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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 8:59 am to Buckeye Jeaux
Posted on 4/9/20 at 8:59 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
Bill who? The $13K figure, which I haven't seen confirmed, is the Medicare rate given to uninsured patients. And you don't get that just patients walking in the door. You get that for admitted patients. So the real scenario is, you've just admitted an uninsured patient with upper respiratory symptoms and you need to know if its flu or not. Since it's standard to to test for flu, you couldn't get around "assuming flu or not." Someone will audit the record and ask, not not having flu test in a record for upper respiratory illness will stand out.
Successfully, systematically committing Medicare fraud is not as easy as you might think.
This post was edited on 4/9/20 at 9:00 am
2
Posted on 4/9/20 at 8:59 am to mmcgrath
quote:
Medicare pays more for amputations than they do for a bandaid. So by your logic does that incentive them in any way?
What’s the Med mal judgement on amputation when a band aid would suffice, you reckon?
Posted on 4/9/20 at 9:02 am to ClampClampington
quote:
You wouldn't assume either. You would test for flu, if that comes back negative, then you test for COVID
In a perfect world? Without crusading SJW docs and admins?
Yup. That's how it would work.
Posted on 4/9/20 at 9:03 am to Buckeye Jeaux
You add nothing of value to any of these threads you start on the same damn topic
ETA See post below
ETA See post below
This post was edited on 4/9/20 at 9:05 am
Posted on 4/9/20 at 9:03 am to longwayfromLA
quote:
you couldn't get around "assuming flu or not."
Sure you could. If you assumed COVID-19
Posted on 4/9/20 at 9:06 am to Buckeye Jeaux
quote:
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.
Scott Jenson's own words suggest that either he doesn't know what he's talking about or he's lying to people. If said hospitals are making money on vented patients because of a $39K windfall, he has clearly never seen a hospital revenue and usage report.
Posted on 4/9/20 at 9:08 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
So you think they’re going to put non-Covid patients on a Covid unit? With no testing? Lol
Posted on 4/9/20 at 9:09 am to Buckeye Jeaux
quote:If that's lump sum no one is making money on that
Medicare pays hospitals $13,000 per COVID patient - $39,000 if on ventilator.
Good grief. Posted on 4/9/20 at 9:09 am to ClampClampington
quote:
You add nothing of value to any of these threads you start on the same damn topic
Yup. Same damn topic -
My freedom, and the freedom of this nation - Being dangerously threatened by absurdly faulty data being interpreted by absurdly inept "computer modelers".
Posted on 4/9/20 at 9:10 am to Buckeye Jeaux
quote:
Sure you could. If you assumed COVID-19
Assuming COVID, which is fast becoming more difficult as test become more available in hospitals, requires justification. That justifaction would be documented in the medical record. It will consist of documenting symptoms consistent with COVID and, here's the important part, IT WILL REQUIRE DOCUMENTATION OF A NEGATIVE FLU LAB. Fever + Cough + Chest + R/O flu is the standard differential for COVID. No way around not offering this cheap and widely available test.
Incidentally, COVID patients are incredibly expensive to treat from the hospitals perspective because of the isolation required and the measures staff have to take. It's in our interest to know if its just the flu.
Posted on 4/9/20 at 9:12 am to longwayfromLA
quote:
IT WILL REQUIRE DOCUMENTATION OF A NEGATIVE FLU LAB.
bullshite. Do your homework
Posted on 4/9/20 at 9:13 am to Taxing Authority
quote:
You are replying to the following post:
Posted by Message
Taxing Authority
Medicare pays hospitals $13,000 per COVID patient - $39,000 if on ventilator
quote:
Medicare pays hospitals $13,000 per COVID patient - $39,000 if on ventilator.
If that's lump sum no one is making money on that Good grief.
Yep, typically a night in the ICU is going to run you $10k. So $40k for several weeks with covid is going to be a steal.
Nevermind the elective procedures that are being missed out on there, the real cash cow for a hospital.
This post was edited on 4/9/20 at 9:15 am
Posted on 4/9/20 at 9:13 am to the808bass
I have no clue about the financials of hospitals. I will tell you with 100% fact that the hospitals that are short staffed are paying a fortune in travel nursing, registry, etc. So if they are getting paid more, they are paying a ton in staffing to treat COVID patients.
Posted on 4/9/20 at 9:14 am to longwayfromLA
quote:Earlier this week we had a poster filming himself going into local hospitals to prove it’s all a hoax since they were not busy.
Or are you suggesting that we are admitting patients who don't need to be admitted?
Now it’s appears to be hoax because hospitals are trying to make money by over-diagnosing and over-treating it making it busier than it should.
So it’s a hoax because they’re not busy, but it’s also a hoax because they’re busy.
This post was edited on 4/9/20 at 9:15 am
Posted on 4/9/20 at 9:14 am to Buckeye Jeaux
13,000 is nothing. Sacred Heart hospital in Spokane, Wa. charged my insurance over $26,000 PER DAY for the four days I was in there. That didn't even include the surgery costs.
Posted on 4/9/20 at 9:15 am to the808bass
quote:We had a poor patient moved 3 times
So you think they’re going to put non-Covid patients on a Covid unit? With no testing? Lol
Came in with bilateral pnemonia, so assumed positive and sent to covid floor
Test came back negative so we sent him to normal ICU
His condition worsened, and docs said test must have been a false negative so they sent him back to covid floor and took 3 additional tests that all came back negative
So back to the non-covid icu
He is feeling better now. Just shows you can have bad pnemonia and not be covid. He was a 26 year old healthy btw But doctors arent just throwing non-covids on a covid floor like you said for a little reimbursement
Posted on 4/9/20 at 9:19 am to longwayfromLA
quote:
Successfully, systematically committing Medicare fraud is not as easy as you might think.
Maybe easier when the CDC and HHS are pimping it with a loosey-goosey definition of COVID-19?
Posted on 4/9/20 at 9:21 am to Buckeye Jeaux
So you think doctors are willing to put non covid patients on a covid floor and exposing them to infection for reimbursements the doctors themselves don’t benefit from?
Posted on 4/9/20 at 9:22 am to El Segundo Guy
quote:
I will tell you with 100% fact that the hospitals that are short staffed are paying a fortune in travel nursing, registry, etc. So if they are getting paid more, they are paying a ton in staffing to treat COVID patients.
Yeah. There’s just some idiots who see conspiracy everywhere.
Posted on 4/9/20 at 9:23 am to lsupride87
quote:
So you think
I’ve located the flaw.
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