Network Charge V. No Network Charge
Last time I posted I had the old type Indemnity policy which has no network and paid the usual and customary at the 90th Percentile. I am glad to report positive news since then. As you recall I would...
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Well, all this seems strange to me. Last year every time I went to a doctor or hospital the insurance is supposed to pay 100% of the bill. I mean I pay my insurance/ employer $1400 each month for that...
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Please tell us the specific law that sets the fees doctors are allowed to charge in the state of Maryland.Sharon
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Well, Sharon, I poked around the statues for a while but didn't find anything. I did find two things that amused me. First, they seem to jump on every "medical crisis" bandwagon from prostate cancer...
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www.hscrc.state.md.us/The Maryland Health Services Cost Review Commission. From what I read and from what they have done, it sure looks like they set prices. Maybe the rest here know different. I...
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Quote:Step back and view what the system would be like with out any discounts. Um, we'd all get raises?syber, I'm not sure you understand the purpose of this board.This board is for career...
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Several months ago I came to this board to try and understand the billing process from the billers point of view. Knowing a little about the charges which are excepted I ran into what I believed was a...
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where I said Quote:most of us are not in a position to set policy on anything in the offices that employ us or the clients that contract with us The policies that you ascribe to the evil "billing...
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Evil Billing agent. Not at all, I hold the doctor primarily responsible for the practices in his/her office. Don't be so up tight. you have a job to do and you do it. And I think you did a great job...
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People do not have to live in fear of being charged with fraud. Here is the testimony before congress from the office of inspector general. It pretty much covers the fraud issue. Make a copy of this...
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One thing I have always found is that patients do not understand a doctor's charges. One reason why is because the doctor and their staff do not educate the patient about the financial aspect of the...
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Steve, hats off to you. You present the expense side very well. It is accurate that "all" those expenses are experienced in most practice. And that the costs are exceedingly high. The insurance side...
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Doctors don't like discounts either and, based on my experience, many insurance companies will not negotiate a decent reimbursement rate with the doctor. They tell the provider that what they pay is...
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I can remember a time when the doctor billed the patient and the patient was totally responsible for the bill. The doctors office or hospital never contacted the insurance. The patient paid what ever...
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I go back to when doctors took pies or a chicken dinner as payment and there was no insurance. Doctors made housecalls and the emergency room was for real emergencies. My uncle was my family doctor...
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"I go back to when doctors took pies or a chicken dinner as payment and there was no insurance." I'd say your older then most over 100 years old. Endicott Johnson corporation-The firm was a pioneer in...
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Quote:Some doctors during this period would accept assignment meaning the would accept what the insurance paid. I always thought that "accepting assignment" meant that the check would go to the...
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Quote:"I go back to when doctors took pies or a chicken dinner as payment and there was no insurance." I'd say your older then most over 100 years old. Not necessarily true......Believe it or not,...
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That's cool.And no, you're not mistaken. These days "assignment" means who gets the check.
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Thank Goodness!!I thought I was losing my mind!
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Quote:I always thought that "accepting assignment" meant that the check would go to the provider instead of the insured. Accepting what the insurance pays would indicate that the provider is...
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