SI
SI
discoversearch

We've detected that you're using an ad content blocking browser plug-in or feature. Ads provide a critical source of revenue to the continued operation of Silicon Investor.  We ask that you disable ad blocking while on Silicon Investor in the best interests of our community.  If you are not using an ad blocker but are still receiving this message, make sure your browser's tracking protection is set to the 'standard' level.
Politics : Arnold for Governor! -- Ignore unavailable to you. Want to Upgrade?


To: 10K a day who wrote (608)10/10/2003 6:50:59 PM
From: Dr. Voodoo  Read Replies (1) | Respond to of 773
 
Dude, I get your point, but my insurance company paid the bills within 60 days of the doc billing it(who billed them about a month and half after the services were provided.) I have the invoices for that too, that show what was paid and when.

I can relate if you're doing a lot of workers comp, because I saw a lot of guys walking out of the office with less than my care because it was a workers comp case, but I don't think it's fair that you overbill the good insurance to make up for the workers comp claims.

I also said that this was the case with MOST of the places I went to, I did not say ALL. You may not be abusing the system, but I'm telling you it happens, that's what I paid, and that's why it takes you 9 months to get a damn payroll check.

I'd love to tell you about the E.N.T. I went to the other day who had his own laser surgery suite who spent 3 hours of face to face with me. You're gonna tell me you do that with your workers comp patients? No freaking way.

My whole point of this rant is that there is a reason people are complaining, and it's because parts of the system are broken and the people who should be fixing it have a bottom line incentive to look the other way.



To: 10K a day who wrote (608)10/10/2003 7:41:38 PM
From: Dr. Voodoo  Respond to of 773
 
My therapist billed under the orthopedist. Aetna open choice ppo paid 100 percent in network up to 1500 bucks.I payed another 2 grand on top of that. If PT was deemed medically necessary there was NO LIMIT, and I know other guys who got the limit lifted. Nobody reduced the costs and I have the invoices. It was 2 years ago and I'm still fuming about it. The benefits have been trimmed a bit since then.

That same doctor treated workers comp patients for what workers comp would pay.

Those same services ($3500) would have been well under $1500 at UCLA. By the time I figured out all of this it was too late and not worth my time and cost to go to court over.

I said before, I don't have a problem with $100 office visits if that's the prevailing cost. I have a problem with running multiple payment schedules depending on who has what insurance and what they'll pay. It opens the system up for this kind of abuse, and thats a large chunk of why costs are rising. Especially when you start changing the amount of treatment you're allowed to provide.

Add to this, the fact that my last several trips to see specialists regarding surgery have resulted in me having to go get second and third opinions, and to me it's easy to see where the money