Started By
Message
locked post

Do you see gouging coming in the medical field?

Posted on 4/22/20 at 10:52 am
Posted by AUriptide
Member since Aug 2009
7459 posts
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.







Posted by Prominentwon
LSU, McNeese St. Fan
Member since Jan 2005
95097 posts
Posted on 4/22/20 at 10:53 am to
Don’t they gouge the frick out of everybody already?
Posted by notiger1997
Metairie
Member since May 2009
61809 posts
Posted on 4/22/20 at 10:55 am to
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
Posted by lsu xman
Member since Oct 2006
17020 posts
Posted on 4/22/20 at 10:55 am to
Pretty much the same for chiropractors following car accidents.
Posted by VanRIch
Wherever
Member since Sep 2007
11819 posts
Posted on 4/22/20 at 10:58 am to
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 by TheCaterpillar
Member since Jan 2004
76774 posts
Posted on 4/22/20 at 10:58 am to
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.
Posted by xxTIMMYxx
Member since Aug 2019
17562 posts
Posted on 4/22/20 at 11:01 am to
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 by Big Block Stingray
Top down on open road
Member since Feb 2009
2096 posts
Posted on 4/22/20 at 11:04 am to
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 by LEASTBAY
Member since Aug 2007
16683 posts
Posted on 4/22/20 at 11:06 am to
Pretty sure it doesn't operate like mattress or care sales. I really can't see them lying about him having an arrythmia.
Posted by tigerskin
Member since Nov 2004
46992 posts
Posted on 4/22/20 at 11:17 am to
Shoulder surgery rehab takes a long time
Posted by Harry Caray
Denial
Member since Aug 2009
21045 posts
Posted on 4/22/20 at 11:19 am to
quote:

Do you see gouging coming in the medical field?

In America?? No way......
Posted by LSURussian
Member since Feb 2005
135363 posts
Posted on 4/22/20 at 11:23 am to
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.

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.
How is any of that "gouging"??
Posted by WildManGoose
Member since Nov 2005
4613 posts
Posted on 4/22/20 at 11:24 am to
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 by FAP SAM
Member since Sep 2014
3264 posts
Posted on 4/22/20 at 11:37 am to
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 by LegendInMyMind
Member since Apr 2019
76167 posts
Posted on 4/22/20 at 11:38 am to
They would have to stop gouging in order to start gouging again.
Posted by pngtiger
Mobile
Member since May 2004
1838 posts
Posted on 4/22/20 at 12:03 pm to
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.
Posted by pvilleguru
Member since Jun 2009
60453 posts
Posted on 4/22/20 at 12:09 pm to
quote:

Do you see gouging coming in the medical field?


Posted by FAP SAM
Member since Sep 2014
3264 posts
Posted on 4/22/20 at 12:12 pm to
quote:

seems many people have no clue how medical billing works.
That's putting it nicely. They also have zero idea what the purpose of insurance is or what their insurance plan is
Posted by geauxpurple
New Orleans
Member since Jul 2014
17793 posts
Posted on 4/22/20 at 12:26 pm to
quote:

gouging coming in the medical field
You mean even more so than usual?
Posted by KingClearview
In da ‘Tree
Member since Dec 2018
82 posts
Posted on 4/22/20 at 12:32 pm to
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
first pageprev pagePage 1 of 2Next pagelast page

Back to top
logoFollow TigerDroppings for LSU Football News
Follow us on X, Facebook and Instagram to get the latest updates on LSU Football and Recruiting.

FacebookXInstagram