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> “There’s a burden on both sides,” said Callas. “But health-care providers get caught in the middle.” Caught in the middle my arse. This is bigly shirking the
by pishpash 8y ago
> “There’s a burden on both sides,” said Callas. “But health-care providers get caught in the middle.”
Caught in the middle my arse. This is bigly shirking the responsibility and falsely playing the victim. Healthcare providers are extremely well versed in the billing rules and are playing dumb when they pretend not to know. There are literally manuals and seminars on how to bill (i.e. "code") one service as several, or code to a more profitable option when several options are possible, while hiding behind a veneer of respectable neutrality. Multiple large providers have been sued for essentially insurance fraud and go back to doing exactly the same.
It's a big business driven by quarterly numbers and providers don't hire expensive staff to lose at gaming the system. Do you as a patient have a full-time staff to go through billing arcana for you all day? It's impossible to even find a patient advocate. Then on top of that larger providers like hospitals aggressively sell bills to collections agencies on any dispute, abusing the power over the patient's credit as their first resort at price gouging. Thank god for the CFPB and the 2015 credit reporting rule change [1]. The day of reckoning is coming and doctors need a long look in the mirror for why they are in this line of work.
[1] https://ag.ny.gov/press-release/ag-schneiderman-announces-groundbreaking-consumer-protection-settlement-three-national https://ag.ny.gov/press-release/ag-schneiderman-announces-gr...