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Don't forget the doctors insurance... | 355 comments | Create New Account
Comments belong to whoever posts them. Please notify us of inappropriate comments.
Don't forget the doctors insurance...
Authored by: jesse on Sunday, July 01 2012 @ 06:01 AM EDT
Which gives the insurance companies the ability to force the doctors billing up
to cover their insurance premiums.

Of course, then the insurance company can offer discounts if they are covering
both doctor AND patient...

As well as knowing/controlling the actual fees and preventing both doctor and
patient from knowing them.

[ Reply to This | Parent | # ]

I was once one of those 'young people without insurance who needed health care'
Authored by: Anonymous on Sunday, July 01 2012 @ 06:56 PM EDT

Insurance companies pay per line item.
Doctors find it cheaper to bill per session, per diagnosis, or per treatment.

The insurance company will reject a bill for, say, US$100 for "Mary's broken arm". That same insurance company will pay a bill for US$1,000, where there are umpteen lines of the kind "xray film: US$15", "xray chemicals: US$5", "band aid: US$1,00", "3 baby aspirin: US$3", etc. At least half of the items in the list are billed to umpteen clients, each of which, if paid, would cover the cost for all of the clients." Because the insurance companies demand line item billing, medical offices go through what the doctors, nurses, etc do, to code the item so that it maximizes the amount that the insurance company is billed, and pays.

[ Reply to This | Parent | # ]

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