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Politics : Formerly About Advanced Micro Devices -- Ignore unavailable to you. Want to Upgrade?

To: combjelly who wrote (381007)	4/28/2008 3:38:53 PM
From: i-node	Respond to of 1578299

An estimated 30% of health care costs is due to billing. And that number has been going up. Dealing with hundreds of insurance companies, all with different billing requirements, procedures and time lines is an expensive nightmare. Wrong. The biggest problem isn't dealing with 2500 insurance companies. Commercial insurances, for the most part, will pay or deny with adequate explanation a claim first time around. Medicare, Medicaid, other government payers, half the time, cannot even tell you why a claim is denied. Here is a Medicare rejection message a customer of mine received today: 2000 A HL B/PY-TO PROV 000000000 M152 2010AANM1 2010AA REF02 M379 INVALID VALUE BATCH Now, I know what these messages mean. But I don't have one customer who can makes sense of them. Even when talking with Medicare EDI services, the representative there could not tell them what is wrong with this claim. THIS is what physicians offices waste time on. NOT having to deal with commercial insurance.

To: combjelly who wrote (381007)	4/28/2008 3:40:59 PM
From: Tenchusatsu	Read Replies (1) \| Respond to of 1578299

CJ, > Another big chunk is due to malpractice insurance. Note that if there is universal coverage, then the biggest part of malpractice awards goes away. Because the cost of long term care is no longer a factor and that can easily run into millions. Universal coverage doesn't change the fact that someone needs to pay for long-term care. Nor will it eliminate awards based on punitive damages. About the only cost that will be eliminated is whatever profits malpractice insurance providers make. And that will easily be dwarfed by the increase in demand for long-term care because the costs are effectively "hidden." Tenchusatsu