
my house
Member since May 2004
36128 posts
Posted on 4/26/14 at 12:09 am to
quote:

Stealing medical services.....


One health care provider billed me at the time of service in cash then double billed me by taking the same from my HRA - I guess they "stole" from me and instead of just calling them to get my money back I should call the cops, right?

Or is it only stealing when the customer winds up with the negative balance?

This post was edited on 4/26/14 at 12:10 am
Posted by mattloc
Alabama
Member since Sep 2012
4315 posts
Posted on 4/26/14 at 1:10 am to
I see a lot of Hospital bills in my line of work...its very common for a hospital to submit a bloated bill to Insurance and accept 10-20% as full payment, and yet some poor, uninsured bastard will be expected to pay it all, or face litigation. I am all for hospitals turning a profit, but not on the backs of those least able to pay.
Posted by Teddy Ruxpin
Member since Oct 2006
39602 posts
Posted on 4/26/14 at 1:26 am to
Every hospital bill I've ever seen provides a "private pay discount" to those without insurance. Sure that doesn't mean much when the bill is still 20k, but I've never seen the uninsured get billed more than the insured, ever.

Also, anyone can settle a debt in any service for less than they owe. It's called negotiating or getting a lawyer to do it for you.

I imagine every hospital manages litigation differently.
This post was edited on 4/26/14 at 1:28 am
Posted by MottLaneKid
Gonzales
Member since Apr 2012
4543 posts
Posted on 4/26/14 at 3:23 am to
The woman who had back surgery is my boss. She had an accident and fell off of a roof. She has been out of work for two months. Thank goodness her insurance went into effect on the same day as the accident.
Posted by cave canem
pullarius dominus
Member since Oct 2012
12186 posts
Posted on 4/26/14 at 4:06 am to
quote:

medical facilities ran a whoopin 3% profit as an industry.


Even though we will rarely agree on much I am going to assume you are smart enough to know this number could be moved in any direction they like depending on accounting stratagies used.

quote:

Nope. They are treating "the poor" with it.


I do not even know how to process this. It's ok screw over one person to help another? So if someone steals my tv it is ok to take yours? I would think that many more rich are treated than poor, scofflaws are not bound by economic status and the poor are more likely to have medi cade/care.

quote:

The see one that people don't pay for until after the service? There is an easy solution next time don't have the procedure if you think its lot worth the cost.


fricking english please
Posted by son of arlo
State of Innocence
Member since Sep 2013
4577 posts
Posted on 4/26/14 at 4:18 am to
quote:

In my experience, a lot of people like to think this but their mindset quickly changes when death is actually staring them in the face.


I'm sure some folks get scared about it towards the end, but that's probably because they have too much time to think about it. I suppose it's best when it comes swift and sudden. I don't think the death thing is all errbody makes it out to be. We're all gonna walk that lonesome valley, and we'll walk it by ourselves. No big deal.
Posted by a want
I love everybody
Member since Oct 2010
19756 posts
Posted on 4/26/14 at 8:02 am to
quote:

Then the part that really gets scary, where people start responding on how to get out of the bill.
One person brags they once paid $100 on a $10,000 bill.
Another told the girl to pay $10/month, and hope at the end of the year the hospital writes the remainder off.


Yes. But they don't get off scot-free. Their credit is destroyed or they'll have to declare bankruptcy....so it not really "getting out" of anything.

This is exactly why many people are for insurance mandates.
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