surgeon's strike

[Guest guest]

THIS is exactly " why " I didn't go back to my original PS surgeon. The guy

did such and awesome job on my tt......but when I started to talk about the

thighs I couldn't figure out " why " he didn't appear interested in

me......then hubby figured it out. I am an insurance pay......the surgeon's

office girl had already told me that 95% of all his patients are

self-pay....they are nose/boob jobs (not WLS related)..kinda for the " elite "

of Pgh. He charged an astronomical amount (like 14,000) and insurance paid

I think between 2 and 3,000. I will have to find the paperwork........but

it certainly make it crystal clear why he wasn't interested in my

thighs!!!!!!!! P.

Re: Re: Surgeon's strike

>

>

> > In a message dated 1/10/2003 8:57:08 AM Eastern Standard Time,

> > watnext@... writes:

> > << OK, all our CPA's, this is interesting...does this mean the Hospital

> can

> > write off their " losses " >>

> > Not exactly.

> > They are going to recognize only the revenue that is actually collected,

> not

> > what is billed. But they are only going to offset actual expenses

against

> > those collections. Of course it goes through many layers of

manipulations

> to

> > get to that point.

> > The point of that billing is that a private pay or out of network person

> is

> > actually going to pay those charges. Medicare is pretty much setting

the

> > standards for reimbursement at this time and private insurance companies

> are

> > using that as a benchmark. 25 years ago when I first worked in the

> healthcare

> > industry medicare was one of the poorest third party payors out there,

now

> > it's one of the better ones.

> > Take a good look at your eob's. It is shocking how little some

procedures

> > are reimbursed and the docs or labs have no recourse. I don't blame the

> > providers for pulling out of network. I don't want someone arbitrarily

> > slashing my bills in half, then waiting 90 days to pay me, or claiming

> they

> > never got the bills and forcing me to spend the time and money to send

the

> > bills 2 and 3 times every single time. That's what is happening to ALL

> the

> > doctors. The financial reality of medicine is pretty bleak right now.

> You

> > know how maddening it is to deal with the insurance companies when we

are

> > trying to get approval for these WLS and PS procedures?? That's about

par

> > for the course every day trying to get paid for services.

> > B

> >

> > Homepage: http://groups.yahoo.com/group/Graduate-OSSG

> >

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> >

> >

> >

> >

> >