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#51
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![]() the upcoding is all just part of the game. it's a shitty game, but it's the game.
they get squeezed on what they get paid for an office visit, then they figure great, they will bill for some questions that were asked or tiny things they did while looking at you. there are whole seminars and consultancies built around this. the lack of transparency in pricing is a big problem. I don't want to ask my doc before everything I ask/they ask "will this answer cost me more money?" But maybe I shoud and we all should. |
#52
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![]() Or we could get around all of these ridiculous shenanigans and just pay directly for primary care and other things that are routine and predictable. Primary care is actually very cheap if you cut out all of the extra admin of insurance. It's almost as if insurance used to only cover catastrophic, unlikely, random events for a good reason.
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#53
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![]() Quote:
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the president replied, "I don't care. I believe Putin." |
#54
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![]() Here is a fun upcode that I just witnessed.
The fee schedule for Oxygen states $.50 per unit. Well, the "unit" was supposed to be lbs. The provider figured out if they used PSI they'd be reimbursed more $. Been going on for about 9 months and a total of $320,000 of additional payments from the insurance company. I fixed the fee schedule to apply a different factor.
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#55
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![]() Quote:
__________________
the president replied, "I don't care. I believe Putin." |
#56
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#57
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#59
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#60
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![]() Quote:
Seriously, I can’t find some of my physicians either. Maybe the database isn’t 100%, or maybe that implies your doc didn’t receive any money, although I seem to recall I did find some docs with $0 reported. |
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