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Started By
Message
re: Medical Billing has gone mad
Posted on 5/17/19 at 2:54 pm to Koach K
Posted on 5/17/19 at 2:54 pm to Koach K
quote:
Really almost to say to hell with insurance for routine medical stuff.
If my doctors would take cash from me, in the same amount of the co-pay, I'd be fine with that.
But if I have to have the insurance anyways, I'd be dumb to pay all those premiums and have to pay even more if the cash discount isn't down to the level of the co-pay.
0
Posted on 5/17/19 at 2:59 pm to LSUFanHouston
quote:
We might have the greatest pill pushing, drug dealing doctors in the world
I 100% agree
Posted on 5/17/19 at 3:54 pm to SeeeeK
For those with High Deductible plans, checkout GoodRX. It can be a significant discount on some meds.
Posted on 5/17/19 at 4:45 pm to LSUFanHouston
quote:
We might have the greatest doctors in the world, but the supporting system is just terrible.
Tru story...
I got a bill from Hospital for a "procedure" that was done on me in excess of $3600...
2 years of calling insurance, hospital, billing office, doctors office ect.... trying to resolve/correct this issue
One day I call the billing office and randomly got someone on the line that I used to work with... explained the situation to them that was basically the bill was coded wrong and if they will code it correctly my insurance will pay 100% of the bill... The former coworker listened to my explanation, agreed with my take on it, corrected the code reference on the bill and resubmitted to insurance for payment.
45 days later the insurance pays the total bill...
2+ years of my life .. fighting through the red tape..
It truly is about who you know not what you know...
Posted on 5/17/19 at 4:51 pm to klrstix
quote:
It truly is about who you know not what you know...
I agree...
but also... most "medical coding" jobs can be gotten with a few months of education at your local for-profit diploma mill.
So we aren't exactly hiring the best and brightest to handle something, that truthfully, is pretty complicated.
Posted on 5/17/19 at 5:15 pm to TFS4E
quote:
Always laugh when people make it hard for you to give them money ?
NO shite
I spent three fricking hours on phone calls getting someone to consolidate my wife ER visits and emergency kidney stone removal. They had like 5 fricking bills with different account numbers. I finally said I had enough and I was driving over in the morning to give them cash for it all.
They told me their local hospital cashier's Dept was setup not to take cash and wanted separate checks for each account number.
WTF.
You write 5 checks shite gets lost and then end up trying to bill you for shite two years later. They did it to me from trips in Houston. I keep all big payments now forever in a file. I have some from 5 years ago.
Just take my damn money.
Posted on 5/17/19 at 5:30 pm to LSUFanHouston
they are fricking you. What they are doing is called balance billing. They do this to pad the bills. Even though the insurance has paid, they hound a customer for a small amount because they know most will eventually pay. I had a MRI about 10 years ago with a provider in my network. Insurance has a prearranged price for procedures and they cover it on the plan I had at the time. I owed zero, but the provider started sending me bills for 274 dollars.which is difference between the agreed upon amount and the amount they normally charge. Ochsners said I owed it, United health care said I didn’t. They threatened me for a year with collections. It wasnt about the money it was about the fact that I didn’t owe it. Finally the local rep for United health care had to threat to pull their contract to make it go away. I have heard different people say they had problems with United health care but they stuck with me and handled it ever step of the way fighting ochsners. This went on for almost a year. Point is if you ok now for sure you don’t owe, do not pay it. They do this to thousands of ppl who will pay just to make it go away because it is such a low amount. But in reality it is illegal and is fraud.
Posted on 5/17/19 at 5:30 pm to LSUFanHouston
quote:
Finally get a nice woman on the phone, who at first wouldn't let me actually pay the bill because my wife was listed as the guarantor. She finally agrees to accept my payment if I can verify us. She asks me a bunch of verification questions on my wife's info, which I know all of the answers. Finally, she says, ok, I'll take your payment over the phone, and it's handled.
This makes no sense. Someone else can’t pay your bill?
I could walk into a bank and pay off my best friends mortgage tomorrow if I wanted to and I promise they wouldn’t reject it
Posted on 5/17/19 at 5:33 pm to LSUFanHouston
quote:
He should know how far he is away from deductible, but how is he supposed to know what the final bill is going to be?
How about ask?
Posted on 5/17/19 at 5:58 pm to LSUFanHouston
The system is fricked because too many people are involved.
Medicare for all doesn’t solve any of these issues. You just don’t get the bill a few weeks later, you get it when you pay your taxes. And you will also be paying 50% of other people’s bills that don’t pay anything because they don’t pay taxes.
The solution is to get the government and insurance companies LESS involved. More transparent pricing
Instead of paying your monthly premiums, that money needs to go into an account that earns interest. Think about how much money you would have for these office visits.
Then everyone has insurance for emergency situations.
Medicare for all doesn’t solve any of these issues. You just don’t get the bill a few weeks later, you get it when you pay your taxes. And you will also be paying 50% of other people’s bills that don’t pay anything because they don’t pay taxes.
The solution is to get the government and insurance companies LESS involved. More transparent pricing
Instead of paying your monthly premiums, that money needs to go into an account that earns interest. Think about how much money you would have for these office visits.
Then everyone has insurance for emergency situations.
Posted on 5/17/19 at 6:34 pm to LSUFanHouston
My son was born in August. I have three bills from the hospital, for the same thing , that are three different amounts because the insurance amount “was revised.”
Posted on 5/17/19 at 6:37 pm to LSUFanHouston
Wish I could like this post a million times. The amount of time spent on hold with these fricks is the worst.
Posted on 5/17/19 at 7:41 pm to High C
For years, I've had very expensive high deductible insurance. My premiums were high, and it paid nothing. My husband lost his job a few months ago, and we have none. I tried to get insurance through my company and they wanted me to pay two months of insurance up front to qualify for coverage under a "covered event". This would have taken an entire check. The system is very broken. I am not sure it's able to be fixed. The crazy thing is that I have MS. I have no insurance and I have a chronic health condition, and even when I had it, nothing was covered.
Posted on 5/17/19 at 9:04 pm to deeprig9
My bank wanted my SSN to deposit cash.
Posted on 5/17/19 at 10:36 pm to TDsngumbo
quote:
ou should tell them you sent a check right after the visit but it was void 180 days later.
N
Yeah, playing games with people collecting valid debts that will send u to collections sounds smart
Posted on 5/17/19 at 10:56 pm to deeprig9
quote:
bullshite. You just don't care because you aren't accountable
Get outta here with this shite! There are about 8000 CPT codes, but let’s say that I only do like 100 of those. Then, in my area, there’s over 10 different insurance carriers. And in each of those carriers there are different plans.
So, you asking me how much something cost, I would have to know your insurance carrier, your plan in that carrier, what my contract says, and the cpt code to tell you anything. Most people would have no way to recall that information, especially since it changes at least yearly.
Posted on 5/17/19 at 10:59 pm to NoHoTiger
quote:
Admitted as a John Doe, even though he had his license on him.
Just about everyone admitted in an emergent situation is a John/Jane doe, until their identity can be verified. For emergent situations, the time to get registered takes too long.
Posted on 5/17/19 at 11:00 pm to BayouBengal
quote:
For those with High Deductible plans, checkout GoodRX. It can be a significant discount on some meds.
My medication was 25.00 a month
Changed jobs at the 1st of the year, with new insurance it would be over 330.00 a month
Asked Dr. to find a generic, have been paying between 155.00-165.00 a month
Lady at Walgreens told me to sign up for it, generic medicine is now 66.00 per month
It can’t be used in conjunction with insurance so it doesn’t go towards deductible which hopefully I’ll never meet anyway
By not using my insurance I am saving 100.00 per month
Posted on 5/17/19 at 11:05 pm to Areddishfish
quote:
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.
Similar situation: wife wasn’t feeling well, told her she got hand-foot-mouth from our son since he had it. She didn’t believe me (I’m not a doctor or anything), thought it was strep. So I tell her to meet me in the ER and I’d do a swab.
Get her registered so I can swab and send to lab. 2 months later o get a bill for $80 for the lab (no big deal, I used lab), and $300 for ER visit. I went to the them and said she never was seen on the ER, she was just checked in there so I could do the swab. They basically said tough shite, because she was checked in there, that’s the charge for using the ER.
Then to add to it, everything at the hospital is supposed to be 100% covered.
Posted on 5/17/19 at 11:05 pm to Gatorbait2008
You went from normal blood sugars to DKA because of 5 hours without insulin??
But yes, billing/ insurance is some crazy shite.
But yes, billing/ insurance is some crazy shite.
This post was edited on 5/17/19 at 11:07 pm
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