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Started By
Message
re: BCBS will no longer cover anesthesia for full length of certain surgeries in select states
Posted on 12/5/24 at 8:27 am to Tigerbait357
Posted on 12/5/24 at 8:27 am to Tigerbait357
That’s cool.
Gonna show up with some vodka and Xanax
Gonna show up with some vodka and Xanax
0
Posted on 12/5/24 at 8:31 am to Cotten
quote:
Insurance companies, with health insurance being the absolute worst, need a major reckoning
Getting murdered while walking to get coffee could be considered a major reckoning
Posted on 12/5/24 at 8:32 am to HeadSlash
quote:
It might make them think about their actions
It won't unfortunately. They'll just hire private security and pass the savings on to the consumer.
Speaking of, might not be a bad time to look into the stock of companies like that.
One incident will barely make them even think about changing things. A few incidents is still an anomaly. It will take quite a few things to finally change course.
Posted on 12/5/24 at 8:32 am to Puffoluffagus
quote:
Patient will be mad at the rich doctor and not the insurance company.
BS…I can be mad at both, equally.
Because, as a business owner who pays 80% of my employees’ insurance, I am subsidizing the DRs lifestyle.
You’d think they’d at least say thanks.
This post was edited on 12/5/24 at 8:34 am
Posted on 12/5/24 at 8:35 am to Tigerbait357
medical facilities are abusing insurance companies and insurance companies suck too. These issues are going to keep popping up.
Posted on 12/5/24 at 8:35 am to Ten Bears
quote:
BS…I can be mad at both, equally.
Doctors are just cogs in the machine really. Their hands are tied by insurance companies by and large. It's ridiculous that the government has allowed them that much power.
Everyone wants to focus on doctors and how much SOME of them can make, but it isn't worth the bullshite. If you gave me a free pass to med school and paid for it, I still wouldn't want to put up with the bullshite they have to deal with on a daily basis.
Posted on 12/5/24 at 8:37 am to Tigerbait357
quote:
Officials with BCBS announced that this would begin with claims processed on or after Feb. 1, 2025. According to BCBS, “We will utilize the CMS Physician Work Time values to target the number of minutes reported for anesthesia services.”
Before the pitchforks come out and the "critical thinkers" on this site go apoplectic, has anyone asked questions about why they are doing this? How often do surgeries go beyond the time lines? How generous are the time lines? Are there exceptions for complications? Was there a problem with suspicious billing related to overly long surgeries? Why those states? Have these limits already been put in place in other states and if so what has been the impact on the patients?
Posted on 12/5/24 at 8:38 am to HoustonGumbeauxGuy
quote:
2025 physical year
Fiscal year?
Posted on 12/5/24 at 8:39 am to HoustonGumbeauxGuy
quote:
My co-pay for CT scans and other common radiology procedures went from $50 to $150 for the 2025 physical year
I had to pay $1,500 for a MRI b/c I was referred to the hospital instead of an off-campus imaging center. At the imaging center, I would have only paid $50 b/c of the way my insurance is set up. I didn't realize this until the bill arrived.
Posted on 12/5/24 at 8:40 am to Tigerbait357
they either raise rates or cut benefits or both. They are in business not to lose money,....
would help costs more if we eliminated the Obama care covered items mandates and eliminated what some states require them to cover as well so thy can go back to covering the fundamentals.
would help costs more if we eliminated the Obama care covered items mandates and eliminated what some states require them to cover as well so thy can go back to covering the fundamentals.
Posted on 12/5/24 at 8:41 am to Jake88
quote:
How often do surgeries go beyond the time lines?
Surgery schedules are slammed full. There is no anesthesiologist that is purposely extending surgeries to be able to bill more.
Hospitals make money on surgery. It's practically the only department that's profitable. Hospitals want as many cases as they can get.
Posted on 12/5/24 at 8:42 am to Tigerbait357
Not Alabama BCBS
Don't care
Don't care
Posted on 12/5/24 at 8:44 am to HoustonGumbeauxGuy
quote:
the 2025 physical year
Posted on 12/5/24 at 8:46 am to tigeraddict
"Sorry bro the exec with an MBA said heart surgeries are only allowed to last 3 hours, your claim is denied"
Posted on 12/5/24 at 8:47 am to Tigerbait357
Their CEO should be executed
-liberals
-liberals
Posted on 12/5/24 at 8:48 am to TripleBarrelBluff1
quote:I know.
Surgery schedules are slammed full
quote:I'm not saying they can extend it.
There is no anesthesiologist that is purposely extending surgeries to be able to bill more
I asked how often do procedures go beyond the time lines being given?
Posted on 12/5/24 at 8:49 am to Ingeniero
quote:They aren't using an MBA's opinion.
"Sorry bro the exec with an MBA said heart surgeries are only allowed to last 3 hours, your claim is denied"
Posted on 12/5/24 at 8:49 am to Jake88
quote:
I asked how often do procedures go beyond the time lines being given?
It shouldn't matter. Allowing insurance companies to dictate that is arse backwards.
Posted on 12/5/24 at 8:50 am to TripleBarrelBluff1
quote:Still doesn't answer the question.
It shouldn't matter. Allowing insurance companies to dictate that is arse backwards.
Posted on 12/5/24 at 8:52 am to Tigerbait357
Folks finna have to toughen the fk up baw. Get a bite stick and a red-hot Bowie knife.
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