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Thinking of insurance in healthcare like normal insurance is not accurate. They are activly involved in setting coding practices and therefore prices. They are
by ttt3ts 3y ago
Thinking of insurance in healthcare like normal insurance is not accurate. They are activly involved in setting coding practices and therefore prices. They are entwined and in many ways ARE health care as far as billing is concerned.
(Currently studying for my CPC exam)
- barsonme 3y agoThe parent comment is lamenting this fact.
- lsmeducation 3y agoOne could argue that they are in complete control simply because the average patient can never pay the amount the provider bills. So the provider HAS to play ball with the insurer, because good luck getting joe blo American to foot the bill (it's impossible in most cases).
- ttt3ts 3y agoThis isn't quite true. Discounted cash price is often LESS than a given insurance pays. You can see this your self if you download price transparency data for your hospital (assuming they bothered to actually comply)