Quote:
Originally Posted by waynet
I do think our healthcare system is the best in the world but it is far from perfect and the prices we pay continue to grow. It is estimated that $100 billion is stolen from us on bogus bills. Again follow the money and you will see why again nothing is done to improve the system Until the lobbying industry is contained it will never be about the common good but only the corporation good.
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I am very CURIOUS to know-from where do you get your information? Our hospital (and ALL hospitals in the USA) is routinely and randomly audited by Medicare. If you don't have documented order, CPT code number correct, ICD9 code correct, etc,etc,etc,...You are asked to give money BACK!!! The one good thing is that Medicare doesn't pay alot in reimbursement in the first place, so the loss isn't that great. However, private insurances go over every bill with a fine tooth comb. They can even go back 6 months and sak for money back. You have no clue how tightly our billing/revenue department must be run. Nor the intense scrutiny they are under. Not to mention that every year, Medicare makes 1000's of changes in how billing needs to be done and changes CPT and ICD 9 codes annually. It takes an entire department, fully staffed, to stay on top of the changes, so as not to send an erroneous bill out the door!