re: The story about anesthesia insurance coverage is a lot more complicated than it looks

quote:

---

Well then if the payor is going to instruct the provider, the payor needs to be held to the same standard as a provider.

---

Just name a country with a healthcare system as you describe. Where the payor simply pays without placing restrictions and limitations on said care.

quote:

---

ETA- it was $750 per ear. Just for the anesthesiologist. To administer laughing

---

First off it was not just laughing gas. It was likely a combo of that and sevoflurane. Secondly, sleeping a child via mask induction requires a skillset that most providers avoid. The risk for a kid include laryngospasm which can obstruct a kids airway. They are respiratory dependent. Meaning if this occurs without IV access you have maybe 1 min at most before the child is at risk of death.

Lastly, I highly doubt that number is true. Because billing modifiers for anesthesia don’t allow for that reimbursement.

quote:

---

I hope they're at least paying you well for your dedicated defense of them.

---

You're not going to get me to take you out by stalking me like this, Ma'am.

quote:

---

I didn't link it to surprise billing so I got that part wrong, but I told y'all from the get that this was about anesthesiologists overbilling.

---

And you were wrong there too.

The political alignment reaction to this whole situation is schizophrenic as frick

quote:

---

who other than the companies that are effectively paying their salary would be in a position to leverage them down and save the consumer unnecessarily high premiums

---

Oh theyre in position

quote:

---

First off it was not just laughing gas. It was likely a combo of that and sevoflurane. Secondly, sleeping a child via mask induction requires a skillset that most providers avoid. The risk for a kid include laryngospasm which can obstruct a kids airway. They are respiratory dependent. Meaning if this occurs without IV access you have maybe 1 min at most before the child is at risk of death.

---

K, keep me posted

quote:

---

Lastly, I highly doubt that number is true. Because billing modifiers for anesthesia don’t allow for that reimbursement.

---

You'd be dead fricking wrong.

quote:

---

anesthesiologists… studies have found that they are the number 1 culprit behind surprise billing.

---

I don’t know if it’s been corrected, but the biggest surprise used to be that they wouldn’t be in network and not normally the patient’s choice like the doctor performing the procedure.

I would also support patients being billed once by the hospital or facility for surgeries or outpatient procedures. They can pay the doctors involved out of what’s billed. Being sent a bill out of the blue by someone hospital chose and likely don’t even know their name especially when performing and reviewing diagnostic or imaging tests another doctor ordered is a joke and can look like a double billing error that payment to hospital is taking care of.

You paid an anesthesia site fee.