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by jeffbee
1606 days ago
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In my experience they are just outright lying and believe that patients will pay anything they bill. When my first child was born I received a monumental bill from the anesthesiologist, with the slight problem that no anesthesia was used and the person in question was not in attendance. Later, after I'd filed the consumer protection complaint with the office of the state attorney general and a formal complaint to the medical board of California it came to light that this person was golfing at the time, in another country. So it was just fraud. The problem with this system is they act like everything is fine after they drop their claim, but what needs to happen is people going to prison. This is large-scale white collar fraud and it should be getting much more media attention than some guys stealing shampoo at the Walgreens. |
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The people getting service often are not ones actually paying (insurance pays, medicaid, medi-Cal etc).
The whole billing thing can be pretty darn maddening for providers as well.
There is absolutely no public pricing.
One thing I couldn't stand. A bunch of policians want to talk about how much money various govt programs save. So they do things like lower of cost or contract (penalizes you if you deliver to much service for same price) or some % of your charge sheet (ie, 50%). If 90% of your patient load is going through these programs, you basically have to set your cash pay charge to 2x it's normal cost, so that all these players can then report "savings".
The reality is there should be a cash pay DISCOUNT, you pay 80% if you pay in cash. But all these programs will not pay more than cash pay even though the overhead of dealing with them is massive. Ie, probably should pay 110% of a reasonable rate.