- My Forums
- Tiger Rant
- LSU Recruiting
- SEC Rant
- Saints Talk
- Pelicans Talk
- More Sports Board
- Fantasy Sports
- Golf Board
- Soccer Board
- O-T Lounge
- Tech Board
- Home/Garden Board
- Outdoor Board
- Health/Fitness Board
- Movie/TV Board
- Book Board
- Music Board
- Political Talk
- Money Talk
- Fark Board
- Gaming Board
- Travel Board
- Food/Drink Board
- Ticket Exchange
- TD Help Board
Customize My Forums- View All Forums
- Show Left Links
- Topic Sort Options
- Trending Topics
- Recent Topics
- Active Topics
Started By
Message
re: What in the hell is wrong with medical billing?
Posted on 12/26/23 at 9:20 pm to TJG210
Posted on 12/26/23 at 9:20 pm to TJG210
It's an overly complicated system is the most straightforward answer.
There's many different insurance carriers and within each carriers theres a variety of policies with different deductibles, Co pays, coinsurance etc. There's no way doctors offices to account for all of theses differences outside of collecting the known co pay for the visit.
On top of that, what's being done for the visit isn't known until after the visit. Yeah, you get the office visit charge(e&m) but if youre kid had vaccinations, maybe had a strep test, or labs etc. These are all separate codes(cpts)/charges that will get submitted to insurance that has to be figured out on the backend depending on your deductible(if you have or haven't met it), your coinsurance, and what the contracted rate the doctor, hospital, etc. Afterwhich you get a bill.
There's a reason why administrative costs of delivering Healthcare is one of the main reasons for our high Healthcare costs.
There's many different insurance carriers and within each carriers theres a variety of policies with different deductibles, Co pays, coinsurance etc. There's no way doctors offices to account for all of theses differences outside of collecting the known co pay for the visit.
On top of that, what's being done for the visit isn't known until after the visit. Yeah, you get the office visit charge(e&m) but if youre kid had vaccinations, maybe had a strep test, or labs etc. These are all separate codes(cpts)/charges that will get submitted to insurance that has to be figured out on the backend depending on your deductible(if you have or haven't met it), your coinsurance, and what the contracted rate the doctor, hospital, etc. Afterwhich you get a bill.
There's a reason why administrative costs of delivering Healthcare is one of the main reasons for our high Healthcare costs.
Posted on 12/26/23 at 9:49 pm to Puffoluffagus
quote:
On top of that, what's being done for the visit isn't known until after the visit. Yeah, you get the office visit charge(e&m) but if youre kid had vaccinations, maybe had a strep test, or labs etc. These are all separate codes(cpts)/charges that will get submitted to insurance that has to be figured out on the backend depending on your deductible(if you have or haven't met it), your coinsurance, and what the contracted rate the doctor, hospital, etc. Afterwhich you get a bill.
Why for yrs on end did I just pay a simple copay when I went and all was done? Honestly, I only really go to an ent with any regularity, the $30 I pay when I go in the door is the extent, no matter the diagnosis or what they do. The issues arise mostly when I take the kids to checkups/sniffles visits, etc.
Popular
Back to top
Follow TigerDroppings for LSU Football News