> >> This is pure and true market failure: nobody is controlling doctor >> bills and those who try are demonized.
I don't know about that... I am currently working with a client that does bill review. When you look at an EOB you see a code for each procedure or item that code is assigned by the state and has a maximum amount that can be billed. What my client does is look at what is being billed and compare it to the States max allowed (there are modifiers involved too). If it is more it is adjusted then the Networks discount is applied to it reducing the bill even more. Rick -----Original Message----- From: Dana [mailto:[email protected]] Sent: Monday, June 15, 2009 11:08 AM To: cf-community Subject: Re: PSA: So Much Misinformation political correctness /me flees On Mon, Jun 15, 2009 at 9:43 AM, Scott Stroz<[email protected]> wrote: > > Dude..I gotta know, why you hatin' on doctors? > > On Mon, Jun 15, 2009 at 10:25 AM, Gruss Gott <[email protected]> wrote: > >> >> As the President prepares to address the AMA - who opposes his >> national healthcare plan - I've never heard more disinformation >> including during the last elections. >> >> So as a public service: >> >> (1.) Doctors charge bills you can't afford so you buy insurance. >> >> (2.) Doctors charge bills insurance can't afford so insurance denies >> coverage and tries to control doctor bill size. You get mad and ask >> the government to pay the bill. >> >> (3.) Doctors charge bills the government can't afford so the >> government charges your kids and grandkids (Medicare is underfunded by >> ~$30 Billion compared to private insurance which is unfunded by $0.) >> >> This is pure and true market failure: nobody is controlling doctor >> bills and those who try are demonized. >> >> And now those people who are shifting the bills to your kids are >> claiming they want to "add competition" by "giving you a choice". >> Gee, lessee, I can pay premiums to a plan that's 100% funded or I can >> pay premiums to a plan that's not ... hmmm ... >> >> That's like saying US companies - constrained by environmental and >> labor laws - should "compete" with Chinese companies who do not. >> >> What I do agree with is that you have to: >> >> (1.) Cover everyone, but only so that you can get everyone's costs "in the >> boat" >> >> (2.) Ration care or lower costs or both. There's no way around it: >> either doctors have to lower their bills (and pay) or we need to >> ration care. It's budget 101. >> >> (3.) Start incenting all constituents to lower costs and only >> capitalism does that: doctors need to lower bills, adminstrators needs >> to streamline, patients need to get healthier. >> >> or something. >> >> > > ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~| Want to reach the ColdFusion community with something they want? Let them know on the House of Fusion mailing lists Archive: http://www.houseoffusion.com/groups/cf-community/message.cfm/messageid:298445 Subscription: http://www.houseoffusion.com/groups/cf-community/subscribe.cfm Unsubscribe: http://www.houseoffusion.com/cf_lists/unsubscribe.cfm?user=11502.10531.5
