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Strategies & Market Trends : The Residential Real Estate Crash Index
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To: i-node who wrote (199733)5/2/2009 9:15:35 PM
From: Secret_Agent_ManRead Replies (2) of 306849
 
I object, and I deal with both medicare and medicaid as well as bcbs uhc humana
etc. if claims are coded correctly payment is within 2 weeks electronically for medicare and medicaid in missouri with the insurers games are played on a weekly basis and they have 45 days before they have to pay and they will take it- right now bcbs has farmed out their claims processing to perot systems here in missouri- claims submitted near the end of the month and quarter or that are due to be paid around those times always get delayed, this has been the pattern for the past 8 yrs or so and about 3 yrs ago all went to payment of claims at a medicare rate for primary care which sux btw and as a physician there is little bargaining power to be a preferred provider- but i digress

what was the question? oh yeah, the biggest costs is not in the systems but in administrative costs, i.e. bean counters figuring out how not to pay claims to increase bonus payments to themselves- does that sound familiar?

I'm all for a single payor where claims are submitted and paid and cut out the middlemen syphoning off profits and bonuses for themselves based on how many claims they dont pay- I could go on really but i think you fell me on this one-
and no I dont want socialized medicine per se- just cut off the leeches
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