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Message
re: OT Lawyers (and Doctors, to a degree)
Posted on 11/2/18 at 12:13 pm to bayou choupique
Posted on 11/2/18 at 12:13 pm to bayou choupique
quote:
as much as i hate to refer you to a lawyer, you may need to at least sit and talk with one.
Tell us how you would advise the guy.
1
Posted on 11/2/18 at 12:14 pm to boosiebadazz
No, you tell us how you would advise the guy.
Posted on 11/2/18 at 12:54 pm to LZ83
I'm a worthless, scumbag PI lawyer who is ruining the economy. You don't want my advice.
I want to hear how the salesmen and plant baws would advise this fella.
I want to hear how the salesmen and plant baws would advise this fella.
This post was edited on 11/2/18 at 12:59 pm
Posted on 11/2/18 at 12:57 pm to messyjesse
As a recovering lawyer I can say confidently that insurance companies are NOT on your side
Posted on 11/2/18 at 1:00 pm to boosiebadazz
quote:
Acadian Ambulance sucks.
ain't that the truth. Balance billing MFers.
Posted on 11/2/18 at 1:12 pm to High C
You really need to see a lawyer on this. There are so many facts missing from your analysis that a lawyer would need to question you on to accurately give you advice. Given the amount of money involved it is worth the consultation.
Posted on 11/2/18 at 1:18 pm to baldona
quote:
Did he fly around the globe a couple times and then see a specialist in Switzerland? $46k is freaking ridiculous. The medical billing industry is out of freaking control. I fully understand the costs here, but I can rent a Helicopter ride for 60 minutes for $500. There's no way it should cost $46k for 3 hours of flight time. First thing I'd do is tell them that they either talk to you today or you contact your lawyer tomorrow and everything else is through your lawyer.
What does this have to do with medical billing? It’s the cost of transportation. Albeit an absurd cost.
Who makes the decision that a helicopter is needed? It’s not a doctor. It’s someone at the scene of the crash. If they call the helicopter when it’s not needed why should the patient be responsible?
Renting a helicopter and having a helicopter and helicopter medical crew on call 24/7 are two completely different things. You are smarter than that
Posted on 11/2/18 at 1:21 pm to High C
I only respond to this because I work for an attorney - Never, ever sign anything without talking to a lawyer first. DO NOT SIGN OFF ON A HIPPA RELEASE. Go see a lawyer - Thats what they are for.
Posted on 11/2/18 at 1:23 pm to High C
Is this the auto or medical insurance you are dealing with. If it’s your health insurance, they may be expecting auto insurance to pick up the tab.
Other posters are correct. If the insurance company is rejecting the claim due to no medical necessity, them the ambulance service will need the medical records to show there was medical necessity requiring an airlift.
Lawyer ASAP.
Other posters are correct. If the insurance company is rejecting the claim due to no medical necessity, them the ambulance service will need the medical records to show there was medical necessity requiring an airlift.
Lawyer ASAP.
Posted on 11/2/18 at 1:26 pm to WaWaWeeWa
Call a lawyer, now.
On the other hand, not many people are aware of this but someone mentioned an insurance from the company which covers a family. Why do that? The state of Maryland racks on an extra few bucks to everyone’s driver license which makes it completely covered if you have to be lifeflighted in that state. I don’t agree with most taxes or fees, but this seems better than just bankrupting people
On the other hand, not many people are aware of this but someone mentioned an insurance from the company which covers a family. Why do that? The state of Maryland racks on an extra few bucks to everyone’s driver license which makes it completely covered if you have to be lifeflighted in that state. I don’t agree with most taxes or fees, but this seems better than just bankrupting people
Posted on 11/2/18 at 1:38 pm to crazyLSUstudent
quote:
NPR actually just did a story on this exact issue you are facing. Seriusly read the link and listen to the story. Might be some help.
Thanks for that. Story is almost identical other than the injury and the distance from site of accident to hospital.
I will be consulting a lawyer about this now.
Posted on 11/2/18 at 1:43 pm to High C
What 4444 said, get a lawyer, talk to insurance and find out what the hang up is. As with all medical billing, there’s what is charged and what is allowable. The allowable is contracted with each insurance company and the Med Flight service. usually what I hear is $7-15k is what’s covered. The flight service shouldn’t be able to request more than allowable, and you may have a deductible that you’ll have to pay, but it shouldn’t be the remainder of the $46k.
I’m usually on the receiving end of the helicopter rides, as I’m a trauma surgeon. The helicopters, while needed in some instances, is way overused. Especially for $50k a ride. We’re collecting data with hopes to show that a large majority of helicopters are unnecessary. We have people discharged from the ER after a flight, and sometimes the ground crew will arrive prior to the air crew when coming from the same scene.
I’m usually on the receiving end of the helicopter rides, as I’m a trauma surgeon. The helicopters, while needed in some instances, is way overused. Especially for $50k a ride. We’re collecting data with hopes to show that a large majority of helicopters are unnecessary. We have people discharged from the ER after a flight, and sometimes the ground crew will arrive prior to the air crew when coming from the same scene.
Posted on 11/2/18 at 1:47 pm to pngtiger
quote:
I’m usually on the receiving end of the helicopter rides, as I’m a trauma surgeon. The helicopters, while needed in some instances, is way overused.
You may be able to answer this. Who makes the call when deciding a helicopter is needed? Certainly not the patient.
So why is the patient left with the bill when the flight was unnecessary?
Posted on 11/2/18 at 1:50 pm to WaWaWeeWa
quote:
You may be able to answer this. Who makes the call when deciding a helicopter is needed?
In my son's case, it was first responders. A guy I talked with on the phone during the ordeal told me that if there is any doubt whatsoever, they call in Air Med.
Posted on 11/2/18 at 1:51 pm to WaWaWeeWa
quote:
So why is the patient left with the bill when the flight was unnecessary?
Ha no kidding. The article above says that "anytime a limb is in jeopardy" is automatically covered. But hell I can think of plenty of worse off cases than that.
My friend cut his thumb off working with power equipment and after driving to the hospital on his own accord, he was flown to Mississippi. This makes me worry he is going to have a massive billing issue.
$10,000 is more than reasonable IMO for a helicopter ride. $46k is absurd lol.
Posted on 11/2/18 at 1:55 pm to High C
It’s HIPAA, dumbasses
Posted on 11/2/18 at 1:56 pm to High C
quote:
In my son's case, it was first responders. A guy I talked with on the phone during the ordeal told me that if there is any doubt whatsoever, they call in Air Med.
I don't disagree with that, but its a pretty easy thing for the insurance to come up with some sort of burden to be met. If life or limb are remotely questionable, its called. That should meet the burden.
Posted on 11/2/18 at 1:56 pm to High C
Ahhh, our healthcare system working at its finest. Good luck!
Posted on 11/2/18 at 1:57 pm to crazyLSUstudent
quote:
NPR actually just did a story on this exact issue you are facing. Seriusly read the link and listen to the story. Might be some help. NPR story
quote:
A spokeswoman for Air Evac Lifeteam said the company bills people so much because it is trying to make up for what she said are meager payments from Medicare and Medicaid.
"Our real cost per flight is the $10,200 plus the unreimbursed cost on each flight for Medicare, Medicaid and patients without any coverage," wrote Shelly Schneider, the company spokeswoman.
The Centers for Medicare & Medicaid Services said it pays an average of $4,624 per ride, plus $31.67 a mile, which works out to an average Medicare reimbursement of $6,556 for helicopter ambulance rides for seniors. Medicaid in most states pays less.
So a government run insurance plan fricks people who actually pay for their own insurance? Shocking.
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