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OT- Medical Billing in Georgia
Posted on 6/6/23 at 6:36 pm
Posted on 6/6/23 at 6:36 pm
Can a doctor's office send you a bill 10 months after the appointment?
4
Posted on 6/6/23 at 6:39 pm to deeprig9
Yes
Posted on 6/6/23 at 6:45 pm to deeprig9
Yes
Seems some insurance companies to not clear for patient bill till they have paid and many are taking longer and longer to pay to make money while they have it.
Seems some insurance companies to not clear for patient bill till they have paid and many are taking longer and longer to pay to make money while they have it.
Posted on 6/6/23 at 7:40 pm to meansonny
Kemp should fix this bullshite.
Give the provider 30 days to bill the ins company.
Ins company has 30 days to process it, or you can't do business in Georgia.
Provider has 30 days after that point to invoice the patient for any difference.
90 day cycle.
Seems reasonable, especially with all the hi-tech automation and whatnot.
10 fricking months? They do it because they are allowed to.
Stop allowing it. Problem solved.
Give the provider 30 days to bill the ins company.
Ins company has 30 days to process it, or you can't do business in Georgia.
Provider has 30 days after that point to invoice the patient for any difference.
90 day cycle.
Seems reasonable, especially with all the hi-tech automation and whatnot.
10 fricking months? They do it because they are allowed to.
Stop allowing it. Problem solved.
Posted on 6/6/23 at 7:49 pm to deeprig9
Was it for an ancillary service like anesthesia or something?
Posted on 6/6/23 at 7:54 pm to FinleyStreet
Video doctor, or whatever they call it. It was for my wife, not me. Not sure what the health issue was. It was through UNH, her ins co at the time. Supposed to be "free".
This post was edited on 6/6/23 at 7:58 pm
Posted on 6/6/23 at 8:00 pm to FinleyStreet
quote:
Was it for an ancillary service like anesthesia or something?
Have I told the story about the anesthesiologist that sent me two anesthesia bills for $700 each when my son had tubes put in his ears? She administered laughing gas one time, but billed twice because of two ears. I call my insurance company to report fraud, and the insurance company said no, that's not fraud, that's customary.
We're heading to socialized medicine, not because it's better healthcare, but because of of bullshite like this.
Posted on 6/6/23 at 8:03 pm to FinleyStreet
Here's another red flag. The invoice is for exactly $25.00.
It shows an insurance payment of something like $83.92 random number, but somehow the balance owed to the provider is exactly $25.00.
I think it's a fricking shakedown.
It shows an insurance payment of something like $83.92 random number, but somehow the balance owed to the provider is exactly $25.00.
I think it's a fricking shakedown.
Posted on 6/6/23 at 8:10 pm to deeprig9
Yea, you’re trying to ask Kemp to solve a MUCH larger problem in that post
That problem is all the negotiations and back and forth for the hundred millions of claims a month.
10 months does seem extreme for a tele visit. The $25 seems like it was finally resolved at a pre negotiated copay price. Not surprised insurance paid a random number to get the final to $25
That problem is all the negotiations and back and forth for the hundred millions of claims a month.
10 months does seem extreme for a tele visit. The $25 seems like it was finally resolved at a pre negotiated copay price. Not surprised insurance paid a random number to get the final to $25
Posted on 6/6/23 at 8:34 pm to deeprig9
Telehealth. Yeah 10 month delay is pretty unusual.
As far as the anesthesia, I suspect a CRNA performed the actual anesthesia but was supervised by an MD. They basically split the total bill in half for each clinician and then send you two separate bills that make up the total.
As far as the anesthesia, I suspect a CRNA performed the actual anesthesia but was supervised by an MD. They basically split the total bill in half for each clinician and then send you two separate bills that make up the total.
Posted on 6/6/23 at 9:12 pm to FinleyStreet
quote:
As far as the anesthesia, I suspect a CRNA performed the actual anesthesia but was supervised by an MD. They basically split the total bill in half for each clinician and then send you two separate bills that make up the total.
Negative. It was a small ENT clinic in Athens. I met the anethesiologist and watched her start the laughing gas until they rolled him out back for the actual procedure. The bill from the ENT was completely separate from the aneth. Two aneth bills. One aneth procedure. Because two ears. My ins co confirmed this is regular practice. bullshite.
Imagine if you get a hernia surgery, and while they are in there in your guts, they see something else and take that out. OK, I can see the upcharge from the surgeon. But for the aneth to double charge because it was two procedures even though they only did one aneth procedure, explain why that isn't bullshite.
Posted on 6/6/23 at 9:42 pm to deeprig9
Yeah that sounds weird and wrong and find it hard to believe it's standard practice. Maybe check with the OIG or something.
Posted on 6/6/23 at 9:53 pm to FinleyStreet
quote:
Yeah that sounds weird and wrong and find it hard to believe it's standard practice. Maybe check with the OIG or something.
I filed a complaint with the state about it, attached all kinds of documentation, never heard shite else about it. It was about 6 years ago.
ETA- also, I never paid it. Still isn't on my credit report. Shakedown. I think these fricking corporate predators will send out random invoices to see who is sucker enough to pay it.
This post was edited on 6/6/23 at 9:56 pm
Posted on 6/6/23 at 10:34 pm to deeprig9
Also, I forgot to mention, the ENT only charged $350 for both ears. The actual doctor who performed the procedures.
And there was a $30,000 facility fee... $15,000 for a room, but because it was two ears, it was $30k.
Socialized medicine is coming because nobody will fix this shite.
And there was a $30,000 facility fee... $15,000 for a room, but because it was two ears, it was $30k.
Socialized medicine is coming because nobody will fix this shite.
Posted on 6/6/23 at 11:27 pm to deeprig9
quote:
Socialized medicine is coming because nobody will fix this shite.
This is working the way it was intended to work, health care shouldn’t be treated as a for profit system. Until America had a proper public healthcare system (Obamacare is a GOP and Democratic establishment gutted joke) we will keep getting this shite. People relying on having jobs to pay for healthcare assuming your job even offers insurance and assuming it’s a good plan after all of that.
Posted on 6/6/23 at 11:35 pm to dawgfan24348
I've said it from day one... Obamacare was designed to fail. It is a designed stepping stone to socialized medicine.
Republicans had two full years with control of the house, the senate, and the executive branch. And a conservative lean in the supreme court.
Nothing was done.
Literally nothing.
Can't blame it on Obama at this point.
But on that same token, Dems had control of the senate, the house, and the executive branch for two years and also nothing happened to fix the shite show.
It's almost like nobody wants it to get fixed. Basic fixes, not major overhauls, just basic shite. Simple shite.
I know you think Trump is a nazi and all that, but do you kinda see how people are drawn to an outsider like him?
Republicans had two full years with control of the house, the senate, and the executive branch. And a conservative lean in the supreme court.
Nothing was done.
Literally nothing.
Can't blame it on Obama at this point.
But on that same token, Dems had control of the senate, the house, and the executive branch for two years and also nothing happened to fix the shite show.
It's almost like nobody wants it to get fixed. Basic fixes, not major overhauls, just basic shite. Simple shite.
I know you think Trump is a nazi and all that, but do you kinda see how people are drawn to an outsider like him?
Posted on 6/6/23 at 11:43 pm to deeprig9
quote:
almost like nobody wants it to get fixed.
Well yeah, the medical insurance and pharmaceutical lobbyists will pay off the politicians to keep the status quo because the current system makes them billions. There’s no need for a middle man between a person and their doctor.
quote:
know you think Trump is a nazi
I never claimed he was a NAZI, I mean I don’t like him but claiming he’s a NAZI is just a dumb argument made by people who lack actual substantive arguments.
quote:
how people are drawn to an outsider like him?
I’ve said plenty of times that his campaign in 2016 was near perfection aside from some crazy shite he said. Which is why I was confused as to why he abandoned that almost completely in 2020 which was what partially caused him to lose
Posted on 6/7/23 at 7:12 am to deeprig9
quote:
Also, I forgot to mention, the ENT only charged $350 for both ears. The actual doctor who performed the procedures.
And there was a $30,000 facility fee... $15,000 for a room, but because it was two ears, it was $30k.
Damn I wish I could take a look at all that because that is crazy.
Second thought: there's a billing and coding subreddit. Maybe ask them.
Posted on 6/7/23 at 7:19 am to dawgfan24348
quote:
health care shouldn’t be treated as a for profit system
Ugggh
You don't think the government is a for profit scam?
Even your local government does it.
When you pay your school taxes, the tax assessors office withholds 2% as a pass through middle man.
What do they actively do to earn that?
Collect what people are legally required to pay.
Insurance companies are actively managing health insurance for a target of about 3% with a chance that they lose money.
Get your head out of the sand. 2%. 3%.
The government isn't cheaper because of inefficiencies.
This post was edited on 6/7/23 at 9:51 am
Posted on 6/7/23 at 9:12 am to deeprig9
quote:
It is a designed stepping stone to socialized medicine.
If you didn't realize, all policies/laws are pushed in that direction over time.
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