Yes, that happened. It was also not a hypothetical scenario where all other things were kept equal and only facility fees went up. There were many other factors at play. Surely, you’re aware of this.
Lol exactly dr melk, exactly.
Good talk, buddy. It’s almost a cliche that doctors don’t know the first thing about the business side of medicine. I guess I can see how that came about. It obvious that the economics of medicine are a total mystery to you. That’s not a bad thing, I guess, Better to spend time focusing on the stuff that helps patients the most.
I’m sure random internet guy is way better, despite saying garbage like you need to hire more ER doctors to increase volume. While I won’t claim to be some expert in health care economics, I’m still better than you.
Facility fees aren’t connected to ER salaries. Done. Carry on.
But random could be better, right?
I didn’t say they needed to. I even clarified that for you. Haven’t you learned to read yet?
Nah, man. But you’re welcome to keep thinking that.
Oh yeah, there is absolutely no link between the two at all. Not in any cases. Not ever. No matter how tenuous. That sounds way more plausible! There is a whole post that lays out the connection for you if you would like to read it. There are even other connections that I didn’t get into. Thinking there is zero connection is incredibly naive. Which I guess is expected from someone as inexperienced as you are.
wrong about what? you wouldn’t benefit if you could bill a patient you didn’t see??? are you actually reading the same thread as me? I feel like you may be in a parallel universe reading a similar but slightly different thread and we’re just seeing some of each other’s posts.
Ikes is busy, so I’ll take this for him.
What’s wrong is that he is doctor ikes and he says so. Done.
1 Like
it literally drew attention specifically to the facility fee
[quote], instead the author can’t differentiate between a np and a nurse, then ludicrously states that the doctor didn’t show up when it was a specialist coming down for a non emergent call.
[/quote]
“a specialist” IS “the doctor” and that doctor literally didn’t show up!
1 Like
No, the patient left.
It’s pure gaslighting trolling to try to pretend like this was your own point. Thanks though, I’d also benefit if leprechauns gave me money
You should call your insurance company and make sure they got the claim and see what the allowable amount is before you pay it. If it turns out that’s the amount you owe, I’d shoot my shot at making and end run around the system and tell the provider you’re below your deductible, so in terms of what it’s costing you out of pocket, you may as well be uninsured, and ask them if they can bill you that rate until you hit the deductible. It’s a hail mary, but it’s probably a 5-10 minute phone call to save you $85 every few weeks, so it doesn’t have to have a high rate of success to have a good EV.
I’m sure this varies somewhat by provider, insurance company, and state regulations, but for me the billing process for any medical treatment in network is:
- Provider sends the claim to my insurance company.
- Insurance company sends me a statement of what was billed, what was allowable, what they covered, and what I owe.
- Provider sends me a bill.
- I make sure the amount they’re billing me matches what my insurance company says I owe, and then I pay.
The amount they bill is always significantly higher than what was allowable. For an ER trip it went from like $6,700 to $545, and my deductible is $7,000 so that was all coming out of my pocket if the bill stood.
For regular office visits it’s usually more like $120ish to $80ish. The only stuff that stays the same is like generic prescriptions or very cheap in-office tests.
The fact that this discussion is a thing is an indictment of the entire US healthcare system.
Show this to anybody from a country with universal healthcare and the response will begin with confusion and end with, “What the fuck is wrong with your country and its people?”
9 Likes
Except we don’t need to ask that question because the answers are itf.
what
yeah, when I said you had an interest in being able to bill patients without seeing them I wasn’t saying you would benefit by billing patients without seeing them
ok
the gaslighting is you trying to pretend this was my MAIN point when it was a total parenthetical just so you could avoid talking about how absolutely dumb your comments about the actual article were
Ok, even using this ikesian semantics (which I agree, it’s important to be aware of these sorts of rhetorical shell games) we’re still left with
- patient paid for the provider they did see
- lol huge bill for 20x the provider fee just for walking in the door
- ikes thinks it’s complete bullshit to notice any of this
also ikes is mad that people understand that framing things can affect how other people react and people should just reflexively kiss his ass and never question how they do things
2 Likes
This is a fantasy built upon near decade old butthurt and completely divorced from what I actually said. It’s also been explicitly corrected by me two times already, so I don’t see a third working out too well but whatever.
My complaints about the article were:
- Acting like the specialist no showed when in reality they had taken a perfectly reasonable amount of time
- Acting like a provider wasn’t seen
At no point do I say complaining about anything else is unreasonable. In fact I repeatedly say the opposite. The article, as surf points out, makes it so that laypeople would assume that this person never saw a medical provider. They did.
-
“the peons should not be permitted to have an opinion about how slow we are, our time matters and theirs doesn’t”
-
the article, as has been mentioned 7 billion times in this thread already, did note that the patient saw a NP and was billed for that NP. the patient was not seen by the doctor who didn’t show up, that doesn’t seem in dispute but for some reason you think it’s unfair to mention this fact. yes people routinely wait longer than these people waited, I guess nobody is allowed to have a different valuation of their time from what Mighty Doctor Ikes has decreed is the proper valuation of mere mortals’ time (i.e. zero).
the whole problem here is that ikes is completely oblivious to the fact that people are fed up with doctors being aloof shitbags. Wasting people’s time and charging them outrageous amounts of money are how he operates, it’s completely normal and anyone pointing out that the system works this way must be some sort of propaganda artist out to … make people’s lives better? Clearly an outside agitator!
3 Likes
You do realize the specialist physician was almost certainly just busy and likely fielding multiple other consults on top of OR work right? Like there’s zero chance they were drinking bourbon, playing golf and saying fuck this kid they can wait.
And fyi - it simply isn’t possible to get seen by a specialist in person in less than an hour for a nonemergent condition anywhere.
And the hospital does the outrageous charging here. The provider here charged 40 bucks