[tcb] Re: Denis' medical bills update.

  • From: "w.wood" <evil.scientist.boo@xxxxxxxxx>
  • To: tcb@xxxxxxxxxxxxx
  • Date: Wed, 8 Dec 2010 19:35:31 -0500

Most of health care is billing and coding and agreements, not patient care.
Every procedure has a code, Medicare creates the codes and the rest of the
industry pays based on the coding practices and those agreements.  Yes,
you're a sucker if you pay street prices for a medical procedure and it's
all unfortunately going into the Insurance companies back pockets.  I work
in DC, I'm there every week and I can't tell you how many lobbying groups
there are all around me.  In the one building I'm in, there's at least 4
however that are related to Medical Insurance, Social Security and Medicare.

See, when Dennis fell.  He needed:

6x code 324 - Daily Hospital ICU
6x code 666 - Daily Sponge baths
6x code 621 - Daily Meal provided by a "nutritionist."

and so on.

What's even more amazing is that there's no checks and balances and if you
believe the bill you receive somebody is tracking every pillow fluff and
every bed pan cleaning, constantly.  I think 80% of what they put on the
bill is just there to pad it.

On Wed, Dec 8, 2010 at 4:39 PM, sammie smith
<bugcollections@xxxxxxxxxxxxx>wrote:

> One more comment Denis, then I will shut up about hospitals and health
> care.  One of my daughters was in a car wreck; hospital bill was about
> $40.000, insurance approved amount was about $3,500,  hospital had to write
> off the approximate $36,000 difference.  Poor slob who has no insurance, if
> he pays, will have to pay the full $40,000.  Told you before; 99 accountants
> can't figure out what is going on with health care costs, billing, or
> anything else to do with money and health care.
>
>
> --- On *Wed, 12/8/10, Denis Dodson <coocoo@xxxxxxx>* wrote:
>
>
> From: Denis Dodson <coocoo@xxxxxxx>
> Subject: [tcb] Re: Denis' medical bills update.
> To: tcb@xxxxxxxxxxxxx
> Date: Wednesday, December 8, 2010, 1:23 PM
>
>
>  Today I learned that the reason I don’t owe 20% of $83K is that the
> insurance companies make deals with the hospitals that mark down the cost.
> So they say $83K and the insurance says “No, it is $49K” Then they trim
> things here and there, so I pay 20% of $30K. The hospital billing ladies
> have been really nice and they seem amazed by it all, even as they are
> explaining it. I don’t know who to kill.
>
>
>
> Further strange. I was 6 days in ICU. The insurance company sent me a
> letter that said I was pre-approved for 4. I got billed for 5.
>
>
>
> Do I have to kill them all?
>
>
>
>
>
>
>
>
>
>
>
> *From:* tcb-bounce@xxxxxxxxxxxxx [mailto:tcb-bounce@xxxxxxxxxxxxx] *On
> Behalf Of *wuzmop@xxxxxxx
> *Sent:* Wednesday, December 08, 2010 11:33 AM
> *To:* tcb@xxxxxxxxxxxxx
> *Subject:* [tcb] Re: Denis' medical bills update.
>
>
>
> Similarly, when Sonja had surgery years ago, we got identical, SEPERATE
> bills from both doctors in the medical practice her surgeon practiced in.
> Never saw, met, or even knew who the other doctors was.
>
>
>
> -----Original Message-----
> From: Mike Hayes <mike@xxxxxxxxxxxx>
> To: tcb@xxxxxxxxxxxxx
> Sent: Tue, Dec 7, 2010 4:29 pm
> Subject: [tcb] Re: Denis' medical bills update.
>
>
> My wife just had surgery and I have whats considered good insurance and it
> still cost me $2800 out of pocket.
> Last year leading up to the time my father died his bill for the 8 months
> prior was 1.8 million.  He had really good insurance and he didn't pay
> anything.  There were doctors billing his insurance that we never saw come
> or go.
>
>
>
> On 12/7/2010 4:10 PM, Denis Dodson wrote:
>
> I thought that the $30,000+ total cost for falling off the deck was nuts,
> well today I actually spoke to the very nice hospital billing office lady
> who corrected me. The actual total bill before insurance was $83,362.67!
> That does not include the doctor’s, radiology, ambulance, emergency room or
> oxygen bills.
>
>
>
> Shirley said this is what it cost to put me back on my feet for the next
> event, a deer?
>  ------------------------------
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