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re: Medical Billing has gone mad

Posted on 8/7/21 at 11:23 am to
Posted by obdobd918
Member since Jun 2020
3228 posts
Posted on 8/7/21 at 11:23 am to
I once received a bill from a do for $15. On the bill it said "if less than $25 do not pay". I did not pay it.
To them it was not worth their trouble to handle a $15 check.
For $25, I would have waited until the next time I visited the office if they were going to give me such a hassle.
Posted by dgnx6
Baton Rouge
Member since Feb 2006
72103 posts
Posted on 8/7/21 at 11:34 am to
Doctors and nurses make more here than anywhere else.

Maybe we should cap those greedy fricks salaries.

Especially if they vote democrat.


Posted by La Place Mike
West Florida Republic
Member since Jan 2004
29319 posts
Posted on 8/7/21 at 11:39 am to
quote:

get a clueless woman who basically says it's not their fault, they submitted the claim "correctly".


No they didn't.

This happens all of the time. I see the wrong codes on claim forms more often than not. There are a lot of clueless woman that work in Doctors offices. No offense to women but it's mostly women that work in admin.
Posted by Rhino5
Atlanta
Member since Nov 2014
29161 posts
Posted on 8/7/21 at 11:49 am to
America’s Medical billing is one of the most dysfunctional systems in American history.
Posted by Abstract Queso Dip
Member since Mar 2021
5878 posts
Posted on 8/7/21 at 11:52 am to
Pretty soon people are just going to stop paying the doctors.
Posted by 3nOut
Central Texas, TX
Member since Jan 2013
29568 posts
Posted on 8/7/21 at 11:54 am to
I have an amazing story that had made me hate the medical billing and insurance professions forever.

My wife has had bunions and messed up feet for all her life. 3 years ago at 36 yo, we decided to finally fix it. We’re a young healthy family so we have a high deductible $10k plan. Still do to this day. It wasn’t debilitating or anything but just an annoyance when she was working out and playing tennis.

It was 2 different surgeries adding up to $170k. Overpriced and ridiculous but whatever, insurance covers 90%+. remove bunions and put pins in to have her toe bone straightened up to the foot. 2 surgeries, 6 months apart.

We’ve been making steady payments for 3 years on it, never missed a payment.

Last spring she started having some pain and a protrusion. The pin was coming out on her right foot. Go to the Dr. and he says no biggie. Bone has fused back together so you’re all good to get the pin out. Come back this day and we’ll get it out.

She comes back, he cuts and unscrews the pin, sews her back up, they do an X-ray and he says you’re all good. Literally 10 minutes of work. She signs nothing. We have no bill. He said it’s our pin coming out so it’s fine.

2 months later, we get a 7k bill for the pin removal. I ask “politely” WTF? It’s a 10 minute procedure with your equipment at fault. If it were a few hundred dollars I’d think that was ridiculous, but still pay it. $7k is insanity and they know it. There is no justifiable way to charge that. I asked for an itemized bill. They refuse.

I said just put it on the tail end of the other bill and we’ll keep making payments since you’re obviously not going to be reasonable. They say fine.

We see both bills on their app.

Then the next couple of months we get a letter that we’re going into collections. I call again, asking WTF. Slightly less politely this time. They say, you stopped paying your bill from 2017. You’ve made payments on your 2020 bill from a few months ago. I explain what happened and they say “yeah, you’ve always paid on time. We can’t take it back from collections. You should have called in to say you wanted to pay each bill every month. Somebody should have called to explain but we strictly bill via mail and don’t call to explain. Sorry.”

So we just told the hospital and collections agency we were done and haven’t heard from them in a year. I’m sure it will bite me in the arse some day.
This post was edited on 8/7/21 at 11:57 am
Posted by Cracker
in a box
Member since Nov 2009
18214 posts
Posted on 8/7/21 at 12:15 pm to
The real problem medical offices hire some dolt and say here are the ICD 9/10 codes on this paper where the box is checked type that in here on your dos based computer and click enter and they pay her 10 an hour. You go to school for 23 years or longer and run millions of dollars through your practice and you hire anyone to handle your revenue and allow some person to bill your insurers that are 90% not qualified to do so.
Posted by Antonio Moss
Baton Rouge
Member since Mar 2006
48519 posts
Posted on 8/7/21 at 12:19 pm to
quote:

We might have the greatest doctors in the world, but the supporting system is just terrible.


You can thank Medicare and Medicaid
Posted by HotMama79
Member since Sep 2012
288 posts
Posted on 8/7/21 at 12:57 pm to
At least they contacted you and gave you a chance to pay before sending off to collections. My daughter was sent to collections for a $56 balance that she never received a bill for nor did they call her. The bill was from about 18 months prior and it caused her credit score to decrease by 200 points. They claimed they sent her 4 bills and called a certain amount of times, which was complete BS. Maddening.
Posted by LSU6262
Member since Jun 2008
7673 posts
Posted on 8/8/21 at 1:07 pm to
Just wait till you get a $25 refund at the end of the year for over payment
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