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re: Medical Billing has gone mad

Posted on 5/17/19 at 9:38 am to
Posted by The Spleen
Member since Dec 2010
38865 posts
Posted on 5/17/19 at 9:38 am to
Not sure how old most of y'all are, but just wait until your parents get older and you maybe got POA for their affairs. I have no idea if what I paid for my mom's visits were legit, but there were a handful of bills arriving in the mailbox every week. I gave up trying to verify them pretty early on in the process.
Posted by LSUFanHouston
NOLA
Member since Jul 2009
37161 posts
Posted on 5/17/19 at 9:39 am to
quote:

Doctors hate it just as much as patients do.


I'm sure of that. Their costs and delayed payment receipt sucks.

quote:

Now, imagine adding MORE government. It's lunacy.


Government involvement in providing medical care would make the care worse. However, single-payer means I (as the customer) wouldn't have to deal with these payment / billing issues.

I'm sure the payment/billing issues under a government plan would be 100 times worse for the docs, though.
Posted by The Spleen
Member since Dec 2010
38865 posts
Posted on 5/17/19 at 9:41 am to
quote:

I'm sure of that. Their costs and delayed payment receipt sucks.




My wife works in the medical field(administration) and they fight with the insurance companies more than patients do. They have a part time employee whose only job is calling insurance carriers to dispute things.
Posted by TheDeathValley
New Orleans, LA
Member since Sep 2010
17201 posts
Posted on 5/17/19 at 9:42 am to
quote:

Always laugh when people make it hard for you to give them money



So my wife and I used the rooms to go 5 year no interest thing when we bought our first house. She got the account in her name, but I was listed as a second person. They would call me EVERY month when the bill was due (a day or two before). They would not say who they were, and could not share account info. I would always tell them, I will pay the bill, but they refused to take my money.
Posted by LSUFanHouston
NOLA
Member since Jul 2009
37161 posts
Posted on 5/17/19 at 9:43 am to
quote:

My wife works in the medical field(administration) and they fight with the insurance companies more than patients do. They have a part time employee whose only job is calling insurance carriers to dispute things.


So let's say they are paying that person $20,000 a year to work part time.

I'm sure there is some piece of medical equipment, technology, supplies, etc, that they could spend that $20,000 a year on, and have better patient outcomes / happier staff.
Posted by Gatorbait2008
Member since Aug 2015
22953 posts
Posted on 5/17/19 at 9:53 am to
I got in a motorcycle accident two years ago. Taken by ambulance to the hospital in Tampa. I wasn't hurt terribly but enough to get checked and not move much just in case because I went through a back windshield of a car over 40 mph. Well I get there, and I sit waiting for scans and test and shite for 5 hours.

I'm type one diabetic. I tell them this. My insulin was broken in my pocket during the crash. I tell them over 10 fricking times I need insulin my blood sugar is high and these fricking idiots keep "waiting for a doctor to confirm but we can get you water". It got to the point that my GF almost got removed from the hospital because she was standing in the hall screaming at every single person she could find telling them to get me fricking insulin till they threatened to call security.

Five hours. No insulin. I go into Diabetic Ketoacidosis(which is frickING DEADLY). So guess what? Now I have to stay at the hospital for 3 days to regulate my blood sugar...not to mention pain, insane thirst painful swelling, etc.

So my bill? 22k. For Ketoacidosis treatment...that the hospital caused. I refused to pay when they tried to take my copay. I told them they are incompetent pieces of shite. For three days I cursed out every doctor that came to see me. Just walked out and said good luck you aren't getting shite when I got discharged.

Was the most incompetent thing I could imagine. I have challenged the charges and am still going through the bullshite with it.
This post was edited on 5/17/19 at 9:55 am
Posted by High C
viewing the fall....
Member since Nov 2012
53983 posts
Posted on 5/17/19 at 10:05 am to
quote:

So my bill? 22k. For Ketoacidosis treatment...that the hospital caused. I refused to pay when they tried to take my copay. I told them they are incompetent pieces of shite. For three days I cursed out every doctor that came to see me. Just walked out and said good luck you aren't getting shite when I got discharged. Was the most incompetent thing I could imagine. I have challenged the charges and am still going through the bullshite with it.


Is it in collection yet? frick those people, too.
Posted by Gatorbait2008
Member since Aug 2015
22953 posts
Posted on 5/17/19 at 10:11 am to
Yep...fricking nightmare.
Posted by BayouBengal
Member since Nov 2003
28275 posts
Posted on 5/17/19 at 10:12 am to
Similar thing happened to me but a much smaller scale. It took over a year, about 14 months, for them to send me a bill for a portion that my insurance supposedly didn't cover. Already had paid a portion of it a month or two after the visit like normal. Annoying to get this over a year later.
Posted by ExtraGravy
Member since Nov 2018
794 posts
Posted on 5/17/19 at 10:16 am to
(no message)
This post was edited on 10/15/20 at 4:29 pm
Posted by kengel2
Team Gun
Member since Mar 2004
30919 posts
Posted on 5/17/19 at 10:21 am to
quote:

Can't always tell the patient what the cost is upfront as things are discovered during an examination.



Guess you cant get mad at mechanics, tradesman, or anyone that does any sort of repair work.

Why does the medical industry get a free pass?

Not really directed to you, more at the the industry.
Posted by tylercsbn9
Cypress, TX
Member since Feb 2004
65876 posts
Posted on 5/17/19 at 10:24 am to
Wife had a baby in December and it was c-section.

I checked multiple times prior and talked with the billing people prior to everything to make sure everything was in network.

Well guess what, months later I get a damn out of network anesthesiologist bill. $4,000.

I called the DRs office and basically told them to fix it or get fricked and it would just go to collections. And my wife wouldn't pay it. Sure it'll hurt her credit but mine is fine so no biggie. I guess they worked it out with my insurance after.
This post was edited on 5/17/19 at 10:24 am
Posted by Areddishfish
The Wild West
Member since Oct 2015
6284 posts
Posted on 5/17/19 at 10:26 am to
quote:

Medical Billing has gone mad


On another note, we took our daughter to the ER as a precaution a few weeks ago after a slight fall.

Received the bill a couple of days ago. To see the doctor it was $69 and insurance covered it. To get her vitals checked when we arrived was billed for $500 and insurance copay is $350, no joke lol. All to take her vitals they billed $500.

The bigger issue in America when it comes to the medical model they use, besides it not being personalized on a patient by patient basis, is the rates that hospital and pharmacies are allowed to charge for services/products.

We will be going to urgent care in the future unless things are really spiraling out of control. New parent mistake.
Posted by tylercsbn9
Cypress, TX
Member since Feb 2004
65876 posts
Posted on 5/17/19 at 10:28 am to
quote:

We will be going to urgent care in the future unless things are really spiraling out of control. New parent mistake.



Be careful

Urgent care will frick you over too They are shady as hell when it comes to in and out of network.
Posted by jchamil
Member since Nov 2009
16549 posts
Posted on 5/17/19 at 10:40 am to
quote:

My local doesn’t even ask for an ID when I make a withdrawal. Perhaps you should shop around.


I'd actually be more inclined to shop around if my bank didn't ask for id for a withdrawal
Posted by MikeBRLA
Baton Rouge
Member since Jun 2005
16480 posts
Posted on 5/17/19 at 11:10 am to
quote:

We need a system where you know what the visit is going to cost you upfront. I had to see an ENT a few months ago. Relatively routine visit. I pay my $30 copay or whatever it is and get a bill for $325 a few weeks later.


I remember about 20 years ago I needed a minor surgery and I was discussing the details with the nurse. I was on a HDHCP at the time so I asked her how much it was going to cost me. She looked at me like I had 3 heads or something and said she had never been asked such a thing her entire career.

I explained to her that many people have HDHCP now and that they have to come out of pocket for a lot. I’d simply like to know if this was going to cost me $1K or $15K since I was the one paying for it.


They are so used ordering procedures and essentially giving themselves a blank check. In no other profession do you approve a job be done, and then discuss the cost after the fact. It’s crazy.
Posted by The Spleen
Member since Dec 2010
38865 posts
Posted on 5/17/19 at 11:17 am to
quote:

I'd actually be more inclined to shop around if my bank didn't ask for id for a withdrawal



Mine doesn't, but they have a copy of my license attached to my account they look at when I'm there.
Posted by Tarps99
Lafourche Parish
Member since Apr 2017
7547 posts
Posted on 5/17/19 at 11:52 am to
quote:

So my bill? 22k. For Ketoacidosis treatment...that the hospital caused. I refused to pay when they tried to take my copay. I told them they are incompetent pieces of shite. For three days I cursed out every doctor that came to see me. Just walked out and said good luck you aren't getting shite when I got discharged. Was the most incompetent thing I could imagine. I have challenged the charges and am still going through the bullshite with it.


If they sue, counter sue and ask for pain and suffering.
This post was edited on 5/17/19 at 11:54 am
Posted by MikeBRLA
Baton Rouge
Member since Jun 2005
16480 posts
Posted on 5/17/19 at 11:59 am to
quote:

What's really been crazy the last few years as far as providers go is the price of generic medications. Especially in the dermatology world, generics have gone up exponentially it seems.


I have two medications that are creams applied to the skin. One is $750.00 a tube and the other is $2200.00. It’s crazy.
Posted by Nado Jenkins83
Land of the Free
Member since Nov 2012
59755 posts
Posted on 5/17/19 at 12:14 pm to
I ain't got time for that.
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