Guest guest Posted February 13, 2004 Report Share Posted February 13, 2004 This was about ego (having our owncode for the device we developed) and profit!, It is about money, that is for sure. Ego for our own device? Not likely. If they code for a THR, they (the hospital and Dr.) get paid for the cost of a standard metal/poly run of the mill THR and the equipment necessary to install it. The resurfacing device is more expensive (at least at this time), and there is more instrumentation involved in installing it. There are the drills, reamers, etc, that are not required for a THR (saw and hammer please), and that do not get paid for under the THR code. Hope that clears it up a bit... Cindy C+ 5/25/01 and 6/28/01 _______________________________________________ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 14, 2004 Report Share Posted February 14, 2004 I hear you, Cindy, but the cost of the C+ to JRI is only $500 (per Chuck ). JRI typically bills the insurance companies 200-300% of their cost (again, per Chuck). I'm not opposed to surgeons having a separate code, with a higher level of reimbursement for this procedure, ONCE THE DEVICE HAS FDA APPROVAL and insurance companies can't weasel out of covering it. In the meantime, while it's still an investigational procedure, it would be in the patients' best interest to use a code that accurately describes the procedure and allows patients to get insurance approval while they are still suitable candidates for resurfacing---like virtually all the other US surgeons have been doing all along. Re: insurance coding > > > This was about ego (having our owncode for the device we developed) and profit!, > It is about money, that is for sure. Ego for our own device? Not likely. If they code for a THR, they (the hospital and Dr.) get paid for the cost of a standard metal/poly run of the mill THR and the equipment necessary to install it. The resurfacing device is more expensive (at least at this time), and there is more instrumentation involved in installing it. There are the drills, reamers, etc, that are not required for a THR (saw and hammer please), and that do not get paid for under the THR code. > > Hope that clears it up a bit... > > Cindy > C+ 5/25/01 and 6/28/01 > > _______________________________________________ > > > > Quote Link to comment Share on other sites More sharing options...
Recommended Posts
Join the conversation
You are posting as a guest. If you have an account, sign in now to post with your account.
Note: Your post will require moderator approval before it will be visible.