As employees with ins owned by our employer we still have to battle with insurers over the ridiculous stopgaps they put in place to make absolutely sure that we qualify for payment of services rendered. But I can tell you this, hospitals and doctors get blamed for a lot that’s out of our control.end

ends up as bad debt that has to be offloaded to a 3rd party because we can’t afford to keep the bad debt on our books for more than a year. After it gets transferred to creditors it takes away our control of working with patients on a pmt plan. (8 of 9)

To care for. We will treat everyone, but we have to bill for it as well and what most patients don’t understand is that if you work with the billing dept to get a reasonable pmt plan with a significant reduction in how much you owe we will usually accept what we can get. Ignoring the bill (7 of 9)

Profits on our part are used to increase the services we can provide, new facilities, upgrades in tech, coverage for services that we lose money on like the burn units and our rural hospitals. We are at the mercy of the insurance co that undercuts us and the uninsured that we are obligated (6 of 9)

And to get actual policies and guarantees of payments is almost impossible and they will use any error as an excuse to deny or delay payment. Any payments are just a minuscule portion of what we actually charge, the rest is written off as part of our contract to accept the patient’s ins (5 of 9)

OP services are paid by the procedures and are subject to medical necessity polices that Medicare publishes on their websites. Any Medicare replacement plans and most government payers like the VA, Medicaid etc follow the same rules. Commercial payers are not subject to these rules (4 of 9)

Any patients that have major comorbities (MCC) and complications (CC) and in situations where procedures performed can increase the base DRG payment, but we have to be very careful in how we list the diagnosis codes in correct order, because they can audit the chart and reject our coding (3 of 9)

Medicare is the only payer that is upfront with what they will pay us for the services and it’s usually a bundled price based on the main services billed. IP stays are paid by a DRG (diagnosis related group) meaning that the primary dx drives the payment (2 of 9)

Elon wants to get credit for demanding an answer and then taking the win when Pete provides it. Making himself seem legitimate, while spreading falsehoods elsewhere.

Hi Lynne, can you add me to the list?