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re: Shoulder surgery cost...bananas.
Posted on 2/19/24 at 12:01 pm to KamaCausey_LSU
Posted on 2/19/24 at 12:01 pm to KamaCausey_LSU
quote:
What is the purpose of the insane bill sent to the insurance company? Just a game to see what they will/won't pay? Padding the bill to get more money out of insurance?
Insurance companies pay a percentage of the gross charges. Whatever percentage the facility/clinic negotiates in their contracts is what is paid by the insurance, with some contractual information set aside to cover specific types of procedures. Most of the gross charges are inflated because Medicare pays at a low enough percentage that they have to be inflated for hospitals and clinics to have any revenue.
1
Posted on 2/19/24 at 12:17 pm to WuShock
quote:
Insurance companies pay a percentage of the gross charges.
False. Billing is DRG based
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