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To: St. Louis Conservative

How so?


3 posted on 08/14/2009 8:29:31 AM PDT by traderrob6
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To: traderrob6

Insurance companies don’t really ration. They have staff (usually RN’s) that approve or not - certain requests by doctors and hospitals. My sister works for Aenta and is a case manager RN. Hospital admits patient - she is sent case - reviews what is happening with the patient. Here’s an example: if the hospital requests an overnight stay for a sprained ankle when all that is really needed is an xray - crutches and an ace bandage - she would probably not approve the overnight stay unless the patient presented the need for constant attention for some negative reaction due to the injury like extremely elevated heart rate/BP. She’s told me herself, most of the requests are reasonable and she approves the majority of them. If they are blatently abusing the insurance company - those type of charges would not be approved.

The last thing we need are Obamacare Case Managers employed by the government telling us what they will approve.


26 posted on 08/14/2009 8:47:33 AM PDT by nagdt ("speak the truth but leave immediately afterward")
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