you can just look at your own bills and see what they insurance pays
vs what is billed.

On Mon, Jun 15, 2009 at 10:19 AM, Rick<[email protected]> wrote:
>
>> >> 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.
>>>
>>>
>>
>>
>
>
>
> 

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