As
incredulous as it may seem on average billing ERRORS average 15%-20% across the
board. Even more incredulously is apparently no one cares because medical costs
are essentially arbitrary; there are no real definable costs. A test or
procedure costs X if you have one insurance, costs y if you have another, or
potentially even x+y if you have no insurance. Bottom line there is no ‘actual
cost’ for a product or service.
How can
I discuss line items on bills if I am not prepared with at least lay-knowledge
of services, techniques, equipment, etc.
I have
had to self-learn radiology, pathology, oncology, and surgical terminology, spending
hours to days on line self-learning billing and coding and more.
I have
caught everything from an obvious double billing of a day’s hospitalization for
a pneumothorax to billing for X-rays that were not even mine.
Years
ago when such things used to surprise me I would record into my day planner how
much time I spent on medical billing and insurance related issues caring for my
wife with Multiple Sclerosis. 1,000 hours a year was not unusual. That is essentially
an additional 125 working days a year ‘unpaid’ spend on phones and paperwork. I
did it because I originally wanted to reduce the stress for her of living with
MS but later progression of cognitive symptoms left her unable.
Surviving
lung cancer for a few months already has shattered those numbers and I’m not
caregiving for someone else, I am trying to recover and survive.
It’s not
like 15% is a great chance of survival in the first place so why does the
medical billing, coding, and insurance profession ramp up the stress with its carelessness
to increase the obstacles.
--
by Patrick Leer
by Patrick Leer
BLOGS:
Caregivingly Yours, MS Caregiver @ http://caregivinglyyours.blogspot.com/
My Lung Cancer Odyssey @ http://lung-cancer-survivor.blogspot.com/
health lung cancer harrisburg pennsylvania
I’m sorry to hear about the situation you’re in, Patrick. Yes, medical billing errors are not unusual, especially if it was done on paper. The development of the electronic medical record management system aimed to solve that problem. It really did help reduce the occurrence of these errors, but they are still out there. I’m hoping that in a few more years, the medical field will have developed a universal system that everyone can follow and understand.
ReplyDeleteThanks Edwina "everyone can follow and understand" is exactly what is missing. I am not speaking just of patients but withing hospitals, labs, and often the subcontractors they use for billing ... it's all stuck somewhere in between paper and electronic and at times it resembles a philosophy of let's see what we can code this and/or bill this as and see what sticks. Maddening!
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