How might waste and fraud cause premiums to go up?
Hospital Billing Inconsistencies?
The difference between the Hospital’s Price and Negotiated fees that I have seen on EOB’s (Explanation of Benefits) have often looked ridiculous. Here’s more information from another angle.
Billing Codes – Satire or how it really works?
Excerpts from LA Times 5.28.2012
- The cash discounts evolved over time after hospitals were criticized in recent years for charging the uninsured their highest rates and then hounding them at times with overzealous collection efforts.
- Many hospitals and physicians offer steep discounts for cash-paying patients regardless of income. But there’s a catch: Typically you can get the lowest price only if you don’t use your health insurance.
- It frustrates people because there’s no correlation between what things cost and what is charged
- Health insurance still offers substantial value for consumers by providing preventive care at no cost and offering protection from major medical bills that could bankrupt most families
Resources & Links
CPT (Current Procedural Terminology) Code/Value Search Medicare Billing Codes & Reimbursement
Medicare Billing Codes