Results 101 to 125 of 133
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09-11-2019, 11:00 AM #101
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09-11-2019, 11:24 AM #102
Probably a good chunk. My dad ran single doctor (just him) private oncology practice for 40 years and had 3 full-time staff who did nothing but deal with insurance companies and billing. That type of practice would be almost impossible nowadays because of the overhead. They hated dealing with insurance companies as much as the patients did. Figuring out correct codes for billing, then codes change. Or certain things have multiple codes based on whether it was a pre-existing condition(not usually covered), a condition that was related to the chemo treatment(sometimes covered), etc. And they were usually trying to get as much covered for the patient as possible because it was in the doctors best interest as well. All the doctors I knew would rather have guaranteed money from the insurance company (even if it was less than the true cost to the doctors office) than rely on debt-collectors to track down money from people who usually didn't have it in the first place.
All the doctors in my family will readily admit the current system is fucked in many ways"They don't think it be like it is, but it do."
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09-11-2019, 11:43 AM #103
Currently dealing with in-network vs out-network PT. My new PT has been told by insurance that they are in-network and out-network during the same week by different people at the insurance. I was told by my insurance that they are in-network. My first appt is next week. I’m anticipating a headache dealing with how this is handled by insurance.
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09-11-2019, 01:06 PM #104
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09-11-2019, 01:11 PM #105Banned
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09-11-2019, 02:13 PM #106
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06-11-2021, 07:26 AM #107
Thread bump time!
RE: United Healthcare
Biggest health insurer plans to deny ER bills if it doubts you had an emergency
https://arstechnica.com/science/2021...-an-emergency/
W.... T.... F....???!!! Those scumbags at United have always been freaking awful, but this one takes the cake. They've set a new low. Sad that when health insurance company after company went under or got acquired post-ACA, and after the dust settled, we were basically left with BCBS (teh suckage) and United (even suckier yet). Biden administration seriously needs to bring the hammer down on United for this new proposal of theirs. This CAN'T be legal, can it? I mean, it could be since they've probably had teams of lawyers examine every microscopic detail of the law before allowing this, but it does seem to cut directly against some of the intent of the ACA, which I THOUGHT was meant to prevent some of this nonsense, was it not?
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06-11-2021, 07:33 AM #108
There is a solution..... M4A..... just sayin.
But that would be socialismI have been in this State for 30 years and I am willing to admit that I am part of the problem.
"Happiest years of my life were earning < $8.00 and hour, collecting unemployment every spring and fall, no car, no debt and no responsibilities. 1984-1990 Park City UT"
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06-11-2021, 07:51 AM #109
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06-11-2021, 07:59 AM #110
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06-11-2021, 08:15 AM #111
Drastic oversimplification by an internet know nothing: M4A will drive the private practices out of business unless reimbursement rates are re-assesed and adjusted upwards. The ones that remain will go FFS. The large hospitals will get suckier and suckier as they consume everything. I am all for socialized medicine, but it needs the willpower to adequately fund it. So it can compete with FFS for providers, among other things. I can't see Merica ever outlawing FFS.
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06-11-2021, 08:47 AM #112
Yo, not to poopoo the M4A et al discussion, since that IS worth revisiting, but I'd like to leave that for the other healthcare thread. I wanna talk specifically about the douchery that is this United Healthcare proposal in question. Time for some C-Suite executives to get some swift kicks to the nuts. Maybe a little light water-boarding for good measure. Can we bring back the good old fashioned wooden pillory so we can toss rotten tomatoes and cabbages at them?
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06-11-2021, 09:15 AM #113Registered User
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you walk in, they ask for your health # and date of birth ( very important ) yer in and yer always covered
but we don't have the option to chose the HC we can't afford, its one size fits all just like the green hats with the red star on the front were one size eh
edit: didtnt realize how old this thread isLee Lau - xxx-er is the laziest Asian canuck I know
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06-11-2021, 09:36 AM #114
And the vast vast majority of doctors in the commie canadian health care system are paid fee for service - billed directly to the government.
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06-11-2021, 09:46 AM #115
So you guys are saying "NO" to doing this to the United Healthcare CEO and his ilk?
Asshole makes close to $20MM every year FWIW.
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06-11-2021, 09:48 AM #116
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06-11-2021, 10:05 AM #117
Why do you hate capitalism? Why do these executives owe you anything? They are beholden to maximize profits, and if you have to be bankrupt because you thought you were having a heart attack but weren’t, so be it. They have budgets to meet and jets to buy. You should have done more Google research on your diagnosis before you went to the ER. Take some personal responsibility.
If this is such a big deal people can switch health insurance companies. And if their current employer only offers healthcare through UHC they can just switch jobs. Quit blaming others for YOUR decisions and take some personal responsibility.
You really expect millionaires and billionaires to pay more than 1-5% in taxes so you can have health care? What are you, a socialist?
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06-11-2021, 10:21 AM #118Registered User
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According to ski bro MD the gov gives them each a billing number and they just bill directly. Mostly its all the same procedures/ codes so they know them off the top of their head, they know what is allowed cuz they are pretty smart. Ever once in a while bro would say he had to do a days office work instead of ski so I think he was just submitting a months work all at once.
I was on the OR table twice in the last year for a scope and an ACL there were no bills and no insurance companies, but you might wait longer cuz of availabilty, I met a woman who kacked her ACL after me but got fixed before me cuz she was way more facked up/ couldnt move the knee at all and i'm ok with that
OTOH Dental is NOT covered in the communist system up here so yesterday the dentist sez I need a crown, they will email off a quote to the insurance co to be approved ... very differentLee Lau - xxx-er is the laziest Asian canuck I know
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06-11-2021, 10:30 AM #119
no one will have their lives upended and their finances bankrupted due to a dental issue - if they did it would be something that turned medical and then it would be all covered under a communist system
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06-11-2021, 10:39 AM #120Registered User
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well exactly ^^
altho drugs arent covered which could be life threateningLee Lau - xxx-er is the laziest Asian canuck I know
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06-11-2021, 10:41 AM #121
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06-11-2021, 10:46 AM #122
It's still very short-sighted. Poor dental health is causally related to a number of expensive systemic diseases. Dental care is extremely cost-effective preventative medicine.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC88948/
https://www.dentalhealth.org/news/hi...st-three-times
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06-11-2021, 10:51 AM #123
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06-11-2021, 10:51 AM #124
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06-11-2021, 10:52 AM #125
I am assuming that this move by UHC will be litigated to death by any number of entities...
Forum Cross Pollinator, gratuitously strident
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