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Started By
Message
re: Medicare pays hospitals $13,000 per COVID patient - $39,000 if on ventilator
Posted on 4/9/20 at 8:33 am to League Champs
Posted on 4/9/20 at 8:33 am to League Champs
quote:
Weren't you the very one arguing on here that hospitals weren't doing this?
Nope.
I was arguing that the narrative that Birx said that anyone who dies with COVID gets COVID put as the cause of death was incorrect.
And she clarified that statement afterwards to align what I had been arguing the whole time.
quote:
Right up until someone posted the guidelines that indeed they were told to record corona with NO test to back it up?
I was the one the posted the CDC guidelines.
Medical assumptions happen all the time. When there is not access to a test, a doctor will make a diagnosis on clinic findings. This happens hundreds of times every single day and it will be more prevalent in the rural communities where here is a lack of access to resources.
The CDC guidelines simply instruct doctors that, if there was no testing done for whatever reason, they are permitted to diagnose as COVID positive if the clinic findings warrant it and even then it is coded a different way that a diagnosis with a positive test so that the CDC can track the numbers of positive testes versus diagnosed through clinical findings.
1
Posted on 4/9/20 at 8:35 am to Golfer
quote:
The hospitals know they are being reimbursed well for COVID, or COVID related claims. That has been made public.
But they aren't being reimbursed well... Hospitals are still losing money per UNINSURED COVID victim. This came out as part of the stimulus package and has been reported on since March 25th. Why all the sudden outrage?
Hospitals would be going bankrupt in a matter of months without being reimbursed.
Posted on 4/9/20 at 8:38 am to GeauxFightingTigers1
quote:
. Of course, right now its the only money maker..
quote:We are losing $1,000s of dollars PER PATIENT for covid medicare/uninsured inpatient stays
talking out of their arse
Very weird "money makers"
This post was edited on 4/9/20 at 8:39 am
Posted on 4/9/20 at 8:38 am to lsupride87
quote:
It seems from your earlier post you dont want us to test for covid and put it in their chart if they do have it?
Heh? Don’t think so. May have mis-typed.
I’ll give you a real-world example of how codes can be manipulated for additional revenue:
A timed code for outpatient therapy might have a range of 11-15 minutes. Therapist can do 3 treatments for 45 min and get reimbursed 3x, or they can do 3 treatments for 11 min and 1 for 12 min and get reimbursed 4x for the same period of time. Do that 10-15x a day for 200+ days a year and you see what happens.
My wife ended up in ER setting last year and needed some tests which we agreed to. There’s two types of tests that could be done in this situation. One bills at a Level 4 ER visit, the other at a Level 2. Guess which one they did?
Again, both are perfectly legal and allowed. But examples of how visits can be “padded” for additional revenue.
Posted on 4/9/20 at 8:39 am to ClampClampington
This is pennies for hospitals in the grand scheme of it all.
I'm shocked no one is focusing on the commercial insurance companies. They are rolling in cash. None of their folk are getting any services done.
I'm shocked no one is focusing on the commercial insurance companies. They are rolling in cash. None of their folk are getting any services done.
Posted on 4/9/20 at 8:40 am to Toula
quote:ding ding ding
I'm shocked no one is focusing on the commercial insurance companies. They are rolling in cash
If you want to find the conspiracy on who is driving this, start there.
Posted on 4/9/20 at 8:41 am to lsupride87
quote:
We are losing $1,000s of dollars PER PATIENT for covid medicare/uninsured inpatient stays Very weird "money makers"
They are called bailouts, just like everyone else, its still a line item. Airlines are running negative on every flight - so? Watch how they are bailed out.
"Look we put all these dead people on vents, we need money. We even have all the documentation of the number people we put on useless vents, but we are doing God's work."
This post was edited on 4/9/20 at 8:45 am
Posted on 4/9/20 at 8:42 am to lsupride87
Yeah. I’m laughing at how BCBS is waving all kinds of copays and lab tests. Well yeah...they’re going to come out way ahead not paying outpatient surgeries 
Posted on 4/9/20 at 8:45 am to Buckeye Jeaux
quote:That's not much.
Medicare pays hospitals $13,000 per COVID patient - $39,000 if on ventilator
Posted on 4/9/20 at 8:46 am to Golfer
quote:
Yeah. I’m laughing at how BCBS is waving all kinds of copays and lab tests. Well yeah...they’re going to come out way ahead not paying outpatient surgeries
But wouldn't make sense that this just a lagging expenditure? They may be not paying anything out now but those elective procedures are going to take place eventually.
Posted on 4/9/20 at 8:46 am to Toula
quote:
This is pennies for hospitals in the grand scheme of it all.
But when the hospitals incomes are limited to only performing emergency services, cash starts burning up fast
Posted on 4/9/20 at 8:47 am to Antonio Moss
quote:
But wouldn't make sense that this just a lagging expenditure? They may be not paying anything out now but those elective procedures are going to take place eventually.
In different revenue cycles. And they can just raise premiums.
Posted on 4/9/20 at 8:52 am to ClampClampington
quote:And the biggest question occurs when a Medicare patient walks in with flu-like symptoms.
But when the hospitals incomes are limited to only performing emergency services, cash starts burning up fast
Assume he has the flu and bill Medicare $1000 or so?
Or, assume he has COVID and bill $13,000
Posted on 4/9/20 at 8:53 am to GeauxFightingTigers1
quote:
Of course, right now its the only money maker.... meaning you make as much off the line item until its no longer billable.
Excepts it the opposite of a money maker. If adminstrators had the full run the shop in terms of medical procedures offered, and they operated from an entirely sociopathicologically capitalist perspective, no patient would ever be vented again. Because vents are not money makers, they're just not. They are so very not.
Here's the thing. I would have no reason to expect that an average person would have any level of familiarity with hospital reimbursement which can be complicated for people who have been in the game for a while. What I don't understand is the level of confidence some of y'all have about things you clearly and appropriately know nothing about.
Posted on 4/9/20 at 8:53 am to Golfer
quote:
In different revenue cycles. And they can just raise premiums.
Yes, I can see this being an issue.
Posted on 4/9/20 at 8:56 am to lsupride87
quote:
The last thing we want is a covid patient. We are losing are asses on them because they are inpatient for so long
IDK where you work but do y'all still have admissions for heart attacks, strokes, MVA, etc? Anything else other than covid care going on?
Posted on 4/9/20 at 8:57 am to Antonio Moss
quote:
Medical assumptions happen all the time
Of course they do and if its' a single patient in Bumfreak, Nebraska during "normal" times, no problem, but when it's obvious during a time of crisis that MANY are trying to CREATE a panic, that's when people get riled up and start questioning the "experts".
True knowledge, freedom and growth in this world require the BS meter to be running at all times.
Somehow, we are being fed the line that Doctors and Nurses are these perfect, infallible beings who are immune to Politics and greed when it simply isn't true.
Posted on 4/9/20 at 8:57 am to Buckeye Jeaux
quote:
Assume he has the flu and bill Medicare $1000 or so?
Or, assume he has COVID and bill $13,000
Posted on 4/9/20 at 8:58 am to longwayfromLA
quote:
Here's the thing. I would have no reason to expect that an average person would have any level of familiarity with hospital reimbursement which can be complicated for people who have been in the game for a while
Don't know who you are or what elite position you occupy. But I am confident that Dr. Jensen knows what he is talking about.
You? Not so much.
Posted on 4/9/20 at 8:59 am to Buckeye Jeaux
You wouldn't assume either. You would test for flu, if that comes back negative, then you test for COVID
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