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>Most hospital claims and bills are actually coded around day rates and DRGs, so even if the aspirin shows up as a line item it doesn't actually impact the pati
by nobody9999 2mo ago
>Most hospital claims and bills are actually coded around day rates and DRGs, so even if the aspirin shows up as a line item it doesn't actually impact the patient's financial responsibility or the amount allowed by their health plan. (I'm not trying to defend such a confusing system, just explaining how it works.)
Yep. Hospital "bills" are a fiction. On one occasion I was presented with an "Explanation of Benefits" for a hospital stay where I was "charged" for being in two hospital rooms at the same time. As if that weren't enough I was also "charged" with having a "Pap smear"[0], even though I don't have a cervix.
I complained bitterly and after making a big stink was informed by the hospital my insurer that the items weren't actually "billed". Rather, the insurance company paid $1500/day regardless of the treatment provided.
It's disgusting!
- nobody9999 2mo agoJust in case anyone didn't get the reference (I forgot to include the link -- mea culpa). A Pap smear[0] is a diagnostic test to detect (pre)cancerous cells on one's cervix[1]. [0] https://en.wikipedia.org/wiki/Pap_test https://en.wikipedia.org/wiki/Pap_test [1] https://en.wikipedia.org/wiki/Cervix https://en.wikipedia.org/wiki/Cervix