- 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

Do you see gouging coming in the medical field?
Posted on 4/22/20 at 10:52 am
Posted on 4/22/20 at 10:52 am
My grandfather has a pace maker and got a call from his heart doctors office yesterday. They said "We detected an irregular heartbeat and would like you to come in next week for a stress test just to make sure everything is fine" He told them he hadn't noticed anything and felt great.
Also, another family member had shoulder surgery a few months back and had been going to rehab. He feels good and ready to move on, but they keep insisting he come in for another month of rehab.
Also, another family member had shoulder surgery a few months back and had been going to rehab. He feels good and ready to move on, but they keep insisting he come in for another month of rehab.
Posted on 4/22/20 at 10:53 am to AUriptide
Don’t they gouge the frick out of everybody already?
Posted on 4/22/20 at 10:55 am to AUriptide
None of that seems all that out of the ordinary and even so that’s not gouging.
But do be prepared for higher charges in the near term for a lot of medical services
But do be prepared for higher charges in the near term for a lot of medical services
Posted on 4/22/20 at 10:55 am to AUriptide
Pretty much the same for chiropractors following car accidents.
Posted on 4/22/20 at 10:58 am to AUriptide
Hard to say in these circumstances. I'm certainly not defending the medical industry, but plenty of people 'feel fine' and have major shite wrong with them.
This post was edited on 4/22/20 at 10:58 am
Posted on 4/22/20 at 10:58 am to AUriptide
There is a ton of oversight from insurance companies and CMS on surgeries being done and what they'll reimburse healthcare companies/doctors for.
They can't really do too many unnecessary things or they risk coming out of pocket for them.
They can't really do too many unnecessary things or they risk coming out of pocket for them.
Posted on 4/22/20 at 11:01 am to AUriptide
quote:
My grandfather has a pace maker and got a call from his heart doctors office yesterday. They said "We detected an irregular heartbeat and would like you to come in next week for a stress test just to make sure everything is fine" He told them he hadn't noticed anything and felt great.
They are doing their job.
quote:
Also, another family member had shoulder surgery a few months back and had been going to rehab. He feels good and ready to move on, but they keep insisting he come in for another month of rehab.
He can say no. Rehab is where a lot of people can save money. He knows all the routines by now, and I'm sure there are loads of instructions on the internet.
Posted on 4/22/20 at 11:04 am to AUriptide
quote:
My grandfather has a pace maker and got a call from his heart doctors office yesterday. They said "We detected an irregular heartbeat and would like you to come in next week for a stress test just to make sure everything is fine" He told them he hadn't noticed anything and felt great.
Yeah, this is perfectly acceptable and within reason.
Posted on 4/22/20 at 11:06 am to AUriptide
Pretty sure it doesn't operate like mattress or care sales. I really can't see them lying about him having an arrythmia.
Posted on 4/22/20 at 11:17 am to AUriptide
Shoulder surgery rehab takes a long time
Posted on 4/22/20 at 11:19 am to AUriptide
quote:In America?? No way......
Do you see gouging coming in the medical field?
Posted on 4/22/20 at 11:23 am to AUriptide
quote:How is any of that "gouging"??
My grandfather has a pace maker and got a call from his heart doctors office yesterday. They said "We detected an irregular heartbeat and would like you to come in next week for a stress test just to make sure everything is fine" He told them he hadn't noticed anything and felt great.
Also, another family member had shoulder surgery a few months back and had been going to rehab. He feels good and ready to move on, but they keep insisting he come in for another month of rehab.
Posted on 4/22/20 at 11:24 am to AUriptide
quote:
He told them he hadn't noticed anything and felt great
He already has a pacemaker...? The heart can be a deceptive organ, no point in taking chances.
Posted on 4/22/20 at 11:37 am to AUriptide
quote:
My grandfather has a pace maker and got a call from his heart doctors office yesterday. They said "We detected an irregular heartbeat and would like you to come in next week for a stress test
Oh no, they are trying to keep paw paw alive, someone alert the authorities
quote:
they keep insisting he come in for another month of rehab.
They would be saying the exact same thing without Covid
Posted on 4/22/20 at 11:38 am to AUriptide
They would have to stop gouging in order to start gouging again.
Posted on 4/22/20 at 12:03 pm to FAP SAM
It seems many people have no clue how medical billing works. At the beginning of each fiscal year, every doctor, clinic, hospital, etc. sign a contract with each insurance provider. In that contract are the negotiated rates the insurance Company will pay.
So, your doctor can charge you $100,000 for a 5 minute visit, but what the insurance will allow is based in the code submitted. Let’s say that code says the visit is $100. If you’re in an 80/20 plan, you’ll pay $20 and they’ll pay $80. If you haven’t met deductible, you’ll pay the total, $100.
As far as rehab, insurance will pay for something like 31 visits per year.
So, your doctor can charge you $100,000 for a 5 minute visit, but what the insurance will allow is based in the code submitted. Let’s say that code says the visit is $100. If you’re in an 80/20 plan, you’ll pay $20 and they’ll pay $80. If you haven’t met deductible, you’ll pay the total, $100.
As far as rehab, insurance will pay for something like 31 visits per year.
Posted on 4/22/20 at 12:09 pm to AUriptide
quote:
Do you see gouging coming in the medical field?

Posted on 4/22/20 at 12:12 pm to pngtiger
quote:That's putting it nicely. They also have zero idea what the purpose of insurance is or what their insurance plan is
seems many people have no clue how medical billing works.
Posted on 4/22/20 at 12:26 pm to AUriptide
quote:You mean even more so than usual?
gouging coming in the medical field
Posted on 4/22/20 at 12:32 pm to AUriptide
Oh, it's comin', baws. Specifically physician-owned surgical centers and MRI-type facilities. People have been "rubbing dirt on it" for two months that will now need PET scans and an outpatient surgery...book it. And the insurance carriers will let it pass because that will be the defense for the renewal increase you get next year. The house never loses...
This post was edited on 4/22/20 at 12:33 pm
Popular
Back to top

17






