Posted on 01/26/2014 5:07:06 AM PST by Red in Blue PA
The trend toward complexity in medical coding is all too real. The response that you suggest has been adopted by some providers but, by definition, cannot be embraced by more than a few or the health care system starts to implode. So far, the trend under Obamacare is of rising doctor compensation, probably because doctors are grabbing as much gold while they still can.
[ Twenty some odd years ago my Mother worked at the non-profit county hospital here in my small Texas hometown. It was sold to Hospital Corporation of America (HCA) and at midnight when the transfer of ownership took hold, the price of a bottle of sterilized water went from $2.30 to $23.75. ]
Heck Bendy i think that Hospitals should be able to treat illegals and then to bill their country of origin at 5X-10X their going rate and keep the prices low for us citizens!!!
But the government scheming to keep these same people out of the hospital is perfectly justifiable.
Our government is so F’d up.
In California they made big changes to the billing codes about 7-10 years ago. It was impossible to tell what the correct codes should be in some instances. Billing agents had to call the state to find out the right codes. And when they called the state, the state was vague and nonresponsive.
It’s all a big game out there. The government doesn’t like spending money on health care, and when it has a lock on it, the stuff is really going to hit the fan.
The game is all about entrapment of providers. What I’m doing now is recording all conversations that my billing staff has with insurance companies, and screen saving the websites that we are directed to by the insurance representatives. My billing staff always asks whether the individual on the line is a qualified representative of the company. BTW, we have one party consent for recording in WI. If we get into a dispute, the recordings are transcribed by a certified transcriber.
Good for you. I think that’s prudent.
Same thing happened with college tuition, they assumed student loans and taxpayers were paying for it.
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